Patient Perspective Financial Impact
Impression of Financial Impact
A very significant impact | 0 |
A somewhat significant impact | 0 |
A minor impact | 0 |
I’m not sure | 0 |
No impact | 0 |
I’d rather not say | 0 |
Not answered | 0 |
HOW WAS TREATMENT PAID FOR
Public Patient | 0 |
Private Health Insurance | 0 |
Privately Funded | 0 |
Not Answered | 0 |
Financial Impact – Private Insurance
Less than $10,000 | 0 |
$10,000 – $20,000 | 0 |
$20,000 – $40,000 | 0 |
$40,000 – $60,000 | 0 |
$60,000 – $80,000 | 0 |
$80,000 – $100,000 | 0 |
More than $100,000 | 0 |
I’m Not Sure | 0 |
I’d rather not say | 0 |
Total Estimated Financial Impact (Private Insurance): $0
Financial Impact of treatment
Less than $10,000 | 0 |
$10,000 – $20,000 | 0 |
$20,000 – $40,000 | 0 |
$40,000 – $60,000 | 0 |
$60,000 – $80,000 | 0 |
$80,000 – $100,000 | 0 |
More than $100,000 | 0 |
I’m Not Sure | 0 |
I’d rather not say | 0 |
Not answered | 0 |
Total Estimated Financial Impact: $0
Financial Impact – Public Patient
Less than $10,000 | 0 |
$10,000 – $20,000 | 0 |
$20,000 – $40,000 | 0 |
$40,000 – $60,000 | 0 |
$60,000 – $80,000 | 0 |
$80,000 – $100,000 | 0 |
More than $100,000 | 0 |
I’m Not Sure | 0 |
I’d rather not say | 0 |
Total Estimated Financial Impact (Public Patient): $0
Estimated Loss of Income *
Less than $10,000 | 0 |
$10,000 – $20,000 | 0 |
$20,000 – $40,000 | 0 |
$40,000 – $60,000 | 0 |
$60,000 – $80,000 | 0 |
$80,000 – $100,000 | 0 |
$100,000 – $200,000 | 0 |
More than $200,000 | 0 |
I’m not sure | 0 |
I’d rather not say | 0 |
Not answered | 0 |
Total Estimated Loss of Income: $0
Financial Impact – Privately Funded
Less than $10,000 | 0 |
$10,000 – $20,000 | 0 |
$20,000 – $40,000 | 0 |
$40,000 – $60,000 | 0 |
$60,000 – $80,000 | 0 |
$80,000 – $100,000 | 0 |
More than $100,000 | 0 |
I’m Not Sure | 0 |
I’d rather not say | 0 |
Total Estimated Financial Impact (Privately Funded): $0