Out-of-Pocket Estimate

Out-of-Pocket Estimate

Mon, 02/10/2020 - 14:49

An estimate of the amount that you may have to pay on your own for health care or prescription drug costs.

The estimate is made before your health plan has processed a claim for that service.

If you are going into the hospital or surgical center you can expect a courtesy call the day before to inform you of their estimate of what you will have to pay.

Expect to be asked, "How do you want to pay?"

♦ Suggestion: Refuse to pay until you have seen the final bill and can compared it to what your insurance company says you owe.

The final cost can vary quite a lot depending upon the coding used to submit the claim. Waiting to see the final bill is the safest.