Beginning in January 2023, you can comparison-shop for quality care at the best available price with our Cost Estimator, which was designed to help you create personalized cost-sharing estimates for 500 common medical procedures.
Your estimate will include any copays, deductibles, or coinsurance associated with your upcoming procedure. Below are a few considerations to keep in mind.
An estimate of cost-sharing liability does not guarantee coverage.
Your Summary Plan Description (SPD) offers a complete summary of your benefits, limitations, and other plan provisions. Look for your SPD in the Document Center of your Sana account.
Services billed may vary depending on the care you receive.
Before scheduling your procedure, we recommend asking your provider for a good-faith estimate of expected charges to identify all care required for the procedure, which may include the following:
- Facility fees
- Pre-or post-surgical therapy
Actual charges may vary from your estimate if:
- Your plan changes
- You have additional claims or year-to-date spending prior to the procedure
- Your provider offers different services due to complications, secondary conditions, or other unknown factors during the procedure
- Services billed as preventive may be no-cost
Your provider's office will generally coordinate any requirements related to prior authorizations and visit or treatment limits.
Your Sana plan is all-access, meaning you're not bound by a network or subject to out-of-network fees.
To avoid the rare inconvenience (less than 3%) of Balance Bills from non-contracted providers, we recommend one of the following:
- Using our Find Care tool to find a contracted provider
- Inviting your preferred provider to join Sana, if they haven't already
- Asking about self-pay discounts. You can self-pay by submitting a claim for reimbursement or using Sana Pay if eligible.
If you have an upcoming procedure and aren't sure where to access care, we can help. Learn more about surgery and procedure support.
Have additional questions for Sana? You can reach us quickly via chat at sanabenefits.com/chat Monday through Friday, 7 AM–7 PM CST, or at firstname.lastname@example.org or (833) 726-2123.