Who can use the cost estimator tool?
At this time, only people covered by the following list of participating insurance plans may use the tool. People who are uninsured or have a managed care coverage can also use this tool. Medicare and Medicaid (Medi-Cal) estimates are not offered through the tool at this time. We plan on adding more insurance plans in the future.
- Blue Cross
- Blue Shield
- Health Net
- Sutter Select
- United Healthcare
What services are covered in the new cost estimator tool?
More than 200 ambulatory services are included in the new tool. Hospital services are not offered through the online cost estimator at this time. Please call (855) 398-1639 for hospital service estimates.
Can I pre-pay the estimated out-of-pocket amount before a scheduled visit?
Not at this time. Payment may be made at the time of service or through My Health Online after the visit is completed. We plan to add an online pre-payment feature in 2019.
Is the amount of the estimate exactly what I will be charged for the service?
While this tool will provide the most accurate estimate possible, other factors may affect the final billing statement. Factors such as insurance eligibility, additional services performed at time of visit or a change in your remaining deductible may change the cost of the service. A final statement will be provided after the service is performed.
Why do estimates sometimes not show my benefits?
Occasionally, benefits are not available from insurance plans for a variety of reasons. For instance, your insurance may not be updated in our system, or the insurance plan’s system may be unavailable. If your benefit information is not available when requesting an estimate, you can manually enter your information.
Why are there different prices for the same service depending on where I go in the Sutter network?
Because Sutter’s network extends across Northern California, care centers can have different operating expenses. This means costs for visits and procedures can fluctuate from location to location.
Where can I access the cost estimator tool?
Login to your account at myhealthonline.sutterhealth.org to see cost estimates, listed under the “Customer Service” section at the top. The cost estimator tool is only accessible on desktop, and is currently not available on the My Health Online mobile app.
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