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Health Care Consumer Guides

Estimating What Your Health Care May Cost: A New Tool

Determining the cost of a treatment or procedure can be a mysterious or baffling process for consumers. Since reforming its health insurance marketplace in 2006, Massachusetts has been committed to price transparency and affordable health care for all; to meet those goals, Chapter 224 of the Acts of 2012 makes it mandatory that health insurance carriers provide individualized information regarding the estimated or maximum allowed charge for a proposed service as well as the estimated amount a member may be responsible to pay out-of-pocket.  These estimates are to be based on information available to the member's insurance company at the time the consumer requests the estimate.

A chart found here  details the current phone numbers and website addresses for each company's cost estimator program.

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