About This Estimator
The Medical Plan Estimator is designed to give you a general idea of
what your costs might be under each of the options based on:
- The services you think you and other covered family members will use.
- The estimated cost of care in the geographic area you select, using
discounted Preferred PPO rates for in-network care costs, and reasonable
& customary (R&C) costs to determine the cost of care outside
the network.
As you use the estimator and consider the results it provides, keep in
mind:
- The estimator applies costs to the deductible based on the coverage
category you select. For example: If you select family coverage,
all costs are applied to the family deductible instead of applying individual
deductibles for each family member. This could overstate the amount
that would apply to a family deductible and understate your coinsurance.
- Plan limits and allowances are NOT considered. This estimator
does not track individual limits on benefits, such as the calendar year
limit on chiropractic care.
Important Legal Information
The Medical Plan Estimator is a financial comparison tool that allows
you to estimate relative costs across your medical coverage options.
Estimates are based on regional average medical cost data and most
of the specific provisions of the Sandia's medical coverage options.
Because costs vary by provider and not all option details are included,
actual costs will vary from the costs the estimator provides. Actual
costs may also vary based on the order in which they are incurred
and by the specific family member using a service (if applicable).
In the event of any contradiction between the information contained
in this estimator and the Plan Documents, the Plan Documents shall
govern in all cases. Use of this estimator does not enroll you in
a Medical Plan option or the Health Care Spending Account. To protect
your privacy, your entries are not systematically tracked. Please
remember to print any scenarios you want to look at later-your information
is deleted when you close this window, click on "Reset"
or go to another Web page.
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