Intended to protect consumers from some unpredicted medical bills after receiving care from out-of-network providers. This allows negotiation for reimbursement through an independent dispute resolution process.

Learn more:  Federal Guideline

Requires health plan IDs to include both in-network and out-of-network information about deductibles and out-of-pocket maximum limitations, as well as a phone number or website to obtain additional information.

Learn more: Federal Guideline

A database must be created that includes a list of providers and facilities that are in-network and must be verified and updated every 90 days.

Learn more: Federal Guideline

Requires insurance coverage for mental health conditions, including substance use disorders, to be no more restrictive on coverage than any other medical condition. 

Learn more: Federal Guideline

A database must be created that includes a list of providers and facilities that are in-network and must be verified and updated every 90 days.

Learn more: Federal Guideline

Click here to access information on Transparency in Coverage