In compliance with New York state law, The Boon Group provides these resources to allow prospective or current members to estimate anticipated out-of-pocket costs for out-of-network health care services. New York members can obtain an estimated cost for out-of-network services by completing the Member Request for Estimate Form or by using the FAIR Health, Inc. Medical Cost Lookup tool.
FAIR Health Medical Cost Lookup Tool
Member Request for Estimate form for Aetna plans administered by Boon Administrative Services
FAIR Health Marks and the FAIR Health logo are trademarks or registered trademarks of FAIR Health, Inc.
New York State Out-of-Network Surprise Medical Bill Assignment of Benefits Form