Health Plan - Transparency and coverage | Valley Health Plan

female asian doctor explaining prescription to black female patient in doctors office

In November 2020, the Departments of Labor (DOL), Health and Human Services (HHS), and Treasury issued final regulations to implement an Affordable Care Act (ACA) requirement intended to provide greater price transparency for group health plan participants and beneficiaries. Under the Departments' November 2020 final regulations on health plan cost transparency, group health plans and health insurers must disclose cost-related information to the public in machine-readable files that are updated each month. A copy of these files are available in the links below.

An .json file that gives the table of contents for the health plan cost of services required under the No Surprise Act - Price Transparency Reporting.

Table of Contents for Transparency and Coverage Data for April 2024

Under the No Surprise Act - Price Transparency Reporting we are providing a .json files that when downloaded contains the allowed amounts paid to providers outside of the VHP network.

Allowed Amounts - Transparency and Coverage Data for April 2024

Under the No Surprise Act - Price Transparency Reporting we are supplying machine readable files that contains In-network rates for medical services provided by contracted providers and practitioners.