{"id":11838,"date":"2022-12-16T11:55:23","date_gmt":"2022-12-16T16:55:23","guid":{"rendered":"http:\/\/hnetalk.com\/member\/?p=11838"},"modified":"2023-01-13T14:54:23","modified_gmt":"2023-01-13T19:54:23","slug":"cost-estimator-tool","status":"publish","type":"post","link":"https:\/\/hnetalk.com\/member\/cost-estimator-tool\/","title":{"rendered":"New Cost of Care Estimator Tool Coming Soon"},"content":{"rendered":"<p>As part of the Transparency in Coverage Final Rule released in 2020, all individual and group health plans, including self-funded group plans, are required to provide a web-based, self-service cost of care tool that must be accessible to its members, enrollees or beneficiaries for plan years beginning on or after January 1, 2023.<a href=\"https:\/\/i0.wp.com\/hnetalk.com\/member\/wp-content\/uploads\/2019\/11\/wallet-icon.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-8552\" src=\"https:\/\/i0.wp.com\/hnetalk.com\/member\/wp-content\/uploads\/2019\/11\/wallet-icon.jpg?resize=165%2C192&#038;ssl=1\" alt=\"\" width=\"165\" height=\"192\" \/><\/a><\/p>\n<p>Health New England currently provides members access to a cost of care calculator\/estimator tool on our member portal at <a href=\"https:\/\/my.healthnewengland.org\/Login?returnurl=%2f#!\/\" target=\"_blank\" rel=\"noopener\">my.healthnewengland.org<\/a>. Because the new regulations require additional information to be contained within this tool, Health New England will be transitioning to an enhanced cost estimator tool in early 2023.<\/p>\n<p>The enhanced tool will allow you to view the following:<\/p>\n<ul>\n<li>Your estimated cost-sharing liability<\/li>\n<li>How much of your deductible and\/or out-of-pocket maximum (MOOP) has been met<\/li>\n<li>Negotiated rates by Provider for the item or service you are researching<\/li>\n<li>Out-of-Network allowed amounts (when applicable) for the item or service you are researching<\/li>\n<li>Detailed information on which items or services are included as part of any bundled payments<\/li>\n<li>Notice of any pre-requisite to coverage, such as prior authorization<\/li>\n<li>Plain language disclosures<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>As part of the Transparency in Coverage Final Rule released in 2020, all individual and group health plans, including self-funded group plans, are required to provide a web-based, self-service cost of care tool that must be accessible to its members, enrollees or beneficiaries for plan years beginning on or after January 1, 2023. Health New [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7257,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[19],"tags":[1078,1079],"class_list":["post-11838","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-newsletter","tag-cost-estimator","tag-cost-of-care-transparency"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/hnetalk.com\/member\/wp-content\/uploads\/2018\/12\/GettyImages-843252724.jpg?fit=2121%2C1414&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZGa-34W","_links":{"self":[{"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/posts\/11838","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/comments?post=11838"}],"version-history":[{"count":6,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/posts\/11838\/revisions"}],"predecessor-version":[{"id":12018,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/posts\/11838\/revisions\/12018"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/media\/7257"}],"wp:attachment":[{"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/media?parent=11838"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/categories?post=11838"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hnetalk.com\/member\/wp-json\/wp\/v2\/tags?post=11838"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}