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Broker News | Vol. 8, No. 1 | January 11, 2013
Broker News | Vol. 8, No. 1 | January 11, 2013

New Web Tool Allows Members to Estimate Health Care Costs

Excellus BlueCross BlueShield is dedicated to ensuring that our members have access to information about cost and quality – two key factors guiding them in their health care decision making. We now have a new Web tool that allows members to obtain estimated cost ranges for physician office visits, and medical, surgical and diagnostic procedures performed at hospitals, outpatient surgery centers, freestanding radiology facilities and other medical facilities nationwide.

How It Works

  1. You need to log into our secure site with your username and password (you can get a reminder if you’ve forgotten your password, or even reset your password if you need to).  
  2. Click “Continue” and enter a ZIP code, desired distance, and select a procedure or service. The tool will display the list of available providers within the distance indicated.

    The name, address and phone number will display, as well as the distance from member’s ZIP code, and a total cost range estimate (lowest to highest).

    The Blue Distinction Center designation will display, when appropriate. Blue Distinction is a national designation awarded by BCBS companies to hospitals and medical facilities that have demonstrated expertise in delivering quality health care.

Cost Range Estimates

Please note that this tool is not intended to display the actual cost of a selected treatment. However, it displays the estimated cost range for a selected treatment category based upon historical valid claims information. Cost estimated data is updated every six months and is based on claims previously paid by participating BCBS plans across the country. For hospitals, costs are estimated for categories of treatment and include hospital/facility, doctor and related services.

Member Benefits & Eligibility

Use of this tool does not guarantee coverage, nor does it represent the exact cost for any treatment or procedure. Members are responsible for verifying their benefits to confirm eligibility and coverage. Final costs are determined by the member’s coverage and services delivered (including any applicable deductibles, copayments and/or coinsurance).

This cost estimator is an important educational resource for our members who are looking for ways to decrease health care costs while maintaining quality of care. We hope that you share our enthusiasm for providing a tool that encourages transparency and well-informed consumers of health care services.

If you have any questions, please contact your Account Consultant.

Access new cost estimator >>


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