(1) or (2) are alerted that the information provided is an estimate and that the actual costs that the enrollee will be responsible for may vary. (4) Exemption The requirements of this subsection shall not apply to a PDP sponsor if the total number of enrollees in all the prescription drug plans offered by the sponsor is less than a number of enrollees determined appropriate by the Secretary. . 3. Improving cost and quality transparency under private health insurance (a) In general Title XXVII of the Public Health Service Act is amended by inserting after section 2715A ( 42 U.S.C. 300gg–15a ) the following: 2715B. Improving cost and quality transparency under private health insurance (a) Toll-Free telephone number (1) In general A group health plan and a health insurance issuer offering group or individual health insurance coverage shall have in place a toll-free telephone number under which enrollees in the plan or coverage calling the telephone number are able to receive, directly or through charge-free transfer, information regarding the quality of in-network providers and facilities, as defined by the Secretary, and the following information regarding out-of-pocket costs for benefits under the plan or coverage: (A) The enrollee’s out-of-pocket costs for a specific covered benefit provided by a specific in-network provider or facility, and other covered benefits frequently associated with the specific covered benefit, as determined by the Secretary. (B) An explanation of the cost-sharing components under the applicable plan or coverage, including with respect to— (i) deductibles