ACA Health Plan Rate and Pricing Public Disclosures Checklist

Summary

As summarized in this checklist, most group health plans and issuers of individual and group health insurance coverage are required to provide publicly accessible machine-readable files of the plan or policy's (1) in-network rates for covered items and services, (2) out-of-network allowed amounts and billed charges for covered items and services, and (3) rates and charges for covered prescription drugs.