Transparency in Coverage

On November 12, 2020, the Departments of Health and Human Services, Labor and the Treasury finalized the Transparency in Coverage Rule that requires health insurers and group health plans to create a member-facing price comparison tool and post publicly available machine-readable files that include in-network negotiated payment rates and historical out-of-network charges for covered items and services, including prescriptions drugs. This data is accessible via machine-readable files and will be updated monthly.

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the machine-readable files on behalf of the Compass Rose Health Plan. To access the machine-readable Files, please click on the following URL: https://transparency-in-coverage.uhc.com/.

Consumer Price Transparency Tools

UMR Health Cost Estimator

The UMR Health Cost Estimator tool allows members enrolled in the Compass Rose Health Plan to get cost estimates for care and procedures, so you can make informed decisions about how your health care dollars are spent. To access this tool:

1. Sign in to your myCompass account
2. Click Go to UMR to go to your profile within UMR
3. Under Find costs and care, select Health cost estimator
4. Click Search for health care services

Optum Rx Drug Pricing Tool

Optum Rx's drug pricing tool is available through your myCompass and Optum Rx accounts. It can help you estimate the cost for covered prescription drugs based on the formulary used by the Standard and High Option Health Plans. To access this tool, sign in to your myCompass account and click Go to Optum Rx.