State Employee Health Plan

Transparency in Coverage Compliance

June 30, 2022

This Plan is required to provide certain information on a public website pursuant to the Federal Transparency in Coverage Final Rule published in the Federal Register on November 12, 2020. 

This Rule is intended to make information about the prices charged for health care available to the public, particularly researchers.  These experts can use pricing information from this Plan and others to better understand the health care system and its costs and, hopefully, create new policies that improve competition and lower health care spending. 

The Rule requires that the Plan post links to machine-readable files that contain information about the price of health care services.  A machine-readable file is written in computer code and is an extremely large file.  It is not intended to be downloaded or read by participants but to be used in research studies.  The files do not contain Protected Health Information (PHI) about you or your family.

Links on this website provide machine-readable files for the Plan’s in-network negotiated rate and historical allowed amounts for out-of-network charges.  The files attached to the links are maintained by the Plan’s third party administrators, Aetna Health Plans and Blue Cross and Blue Shield of Kansas.  The file attached to the link will be updated automatically each month by the third party administrator. 

 In 2023, the Plan will post additional price comparison information intended to allow participants and dependents to see health prices and shop for certain services.  Stay tuned for additional information. 

If you have any questions about the Rule, you can read more information at https://www.cms.gov/newsroom/fact-sheets/transparency-coverage-final-rule-fact-sheet-cms-9915-f

 

Aetna

Blue Cross Blue Shield of Kansas

For More Information:

SEHPBenefits@ks.gov 

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