Know your costs. Save on care. Get rewarded.
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- Louisa Wilkins
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1 Know your costs. Save on care. Get rewarded. Cost Estimator + PriorityRewards
2 Our Cost Estimator tool shows your estimated out-of-pocket costs for hundreds of services and thousands of prescriptions based on your specific health plan. It also shows you how prices vary by location or when you have a lower cost alternative to your medication. That way you can compare costs and make decisions with you and your budget in mind.
3 Plus, with PriorityRewards, when you choose to receive care from a lower-cost, highquality facility, we ll send you a Visa rewards * card ranging from $50 to $500. Need to schedule a procedure, lab test or office visit? Before receiving care, search for the medical service you need Select your doctor or the location (facility). If you choose your doctor first you can choose your preferred facility from the in-network results. You ll be shown fair-market and abovemarket prices. If you chose your facility first, you can choose your doctor who performs that service at that location from the search results. A green trophy means the service and facility combination makes you eligible for a reward.
4 How do I get rewarded?*: Choose a facility with a green trophy. If you receive the medical service within six months of using the tool, we ll send your Visa rewards card in the mail within a few weeks of receiving the service. REWARDS CARD Funds expire upon 24 months of inactivity Your rewards card can be used for most things including medical services, health and wellness services, groceries, general merchandise and much more. Need to know the cost of your medication? Before heading to the pharmacy, search for the medication you need. You ll need to know your dosage too. Then select your preferred pharmacy or pharmacies to see prices. If there s a preferred alternative medication available for the drug you re searching for, you ll be alerted. These are often lower cost generics or brands you could speak to your doctor about. *PriorityRewards is not yet available for medications, or to members with Medicare, Medicaid or Spectrum Health Partners plans, or self-funded employer groups who have not opted in.
5 Rewardable procedures Procedure type Procedure Reward Bone and joint Carpal tunnel surgery $100 Bone and joint Anterior cruciate ligament knee surgery (ACL) $200 Bone and joint Arthroscopic rotator cuff repair $200 Bone and joint Knee arthroscopy $200 Bone and joint Shoulder arthroscopy $200 Bone and joint Total hip replacement** $500 Bone and joint Total knee replacement** $500 Cardiac Doppler exam of the heart $100 Cardiac Heart echo imaging $100 Cardiac Heart perfusion imaging $100 Diagnostic Colonoscopy (with and without biopsy) $100 Diagnostic Upper GI endoscopy (with and without biopsy) $100 Diagnostic Sleep study $100 Diagnostic Cystoscopy $200 Imaging Most CTs $50 Imaging Most MRIs $100 Outpatient Nose plastic surgery (Rhinoplasty) $100 Outpatient Lap band surgery $200 Outpatient Nasal septum repair $200 Outpatient Remove tonsils and adenoids $200 Outpatient Ear tubes $200 Outpatient Cataract surgery $200 Outpatient Laparoscopic cholecystectomy $200 Outpatient Lithotripsy $200 Women s health Bone density scan $50 Women s health Cesarean section delivery $200 Women s health Vaginal delivery $200 Women s health Hysteroscopy $200 Women s health Breast biopsy $200 Women s health Laparoscopy, excise lesions $200 Women s health Total hysterectomy $200 **Effective January 1, 2018
6 Get started. Log into your MyHealth account at priorityhealth.com and choose Cost Estimator. Priority Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia en su idioma. Consulte al número de Servicio al Cliente que está en la parte de atrás de su tarjeta de identificación de miembro. (TTY: 711). مالحظة: إذا كنت تتحدث العربية فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. يرجى االتصال برقم خدمة العمالء على الجانب الخلفي من بطاقة عضويتك الشخصية. )رقم هاتف الصم والبكم: 711 ( Priority Health PH F6 11/17
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Patient Price Information List In compliance with state law, OhioHealth is providing this price list for Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital, and Dublin Methodist Hospital
More informationTelemedicine services $0 copay Not applicable Primary care provider (PCP) CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance CYD/Coinsurance
Calendar Year Deductible (CYD) 2 Plan includes an embedded individual deductible provision. An embedded deductible combines individual and family deductibles in $4,000 Single / $8,000 Family $12,000 Single
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