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Transparency in Coverage – Public Access Requirement

The Public Access Requirement is a rule that requires group health plans and issuers to provide certain price information accessible to plan participants and other stakeholders.  The files must be updated monthly and include the following detailed pricing information:

  • In network: Negotiated rates for all covered items and services between the plan or issuer and in-network providers.
  • Out of network: Historical payments to, and billed charges from, out-of-network providers. Files are not required if there are fewer than 20 claims for a service for a provider.
  • Prescription drugs: In-network negotiated rates and historical net prices for all covered prescription drugs at the pharmacy location level (this requirement is delayed pending further rulemaking).

These files can be found here:

This page contains forms and information about the various employee benefits offered by the City and Borough of Juneau. If you have any questions, please use the button to contact the Human Resources department.

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