Apr 28, 2022
The Centers for Medicare & Medicaid Services (CMS) Transparency in Coverage Rule requires health plans to disclose pricing information over the course of about three years.
In compliance with the rule, Sutter Health Plus is preparing to disclose in-network provider negotiated rates and out-of-network allowed amounts through machine-readable files posted on their website by July 1, 2022.
Members should refer to their benefit plan documents available on the Member Portal to better understand their out-of-pocket costs, such as copays, deductibles, or coinsurance. Members can also call Sutter Health Plus Member Services to help them better understand this information.
Contact your Amwins Connect Regional Sales Manager for more information.