SummaCare Pricing Transparency

As part of the Transparency in Coverage Act, health plans are required to post Machine-Readable Files (MRFs) containing the following costs for items and services when accessing care:

• In-Network Rate File: Rates for all covered items and services between the plan or issuer and in-network providers.
• Allowed Amount File: Allowed amounts for, and billed charges from, out-of-network providers.

This information is intended to help you better understand the cost of seeking care for specific services under your SummaCare plan.

View Machine-Readable Files containing pricing information from SummaCare.

If you have any questions, please contact edisupport@summacare.com.

Learn more about pricing transparency by visiting the Centers for Medicare and Medicaid Services website.