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Transparency in Coverage

Consolidated Appropriations Act and Transparency in Coverage

HealthTrust is committed to full transparency. We strive to ensure that our covered individuals can access the information they need to fully understand their health benefits and the protections available to them under the law. To learn more, click on the links in the content sections below.

If you have questions about your specific claims or coverage, please log in to your Secure Enrollee Portal account and click "Message Center" to send a secure message to HealthTrust Enrollee Services, or call us at 800.527.5001.

Machine-Readable Files

The Transparency in Coverage (TiC) final rules require group health plans such as HealthTrust to make machine-readable files publicly available that will disclose in-network rates and out-of-network allowed amounts and billed charges for plan or policy years that start on or after January 1, 2022. HealthTrust has partnered with our third party claims administrator, Anthem, to provide access to these files. Please use the below link to the Anthem website to access the machine-readable files.

Transparency in Coverage Machine-Readable Files (Medical) 

Price Transparency Tool

The Consolidated Appropriations Act, 2021 requires health plans to make available to participants personalized, out-of-pocket cost information electronically and in paper form, upon request. This means that in addition to the current cost estimates Anthem provides for most members for certain treatment categories in its Find Care tool, it also provides negotiated rates and personalized cost shares for all services. To access these rates, log in to your Secure Enrollee Portal account, click the Anthem button and on the Anthem website, click on “Find Care,” scroll down to “Search by Procedure” and search for the specific procedure.

No Surprise Billing

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

To learn more, click the link to read the Notice about Your Rights and Protections against Surprise Medical Bills

Section 204 Prescription Drug and Medical Spending Reporting

For Member Groups with HealthTrust Medical coverage, please find Section 204 resources in the Secure Member Portal (SMP). Log in to your SMP account, click on Toolkit > Program and Coverage Resources, and scroll to the "Consolidated Appropriations Act, 2021, Section 204 Resources" section.