Transparency in Coverage
Charlottesville Foot & Ankle Center is committed to helping patients make informed decisions about their healthcare and understand the costs associated with their care.
Health Plan Price Transparency
Under federal Transparency in Coverage requirements, most health insurance companies and group health plans are required to make certain healthcare pricing information publicly available. This information is intended to help consumers better understand healthcare costs and compare pricing across providers and health plans.
The published information includes:
- In-network negotiated rates: Pricing agreements between health insurance plans and in-network healthcare providers.
- Out-of-network allowed amounts: Information about amounts allowed and historical billed charges for covered services provided by out-of-network providers.
- Prescription drug pricing information: Pricing information for covered prescription drugs, as applicable.
Accessing Pricing Information
Machine-readable files containing this information are published by applicable health insurance companies and health plans. These files can be large and may require specialized tools to interpret.
To access pricing information for your health plan, please visit your health insurance company’s official website and look for its “Transparency in Coverage” or “Price Transparency” disclosures.
For additional information about federal healthcare price transparency requirements, visit the Centers for Medicare & Medicaid Services (CMS).
Understanding Your Healthcare Costs
Your out-of-pocket costs may depend on your insurance coverage, deductible, copayment, coinsurance, network status, and the services you receive. The pricing information published by health plans may not represent the exact amount you will owe for a particular visit or procedure.
For questions about your individual benefits, coverage, or estimated patient responsibility, contact your health insurance company directly. You may also contact Charlottesville Foot & Ankle Center for assistance with questions about our services, insurance participation, or billing procedures.
Please note: Coverage and reimbursement are determined by your individual health plan and applicable benefit terms. Verification of insurance benefits does not guarantee payment by your insurer.