Online Pricing Tool

Online Pricing Tool

Beginning January 1, 2023, health plans are required to make online price comparison tools available to members that provide personalized real-time estimates of member cost sharing liability for covered healthcare items and services. The price comparison tools are required to be internet-based and must initially provide cost sharing estimates on 500 commonly accessed healthcare services for plan years beginning on or after January 1, 2023, and all covered healthcare services in plan years beginning on or after January 1, 2024.

 By making cost sharing estimates available to consumers prior to receiving care, members will be empowered to make more informed decisions regarding their healthcare and be better equipped to shop for healthcare goods and services across multiple providers in their network.  Price comparison tools are required to:

  • Enable members to search for healthcare items or services, based on a billing code or description, in a specific user-defined geographical area
  • Provide good faith real-time estimates of member cost sharing, based on contracted rates and current accumulated amounts
  • Provide members with real-time accumulated amounts, such as deductible, co-insurance, or other out-of-pocket expenditures
  • Allow members to compare contracted rates and their estimated financial responsibility across multiple providers in their network
  • Allow members to understand their estimated financial responsibility based on the plan’s allowances for out-of-network care
  • Detail any healthcare services that are subject to bundled pricing arrangements
  • List limiting factors or prerequisites to coverage, such as prior authorization
  • Provide cost sharing estimates in printed form, when requested by a member

 MEBA Medical and Benefit Plan has partnered with Green Light to provide this service to all eligible health plan members.  Green Light’s price comparison solution is an easy-to-use online platform and is fully compliant with federal regulations.  Members can register for Green Light’s Price Comparison Tool at https://mycostestimates.com/users/register

 

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MEBA Benefit Plans
1007 Eastern Avenue
Baltimore, MD 21202-4345
(410) 547-9111 or (800) 811-MEBA