Transparency in Coverage Rule

Healthgram Health Insurance

As required by the Transparency in Coverage Rules (TiC) as part of the Consolidated Appropriations Act of 2021 (CAA), Machine Readable files are made available publicly for all self-insured group health plans administered by Healthgram, Inc. Healthgram Inc. is a third party administrator of self-insured plans (employers). These plans contract directly with one or more PPO Networks, who have provided us with pricing data (or links) for publishing the compliant machine readable files. The PPO used by your plan can be found on your insurance card.  Currently the PPO for the TFC plan is CIGNA.

The below link will give machine-readable-files for:

  • In-network provider rates for covered items and services; and
  • Out-of-network allowed amounts and billed charges for covered items and services.