Estimate for Payment and Confidentiality Notices

ESTIMATE NOTICE: Please be advised that this is only an estimate – it is not a guarantee of coverage or payment.  The estimate is the anticipated amount the patient will owe after plan benefits are applied to the estimated cost.  This includes any deductible, coinsurance or copay.  This amount might be lower if the out of pocket maximum has been exceeded.  Actual payment and member responsibility is determined when claims are processed.  If the actual benefit differs from the original quote, adjustments will be made.

CONFIDENTIALITY NOTICE: Please be advised that because e-mail is not a secure form of communication, I cannot ensure confidentiality of any information sent via e-mail. This message (and attachments) is covered by the Electronic Communications Privacy Act, 18 U.S.C._2510 2521, is intended to be confidential, and may be privileged. If you are not the intended recipient, please be aware that any retention, dissemination, distribution or copying of this communication is prohibited. Please reply to the sender if you have received this message in error, then delete it. Thank you for helping to maintain privacy.