Estimating your out-of-pocket costs:
Use the Patient Estimator Tool
Frequently Asked Questions:
Q. How can the patient estimator tool help me?
A. Part of our mission to create a healthier Hawaii includes making sure that we provide you with information you need to better understand your health care expenses. Our new online Patient Estimator tool can help provide you with approximate out-of-pocket cost for services from our facilities in advance. Health care services, including ongoing check-ups, are an important part of your overall well-being and we want to provide you with the tools you need to make an informed decision.
Q. How does the patient estimator tool work?
A. Our patient estimator tool uses historical claims data, fee schedules, and benefit information from insurance providers to calculate the out-of-pocket costs for services to give you an estimate. It is part of MyChart, our online patient portal. You can sign up for a MyChart account. You can also use our patient estimator tool as a guest. To learn more about MyChart and how to sign-up, click here.
Q. How do I create an estimate?
A. If you have a MyChart account, follow our step-by-step guide to creating estimates in MyChart. Alternatively, if you would like to create an estimate as a guest, follow our guide for guests.
Q. What is usually included in an estimate?
A. Estimates are based on what specific services would cost. This may include physician fees from health care providers employed by the Hawaii Pacific Health Medical Group, facility fees, drugs and supplies. Some estimates may include anticipated fees for items such as room and board, operating rooms, and anesthesia when applicable. Please note that services provided by a physician not employed by Hawaii Pacific Health Medical Group are not included in the estimate and you may receive a bill from a third-party.
Q. Why is my bill different from my estimate?
A. While we are making every attempt to provide you with an accurate estimate up-front, please know that the amount you end up paying may be different. There are many reasons for this including:
- Changes to your service after the estimate was provided
- Additional services performed
- Above average time or complexity needed for your care
- Changes in insurance coverage
- Some aspects of the service might be provided by a physician not employed by Hawaii Pacific Health Medical Group
Q. What do I do if I cannot find my insurance on the list of insurances on the patient estimator tool?
A. We use electronic verification of patient-specific benefits from the insurance providers; however, some insurance providers are unable to verify benefits electronically. In this case, we can still offer representative insurance plans so you can choose a plan that is similar to your insurance.
For more information on our new Patient Estimator Tool, please call Customer Service:
Oahu: 808-522-4013
Kauai: 808-245-1119
Toll Free: 1-866-266-3935
