{"id":39263,"date":"2024-03-04T18:57:59","date_gmt":"2024-03-05T00:57:59","guid":{"rendered":"https:\/\/www.tamus.edu\/benefits\/?page_id=39263"},"modified":"2024-03-05T12:37:53","modified_gmt":"2024-03-05T18:37:53","slug":"transparency-of-coverage","status":"publish","type":"page","link":"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/","title":{"rendered":"Transparency of Coverage"},"content":{"rendered":"

Public disclosure of prices in the A&M Care plans<\/p>\n

The Transparency in Coverage final rule issued on October 29, 2020, requires most group health plans and health insurance issuers to provide public disclosures in machine-readable files regarding in-network, out-of-network and prescription drug prices. This health plan price transparency helps consumers know the cost of a covered item or service before receiving care. The information on this webpage was designed to comply with the Transparency in Coverage Final Rule requirements.<\/p>\n

The A&M System and the third-party administrator of the A&M Care plans, Blue Cross and Blue Shield of Texas (BCBSTX), share pricing information with the public through these machine-readable files, which contain in-network and out of network files.<\/p>\n

The files can be found on the BCBSTX information page<\/a>.<\/p>\n

The\u00a0in-network file<\/strong>\u00a0discloses negotiated rates between plans and providers for covered items and services. The\u00a0out-of-network (allowed amount) file<\/strong>\u00a0discloses unique allowed amounts and billed charges for out-of-network services. Both files are significantly larger than average website downloads and are provided in JSON format.<\/p>\n","protected":false},"excerpt":{"rendered":"

Public disclosure of prices in the A&M Care plans The Transparency in Coverage final rule issued on October 29, 2020, requires most group health plans and health insurance issuers to provide public disclosures in machine-readable files regarding in-network, out-of-network and prescription drug prices. This health plan price transparency helps consumers know the cost of a…<\/p>\n","protected":false},"author":1971,"featured_media":0,"parent":0,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-39263","page","type-page","status-publish","hentry"],"yoast_head":"\nTransparency of Coverage - Benefits<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Transparency of Coverage - Benefits\" \/>\n<meta property=\"og:description\" content=\"Public disclosure of prices in the A&M Care plans The Transparency in Coverage final rule issued on October 29, 2020, requires most group health plans and health insurance issuers to provide public disclosures in machine-readable files regarding in-network, out-of-network and prescription drug prices. This health plan price transparency helps consumers know the cost of a...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/\" \/>\n<meta property=\"og:site_name\" content=\"Benefits\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/tamusystem\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-05T18:37:53+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@tamusystem\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/transparency-of-coverage\\\/\",\"url\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/transparency-of-coverage\\\/\",\"name\":\"Transparency of Coverage - Benefits\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/#website\"},\"datePublished\":\"2024-03-05T00:57:59+00:00\",\"dateModified\":\"2024-03-05T18:37:53+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/transparency-of-coverage\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/transparency-of-coverage\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/transparency-of-coverage\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Regents Home\",\"item\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Transparency of Coverage\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/#website\",\"url\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/\",\"name\":\"Benefits\",\"description\":\"The Texas A&M University System Network\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/#organization\",\"name\":\"The Texas A&M University System\",\"url\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/wp-content\\\/uploads\\\/sites\\\/146\\\/2026\\\/02\\\/TAMUS-WhiteSeal.png\",\"contentUrl\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/wp-content\\\/uploads\\\/sites\\\/146\\\/2026\\\/02\\\/TAMUS-WhiteSeal.png\",\"width\":700,\"height\":700,\"caption\":\"The Texas A&M University System\"},\"image\":{\"@id\":\"https:\\\/\\\/www.tamus.edu\\\/benefits\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/tamusystem\",\"https:\\\/\\\/x.com\\\/tamusystem\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Transparency of Coverage - Benefits","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/","og_locale":"en_US","og_type":"article","og_title":"Transparency of Coverage - Benefits","og_description":"Public disclosure of prices in the A&M Care plans The Transparency in Coverage final rule issued on October 29, 2020, requires most group health plans and health insurance issuers to provide public disclosures in machine-readable files regarding in-network, out-of-network and prescription drug prices. This health plan price transparency helps consumers know the cost of a...","og_url":"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/","og_site_name":"Benefits","article_publisher":"https:\/\/www.facebook.com\/tamusystem","article_modified_time":"2024-03-05T18:37:53+00:00","twitter_card":"summary_large_image","twitter_site":"@tamusystem","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/","url":"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/","name":"Transparency of Coverage - Benefits","isPartOf":{"@id":"https:\/\/www.tamus.edu\/benefits\/#website"},"datePublished":"2024-03-05T00:57:59+00:00","dateModified":"2024-03-05T18:37:53+00:00","breadcrumb":{"@id":"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.tamus.edu\/benefits\/transparency-of-coverage\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Regents Home","item":"https:\/\/www.tamus.edu\/benefits\/"},{"@type":"ListItem","position":2,"name":"Transparency of Coverage"}]},{"@type":"WebSite","@id":"https:\/\/www.tamus.edu\/benefits\/#website","url":"https:\/\/www.tamus.edu\/benefits\/","name":"Benefits","description":"The Texas A&M University System Network","publisher":{"@id":"https:\/\/www.tamus.edu\/benefits\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.tamus.edu\/benefits\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.tamus.edu\/benefits\/#organization","name":"The Texas A&M University System","url":"https:\/\/www.tamus.edu\/benefits\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.tamus.edu\/benefits\/#\/schema\/logo\/image\/","url":"https:\/\/www.tamus.edu\/benefits\/wp-content\/uploads\/sites\/146\/2026\/02\/TAMUS-WhiteSeal.png","contentUrl":"https:\/\/www.tamus.edu\/benefits\/wp-content\/uploads\/sites\/146\/2026\/02\/TAMUS-WhiteSeal.png","width":700,"height":700,"caption":"The Texas A&M University System"},"image":{"@id":"https:\/\/www.tamus.edu\/benefits\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/tamusystem","https:\/\/x.com\/tamusystem"]}]}},"taxonomy_info":[],"featured_image_src_large":false,"author_info":{"display_name":"Estela Felan","author_link":"https:\/\/www.tamus.edu\/benefits\/author\/efeagin\/"},"comment_info":0,"_links":{"self":[{"href":"https:\/\/www.tamus.edu\/benefits\/wp-json\/wp\/v2\/pages\/39263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.tamus.edu\/benefits\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.tamus.edu\/benefits\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.tamus.edu\/benefits\/wp-json\/wp\/v2\/users\/1971"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tamus.edu\/benefits\/wp-json\/wp\/v2\/comments?post=39263"}],"version-history":[{"count":0,"href":"https:\/\/www.tamus.edu\/benefits\/wp-json\/wp\/v2\/pages\/39263\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.tamus.edu\/benefits\/wp-json\/wp\/v2\/media?parent=39263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}