Wisconsin Statutes Insurance (Ch. 600 to 655) § 632.798. Out-of-pocket costs

(a) “Disability insurance policy” has the meaning given in s. 632.895(1)(a).

(b) “Health care provider” has the meaning given in s. 146.903(1)(c) and includes a hospital, as defined in s. 50.33(2).

(c) “Insured” includes an enrollee under a self-insured health plan and a representative or designee of an insured or enrollee.

(d) “Self-insured health plan” means a self-insured health plan of the state or a county, city, village, town, or school district.

(2) Provide estimate. (a) A self-insured health plan or an insurer that provides coverage under a disability insurance policy shall, at the request of an insured, provide to the insured a good faith estimate, as of the date of the request and assuming no medical complications or modifications in the insured's treatment plan, of the insured's total out-of-pocket cost according to the insured's benefit terms for a specified health care service in the geographic region in which the health care service will be provided.

(b) An estimate provided by an insurer or self-insured health plan under this section is not a legally binding estimate of the out-of-pocket cost.

(c) An insurer or self-insured health plan may not charge an insured for providing the information under this section.

(d) Before providing the information requested under par. (a), the insurer or self-insured health plan may require the insured to provide in writing any of the following information:

(e) The requirement to provide the information requested under par. (a) does not apply if the health care provider providing the health care service is any of the following: