Price Estimate

Estimate your out-of-pocket expenses

Before your visit with a Prevea Health provider, you can use Prevea Price Estimate to obtain the approximate amount you might owe after insurance. For an estimate, choose one of the following options:
 
  1. Fill out this form
  2. Call (920) 496-4700 or 1-888-2PREVEA and ask for a Prevea estimate. You will need your insurance card, type of visit or procedure you are considering, and the name of the Prevea location where the procedure or visit will be performed. 

The written or verbal estimate will be sent or provided within one business day.


Key Terms

Coinsurance: Your percentage share of the costs of a covered health care service.
Copayment: A fixed amount you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered healthcare services.
Deductible: The amount you are expected to pay for health care services your health plan covers before your health plan begins to pay.
Charge: The dollar amount a provider sets for services rendered before negotiating any discounts. This charge can be different from the amount paid.
Cost: The definition of cost varies by the party incurring the expense. To the patient, cost is the amount payable out-of-pocket for health care services.
Out-of-pocket payment: The portion of total payment for medical services and treatment for which the patient is responsible, including copayments, coinsurance and deductibles. Out-of-pocket payment also includes amounts for services that are not included in the patient’s benefit design and amounts for services balance billed by out-of-network providers.
Payer: An organization that negotiates or sets rates for provider services, collects revenue through premium payments or tax dollars, processes provider claims for service and pays provider claims using collected premium or tax revenues.
Price: The total amount a provider expects to be paid by payers and patients for health care services.
Provider: An entity, organization or individual that furnishes a health care service.

 

Download this free guide

Understanding Healthcare Prices: A Consumer Guide