Request a Patient Cost Estimate
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About
To request an estimate of your out-of-pocket expenses for future services,
please fill out the form below. A Valley Health representative will follow
up with you by e-mail via
estimates@valleyhealthlink.com. Please keep in mind that this is an estimate and actual out of pocket
expenses may vary as a result of the quality and accuracy of the information
provided when making the request, the actual care provided at the time
of service, and the level of coverage applied by your insurance (if any)
when they process your claim.
What happens when you submit an estimate request using this form or by
e-mail via
estimates@valleyhealthlink.com:
- A Valley Health Estimates Coordinator will prepare an estimate using the
information you submitted.
- If you have insurance, Valley Health will verify your level of benefits
with your insurance company, including the current status of any outstanding
deductible or other Out-Of-Pocket (OOP) remaining for your current plan year
- If we need additional information to prepare an accurate estimate, we will
contact you using the communication preference you indicate.
- Although estimates are usually provided in one business day, in some cases
it may take slightly longer.
What will be provided in your estimate:
- The estimated total charges.
- If you have insurance, the allowed amount or negotiated rate between Valley
Health and your insurance plan. This amount is usually less than the total
charges. If you are uninsured or the estimate is for a service that is
not covered by your insurance, there will not be a negotiated rate. Valley
Health provides a 30% Uninsured Discount for patients without insurance coverage.
- The amount “You Pay” before discounts. This amount is the estimated
Patient Responsibility or Out-Of-Pocket (OOP) amount that we expect your
insurance to apply to your share of the cost, or the discounted Uninsured
rate for patients without insurance. If you have insurance, this amount
is usually a combination of one or more of your benefit plan’s Co-Pay,
Coinsurance, and any remaining Deductible, as defined by your employer
or insurance group. This amount will not exceed the allowed amount or
negotiated rate for covered services.
- A “Prepayment Due” amount that reflects a Prepayment discount.
This is the amount “You Pay” less a 10% discount if you choose
to prepay. Although prepayment is not required for most services, to receive
this reduced rate, you must prepay the Prepayment Due amount before receiving
the service.
If you have questions please contact
estimates@valleyhealthlink.com. For more on price transparency,
click here.