Legal Disclaimer: Unless expressly stated otherwise, all estimates assume in-network services. This Estimator is provided for informational purposes only and does not constitute medical, legal, tax, financial, or coverage advice, nor does it guarantee coverage, benefits, payment, or cost. Estimator results are based on user-entered information and internal assumptions (including modeled deductibles, copayments, coinsurance, out-of-pocket maximums, and typical cost ranges). Actual costs may vary due to factors such as provider or facility selection, network status at the time of service, authorization or medical-necessity determinations, billing and coding practices, ancillary or multiple services (e.g., labs, imaging, anesthesia, prescriptions), formulary rules, coordination of benefits, and amounts satisfied toward deductibles or out-of-pocket limits when claims are adjudicated. Coverage limitations, exclusions, and claim denials may apply. Plan documents and claim adjudication control. This Estimator is not a provider or facility “good faith estimate” and is not intended to satisfy any federal or state healthcare price-transparency or estimate requirements. For ICHRA illustrations, metal tiers (e.g., bronze, silver, gold) are generalized actuarial categories and do not describe any specific plan’s terms, network, or coverage. To the maximum extent permitted by law, Futuro Sólido USA shall not be liable for any direct or indirect damages arising from use of or reliance on the Estimator.