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Price Transparency Access through Health Insurance Provider Tools

Policy

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Published on Jun 9, 2022

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Consumers should have access to personalized, actionable information to make better, more informed decisions before they seek and receive care. Health insurance provider tools are best positioned to provide them with that access.

Cost estimator tools give consumers estimated costs for covered items and services before seeking care. But generalized price transparency information, such as information provided by state databases, or cost estimates derived through a third party, cannot provide personalized information in real time about an enrollee’s actual expected out-of-pocket costs. For example, these tools do not provide information such as where an enrollee stands in their deductible for the year.