How We’re Helping Your Plan Comply
Crescent Health Solutions is currently preparing the services and capabilities needed to support and assist Plan Sponsors in complying with these requirements.
Click links below to learn more information from the Centers for Medicare and Medicaid Services.
Overview of Transparency in Coverage and No Surprises Act
Surprise Billing and Protecting Consumers
The Transparency in Coverage Rule requires that members be provided with benefit cost estimator tools (by Internet website or paper) that help members estimate their out-of-pocket costs and compare costs for covered network and out-of-network services. A similar cost comparison tool (including by telephone) for services from a network provider is required under the No Surprises Act. The Departments have deferred enforcement of the price comparison tool under the No Surprises Act until plan years beginning on or after January 1, 2023, to align with the Transparency in Coverage rule.
Please note: Federal guidance regarding the Transparency in Coverage Rule and the Consolidated Appropriations Act, 2021, which includes the No Surprises Act, continues to be revised and updated; click here for our latest legislative and regulatory updates. The below summary reflects Crescent’s current plans. Please reach out to Client Services (x226) with questions. Crescent does not provide legal advice. We recommend our clients and Plan Sponsors consult their legal counsel to ensure their plans are compliant with the applicable laws.