Frequently Asked Questions

About Certainly

What is Certainly Health?
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Certainly Health is a healthcare marketplace to book medical and cosmetic care with price transparency.
 
Consumers can compare and book the best health providers with upfront costs, including for services that are covered by your health insurance.
How does Certainly Health work?
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  1. Search for providers
  2. Compare by price, rating, availability, location, education, and more
  3. Book the appointment

For any medical care that’s covered by insurance, Certainly offers “Certainly Price Protection” to predict and guarantee the out-of-pocket cost of common services across as many providers as possible with your health insurance.

For select cosmetic providers and procedures, Certainly offers “Exclusive Certainly Discounts” to ensure patients can get the highest quality care at the best possible price.

Why do I need Certainly?
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It’s often difficult or not possible to know upfront how much healthcare will cost. In fact, the same service can vary in cost by as much as 10x across doctors. But there's historically been no easy way to see how much different treatments cost or how prices could differ by going to different doctors.

This is true for both medical and cosmetic procedures, which may or may not be covered by health insurance. For services covered by insurance, Americans on high deductible health plans (HDHP) must pay for most of the cost of care until their out-of-pocket max is met.

Certainly Health creates price transparency for you to compare and book the best provider for you while knowing how much you can expect to pay. In addition, for cosmetic procedures that are not covered by insurance, Certainly negotiates Exclusive Certainly Discounts with top providers to ensure you get the highest quality care at the best possible prices.
Who's behind Certainly Health?
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Kevin is Certainly Health’s CEO and cofounder. After graduating from Stanford, he worked at Uber where he was a founding member of the Uber Health team.

Daryl is Certainly Health's CTO and cofounder. After graduating from Cornell, he built augmented reality games at Snapchat, built autonomous cars at Xiaopeng Motors, then started a food delivery marketplace.

Cosmetic Care

What are Exclusive Certainly Discounts?
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Certainly has partnered with several top providers throughout New York City to offer Exclusive Certainly Discounts. We negotiate discounts so that when you go for treatment, you get the highest quality care at the best possible price. These discounts are only available for Certainly users.
How do Exclusive Certainly Discounts work?
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After booking a provider on Certainly who offers an Exclusive Certainly Discount, you’ll receive a QR code to apply the discount amount at the time of payment. After you receive treatment during your appointment, show the staff your QR code, and they will apply your Exclusive Certainly Discount before charging your card on file.
Who is eligible for Exclusive Certainly Discounts?
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You must book your first appointment with a provider as a new patient through Certainly to access Exclusive Certainly Discounts for the first and future visits. If you have previously seen the provider without booking through Certainly, the provider may choose to not apply the Exclusive Certainly Discount to your visit.

Medical Care

What is Certainly Price Protection?
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All bookings come with Certainly Price Protection, which guarantees you won’t owe more than the prices listed for services based on your insurance.

After your insurance company sends an Explanation of Benefits (EOB) with the final amount due to the provider, we'll charge your card for the cost of services done during the visit.

If your insurance company sends an EOB that says you owe more than the amount listed in the Certainly Price Protection package, email a PDF or photo of the EOB to support@certainlyhealth.com, and we will pay the difference on your behalf.
Which medical services and procedures does Certainly guarantee?
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The prices are only guaranteed for the listed services that appear in search results. If there are procedures not listed that you would like to see, email support@certainlyhealth.com and we'll add them as soon as possible.

What do prices that say "up to $..." mean?
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Prices with "up to $..." are estimates of the maximum amount you may be billed by a provider if you don't pay through Certainly Health. Unpredictable insurance eligibility rules can lead to wide variances in each patient's out-of-pocket cost (e.g., if a patient ends up being out-of-network). Paying with Certainly Price Protection ensures you will see exact, guaranteed prices for the services listed under a provider.
How do payments work between Certainly, insurance, and the provider?
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Your card will not be charged until after you receive an Explanation of Benefits (EOB) from your insurance company.

We will pay the provider for you for any of the services listed in your Certainly Price Protection package.

If the provider performs any services not listed in your Certainly Price Protection package, you will be liable and have to directly pay the provider for those services.
Why can't I just pay the provider directly?
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You can if you’d like! Certainly Price Protection simply ensures you won’t owe more than the prices listed for the specified services. You’re free to pay the provider directly if the amount you owe is less than or equally to the prices listed in Certainly Price Protection. You will never be double charged.
Will costs incurred during my visit count towards my deductible?
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Yes. All billing will go through your insurance just like any other visit.
Which insurances does Certainly support?
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Currently, our platform only supports patients with the listed insurance plans when searching, though we are working to add all insurance plans. Contact support@certainlyhealth.com to request we prioritize your insurance plan. Unfortunately, we are not able to support uninsured, Medicare, or Medicaid patients at this time.

Prices and Policies

Why would my actual treatment and cost differ from the prices I see?
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Upon evaluating your specific condition, the provider may do more or fewer services that could change the final cost.

The predicted total shown is for services often done during similar patient visits with the same visit reason.
How do I cancel/reschedule an appointment?
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Simply Log In or Sign up with the email you used to book the appointment. View your Appointments to cancel or reschedule. Links to cancel or reschedule an appointment can also be found in your confirmation email.
What is the cancellation policy?
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Every provider has their own cancellation, rescheduling, and no-show policies. You will see the policy when you book your appointment and in your confirmation email. If necessary, you will be liable to pay any cancellation fees.
Contact our support team