Trusted

Caring

Transparent

Healthcare Transparency - Knowing the True Cost and Quality of Care

Healthcare Transparency

MightyWELL Advocate

Mighty

WELL Advocate

MightyWELL Advocate

The difference between providers can be significant

Comparing Saves Mighty BIG

Procedure

Provider

MW Compared

MRI 2T

Northside $4,731

Express MRI $399

MRI 3T

WellStar $4,662

Elite Rad $550

CT Heart Scan

CHOA $6,763

Piedmont $500

Hand Surgery

WellStar $64,280

Negotiated $8,352

We assist you shop, compare and schedule the best healthcare

ProcedureProvider Intial QuoteMightyWELL ComparedSavings
MRI 3T without contrastWellStar $4,662Elite Radiology of GA $550$4,112
MRI 2T without contrastNorthside $4,731Express MRI $499$4,232
CT Heart ScanCHOA $6,763Piedmont Cardiac Center $500$6,263
Avastin InjectionHumana paid $1,700Retina Assoc of GA $350 self-pay$1,350
MammogramCompare at $1,000WellStar $160 self-pay$840
Gallbladder SurgeryPiedmont Hospital $33,694Dr Lee Skandalakis $6,000$27,684

We Assist you with Excellent Healthcare Solutions and Savings for your Family

MightyWELL Preferred Health Plan pays $120 for 18 visits per insured per calendar year

Accordion Content
  • MRI – Self-pay at Point of Service

Express MRI          $499 with contrast            Elite Radiology of GA    3T MRI   $550

First Look MRI      $499                        

Multiple Providers have transparent affordable self-pay options
WellStar $160 

Mammography Screening CPT codes 77057, 77055, 77056

Northside Cherokee Emergency          $2,470

ER Physician Group                                $1,217

Resurgence Orthopedic                         $1,797

GHMS Family Health                               $229              

Walmart (knee walker & seat)               $145

Total Expenses                                        $5,858

MW Accident Benefit                             $4,000

MW Outpatient Benefit                           $3,500

Total Benefits Paid                                 $6,603

        $745   Overage paid to client

Local Children’s Hospital – CT Scan    $6,763

Additional Regional Hospital              $700

Piedmont Cardiac Center                     $500

Same Procedure CPT 75573
*common procedural terminology

Couple Age 60 and 58 – Wife has Macular Degeneration                                                                                                                                                                                                          Client was led to believe their current Avastin Injection cost $1700 each needed 4 times per year. Humana paid $1,200 “benefit” each injection

  • MW Advocate assisted client price shop treatment                                                                                                                                                                                                                    Retina Associates of Middle Georgia Avastin Injection Cost $350 self-pay

     Prior Humana Premium              $19,428 

  • New MW Premium                       $9,480                                                                                                        

                                                             $9,948   Premium Savings

Avastin  “Humana Discount”           $2,000  ($500 per x 4)      $1,700  –  $1,200 = $500

Avastin  Self-Pay                               $1,400  ($350 per x 4)                                     

                                                             $600     Saving – Injection Self-Pay

 Total Annual Savings   $10,548 

Prior to the procedure MW Advocate assisted in finding and price negotiating with an alternative outpatient surgery. Client used the significant reduced price quote and self-pay option to save thousands

Piedmont Hospital Rockdale                         $33,694   Initial price quoted

Dr Lee Skandalakis                                          $5,800     MW Advocate price shopped

MightyWELL Plan Benefits Paid

Surgery Facility                                          $3,500
Surgeon                                                       $1,320
Asst Surgeon                                              $500
Anesthesiologist                                        $330
Radiology                                                    $500


        Total Benefits Paid                           $6150

            $350 Overage Paid to Client

 Northside Hospital                                 $86,738    Actual Bill

MW Negotiated  Discount                     $50,438

                                                                    $36,300    Balance

MightyWELL Plan Benefits Paid

Catastrophic                                             $10,000 

Hospital Room                                         $1,500   

Surgery                                                     $26,000                                                   

Total Benefits Paid                                 $38,000                                                            

                 $1,700      Overage Paid to Client

    Medical Facility                $11,304

    Surgeon                             $3,384                         

    Anesthesia                       $2,875                         

 Total Cost                           $17,563        

MW Advocate                    $11,027    Negotiated Discount

MW Plan Benefits              $6,500

Total  Credited                   $17,527

         $36 Out of Pocket Cost

        Diagnosis Code: J35.3; CPT Codes: 99201/99212