Frequently Asked Questions
- What is Care Quote?
- Why is price transparency important?
- How will it benefit patients?
- Is my information secure?
- What services are included in the price estimate?
- How are estimated cost results provided?
- How do I obtain an estimate if professional services are excluded?
- What information do I need to obtain a price estimate?
- How can I get an estimate of how much a procedure or treatment will cost at a Jackson facility?
- Why am I unable to receive an exact price?
- When is payment due for services?
- How long is the price estimate valid?
- What is the processing time for a price estimate?
- How do I schedule an appointment?
- What hospitals are included in the Care Quote service?
This is a program that provides free price estimates for healthcare services at Jackson Health System facilities.
More and more insurance plans require out-of-pocket spending by the patient. Whether you have a deductible or coinsurance - or if you're searching for healthcare services without insurance - Jackson wants to help you understand what you'll pay for care. Prices for medical services can vary significantly, even for the exact same procedure in the same area, with the same equipment. Jackson Health System empowers you with information to make an informed decision about your care.
Today, patients do not have consistent access to quality, price, and service information when they are choosing a healthcare provider or considering treatment options. This price transparency service will enable patients to make more informed choices. Care Quote will improve the healthcare shopping experience by providing price estimates for different services and treatments. Unlike traditional price estimators, which rely on averages, our service checks patients' actual insurance information to provide highly accurate quotes based on their insurance plan design, deductibles, coinsurance, and more. This information will also be useful to patients who don't have health insurance and want to research cash prices.
Jackson is fully committed to maintaining and managing patient data in a highly secure and protected environment. Our systems and workflows strictly follow legal and industry guidelines for data security.
The estimate includes hospital charges, sometimes called "facility fees". For an insured patient, the price includes the estimated cost your insurance carrier may cover and your expected expense via copayments, deductibles, or coinsurance. Most of our estimates do not include professional fees charged by a physician, radiologist, pathologist, anesthesiologist, nurse practitioner, or other independent practitioner. In some cases, such as routine childbirth, we may be able to offer package pricing that includes all facility and professional fees.
Once we collect all the necessary information, we will send an official estimate via mail and email. This does not guarantee that your health insurance provider has approved or will approve the treatment or service. Actual coverage depends on the terms and conditions of your insurance plan and is generally subject to considerations of medical necessity and other policy constraints.
Only the physician or other professional provider can provide accurate price estimates for their services. Many services at Jackson are performed by physicians who are in private practice or are employed by the University of Miami.
Basic information such as your name, home address, phone number, email address, a description of the service your physician is requesting, the estimated date of service, and insurance data - including provider name, plan, and member number - are required for the financial representative to provide an estimate for anticipated services.
The best way to get an estimate is to call our Care Quote Center at 305-585-CARE. Patients can also visit www.JacksonCareQuote.org and fill out the online form.
Actual charges may vary based on medical condition, unknown circumstances or complications, final diagnosis and treatment ordered by the attending physician(s). Accordingly, Jackson Health System makes no representation, express or implied, and disclaims any and all liability as to the accuracy of each estimate.
Your total estimated patient responsibility will be due prior to the time services are rendered. Upon arrival to the facility, a representative will complete your registration and collect payment for services you are scheduled to receive.
Estimates are valid for 45 days.
You will typically receive an estimate within three business days. Price quotes may not be available for more complex procedures and surgeries, but a member of our team will contact you to discuss your specific request.
You may request an appointment at one of our facilities by contacting our scheduling center at 305-585-6000.
The Care Quote service is offered at the following facilities:
- Jackson Memorial Hospital
- Jackson North Medical Center
- Jackson South Medical Center
Please note that Jackson Health System, like most health systems, can normally only provide a price quote for hospital fees. In most cases, you will be charged separately for professional fees from your doctor and other physicians involved in your care. You should discuss those fees with your medical provider and, if applicable, your insurance company, to ensure you are prepared for the full cost associated with your procedure. The price quotes we provide are based on the information provided by you and your insurance company, if applicable. Your final bill could change if, for example, you incur additional charges toward your deductible or if you enter a new year for your insurance plan before you receive the service. If you have any questions about those details in your insurance plan, we recommend you contact your insurance provider. Please note that deductible obligations are typically re-computed at each health insurance plan year anniversary. If your plan anniversary occurs between your quote request and the time an actual service is rendered, the amount of deductible you may owe could vary significantly from the estimate.