Health plans must give cost-sharing estimates by phone and post fuller price files
Health plans and insurers must give members cost-sharing estimates by phone, not only online or on paper. Their public price files add details such as network names, drop unlikely provider rates, are updated less often, and need a contact file.
Who it affects
Group health plans, health insurers and their members
When
The changes described here start on January 1, 2027.
- : Published in the Federal Register
- : The rules take effect
- : The changes described here start to apply
- : Revised in-network and out-of-network price files are due
- : New contextual files and website footer are due
Official text
FR Doc. 2026-20447: Transparency in Coverage
On Federal Register. The official text is what counts; read it before you act.
Not legal advice. Plain-English summaries to help you find what changes and when. Not legal advice: read the official text, and ask a lawyer about your situation.