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Hannah struggles with debilitating cramps that leave her curled up in bed, unable to give 100% to the high school volleyball team she coaches or enjoy time with friends and family. Over the years, she's tried many treatments recommended for endometriosis, but the relief was never long-lasting.
At her last well-woman exam, her OB-GYN talked about a new option: a hysterectomy. Hannah decided to take some time, weigh her options and check the cost. Her TRS-ActiveCare Primary x Region 4 plan includes a facility tiering feature that could save her money if she chooses a Tier 1 facility over a Tier 2 facility.
Her OB-GYN has privileges at Facility A and Facility B. Hannah had three convenient ways to see if those facilities were in-network and Tier 1.
In just a few minutes, she learned that Facility B was designated as Tier 2. After comparing the costs at both facilities, she asked her OB-GYN to schedule her procedure at Facility A.
Total out-of-pocket costs: $4,867.90 after coinsurance.
Total out-of-pocket costs: $8,050 after coinsurance. Hannah met her maximum out of pocket.
Even better, a hysterectomy at Facility A is eligible for Member Rewards. Hannah earned $500 in cash rewards once her claim was paid and verified as reward-eligible, making her total out-of-pocket cost for the procedure $4,367.90.
These cost estimates are examples. Total out-of-pocket costs may vary if you've met your deductible.