Patient Information  *  Please enter your contact and patient information below and then continue on to Service Selection. The starred fields are required.

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Frequently Asked Questions

The information provided supplies you with definitions for your Out-of-Pocket Expenses that are seen on your Explanation of Benefits. We are using these same names and definitions for your estimates to assist you.

  • What is Primary Insurance Coverage?
    Primary Insurance coverage is the health insurance plan that pays on a claim first when you have more than one health insurance plan.

  • What is Secondary Medical Insurance Coverage?
    Secondary Medical Insurance Coverage is a policy designed to cover expenses that your primary insurance doesn’t cover. This means if you have Secondary Medical Coverage (a second plan) it will pay for deductibles, co-pays, and out-of- pocket expenses up to the policy coverage limits that your primary insurance did not pay.

  • What is a Co-Pay? This information is required to create and estimate.
    The amount is based on the insurance you have chosen. Based on the coverage you have determines your COPAY amount. You can find it on the front or back of your insurance card. Copays may vary based on seeing a Primary Care/Family Physician, a Specialist such as a Cardiologist, Urologist or Dermatologist as examples. Primary Care/Family Physician Copay is typically less than Specialty Copay. The insurance requires you to pay this, typically at the time of the visit it is collected.

  • What is a Co-Insurance? This information is required to create an estimate.
    The amount is based on the insurance you have chosen. In addition to Co-pay and Deductibles, your plan may require you to pay a portion of the expenses associated with the services once the deductible is paid. This is typically a % of the what the insurances states is allowed to be paid. Medicare has a 80%/20% co-insurance as an example. 80% is paid by Medicare and 20% is paid by the patient.

  • What is a Deductible?
    The amount is based on the insurance you have chosen. Prior to your insurance paying, they may require that you pay for some of your services up to a specific dollar amount. This deductible usually starts over again on an annual basis. Your insurance card may have this amount, or it is in your policy.

  • Who should I contact if I have questions, or would like to talk with a Financial Case Manager?
    Please contact the Pre-Service Center @ (216) 778-3010 or send an email to myestimate@metrohealth.org.

  • Can “My Estimator” provide an estimate for multiple procedures?
    My Estimator can only provide an estimate for one procedure at a time. If you would like an estimate for multiple procedures please contact the PreService Center at (216) 778-3010 or send an email to myestimate@metrohealth.org.

  • What should I do if my procedure is not listed, or I can’t find the procedure I would like to get an estimate for?
    Please contact the Pre-Service Center @ (216) 778-3010 or send an email to myestimate@metrohealth.org.

Service Information All fields Required.

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Accept Disclaimer

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Estimate Summary

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Request Full Estimate  *  Please enter your contact information below and click Submit to submit your request. The starred fields are required.

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