personal health record alerts print personal health record out of pocket estimator: step 1 of 4...
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Personal Health Record
Alerts
Print Personal Health Record
Out of Pocket Estimator: Step 1 of 4
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Plan Information
Out of Pocket Estimate for: John
Select Miles willing to travel: 100 miles
Co-pay:
In-Network Deductible:
In-Network Co-Insurance
In-Network Out of Pocket Max
Remaining Deductible:
Remaining Co-insurance:
Balance in Healthcare Accounts
Select procedure MRI
Next
Select Network In-Network Only
1
2
3
Getting Started
None
$ 2,000.00
$ 0.00
$ 2,000.00
$ 1,286.00
$ 0.00
$ 1,900.00
Personal Health Record
Alerts
Print Personal Health Record
Out of Pocket Estimator: Step 2 of 4
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Compare Facilities: Select up to 3 facilities
Next
Facility Select up to 3 facilities Cost/Quality Score
ABC Radiology
123 Easy Street
Anytown, US 12345
Cost: High
Quality: High
ABC Radiology
123 Easy Street
Anytown, US 12345
Cost: High
Quality: High
ABC Radiology
123 Easy Street
Anytown, US 12345
Cost: High
Quality: High
ABC Radiology
123 Easy Street
Anytown, US 12345
Cost: High
Quality: High
ABC Radiology
123 Easy Street
Anytown, US 12345
Cost: High
Quality: High
ABC Radiology
123 Easy Street
Anytown, US 12345
Cost: High
Quality: High
Personal Health Record
Alerts
Print Personal Health Record
Out of Pocket Estimator: Step 3 of 4
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ABC Radiology123 Easy StreetAnytown, US 12345
Compare Providers: Select up to 5 providers
ABC Radiology123 Easy StreetAnytown, US 12345
Next
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Facilities 1
ProvidersAvg. Cost:
HighAvg. Quality:
Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Facilities 3
ABC Radiology123 Easy StreetAnytown, US 12345
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Dr. John Doe123 Easy StreetAnytown, US 12345 map
Avg. Cost: High
Avg. Quality:Medium
Facilities 2
Out of Pocket Estimator: Step 4 of 4
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Comparing Providers
Return to Home
Provider/
FacilityTotal Cost
Insurance Responsibility
Your Responsibility
Balance in Accounts
Net Out of Pocket
Cost/Quality Score
Dr. John Doe
ABC Radiology
$900.00view details
$ 0.00
view details$900.00
view details
$1,900.00view details
$ 0.00
view details4.5
Dr. John Doe
ABC Radiology
$900.00view details
$ 0.00
view details
$900.00view details
$1,900.00view details
$ 0.00
view details 4.5
Dr. John Doe
ABC Radiology
$900.00view details
$ 0.00
view details
$900.00view details
$1,900.00view details
$ 0.00
view details 4.5
Dr. John Doe
ABC Radiology
$900.00view details
$ 0.00
view details
$900.00view details
$1,900.00view details
$ 0.00
view details 4.5
Dr. John Doe
ABC Radiology
$900.00view details
$ 0.00
view details
$900.00view details
$1,900.00view details
$ 0.00
view details 4.5