Patient Estimate Calculator

Calculate Patient's Out-of-Pocket Price Estimates Using Insurance Benefits

Enter benefits to calculate the patient estimate

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Calculated Patient Insurance Estimates

Estimated Patient Financial Responsibility

Estimated Coverage by Patient's Insurance

Disclaimer: This estimate is based on the benefit values you provided and is subject to change. Please verify benefit accuracy with the insurance company or use Aarogram for accurate patient estimates.

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Explanation of Terms/Glossary

Deductible: The amount of money patients must pay out-of-pocket for covered medical services before their insurance plan starts sharing the cost.

Co-Pay(Co-Payment): A fixed dollar amount the patient must pay for a covered medical service, like a doctor's visit or a diagnostic test, for every visit.

Co-Insurance: The percentage of costs the patient shares with their insurance company after the deductible is met.

Out-of-Pocket Maximum: The maximum amount the patient has to pay for covered health care services in a year. Once a patient has reached their out-of-pocket maximum, your insurance will usually cover 100% of the cost of the covered services for the rest of the year.

Out-of-Pocket Estimate or Patient Financial Responsibility: The amount the patient is responsible for paying on their own for the healthcare service after accounting for their insurance coverage.

Allowed Amount: The contracted fee between the provider and the insurance company. The amount a health insurance company agrees to pay a healthcare provider for a specific service.

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