Cost of Care Tools

With the LM HealthWorks Plan, opportunities exist for you to be an active participant in your health care. This includes knowing more about your health care costs. Because you pay a percentage of your covered expenses, it’s important to know the actual cost of the services you receive. It’s also important to anticipate and estimate out-of-pocket expenses when you can and in turn, plan for them. The plan has tools that can help.

You can use the Cost Estimator Tool to estimate your family’s health care costs under the LM HealthWorks Plan. It’s an interactive tool that lets you enter current information about how you use health care services and receive a summary page showing your out-of-pocket responsibility and the plan’s share of costs.

• To view important information you should know about the LM HealthWorks Cost Estimator Tool, click here.

As a member of the plan, your Aetna member website can help during you get estimated average costs for medical treatments and procedures, tests and other services in your area. For example, you can compare the cost of over 30 common medical procedures (such as MRI, CT scan, and colonoscopy) at facilities in select locations around the country. When you use the tool, you’ll get a list showing hospitals and other facilities in your area that perform these procedures, with actual cost ranges — by facility — for each procedure. Learn more about the tools on the Aetna member website.

Remember, you pay a percentage share of pharmacy costs, too. Find out what you’ll pay before you visit a participating pharmacy or place an order with the mail-order service. For more information go to the CVS Caremark website, and select LMPlan1 in the Check drug costs section to identify your prescription drug coverage and costs.