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FAQs – Transparency in Coverage and Consolidated Appropriations Act [Updated 7/27/22]

In late 2020, the Departments of Health and Human Services, Labor, and Treasury released the Transparency in Coverage Final Rules (TIC) and the Consolidated Appropriations Act (CAA) was signed into law. These two initiatives provide new consumer protections as described below, and include extensive transparency reforms intended to help consumers make informed decisions about their health care.

Pinnacle is diligently working to implement all of the regulations outlined in the TIC and the CAA and are closely monitoring them and making adjustments as new regulatory guidance is released. It is our goal to ensure that you receive all of the benefits guaranteed under the new federal guidelines, and that you’re able to utilize the new transparency tools to enhance your health care experience.

The transparency provisions of the CAA and TIC are described below, with FAQs to help explain how these changes will affect you, your providers, and your health plan coverage.

English FAQs (with Cedar plans)

Spanish FAQs (with Cedar plans)

English FAQs (for non-Cedar plans)

Spanish FAQs (for non-Cedar plans)

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