Imagine being able to offer a healthcare solution that is free of any network restrictions, and simply allows your employee to be reimbursed for healthcare services, dental, vision, mental health and counseling services, labs, gym memberships or fitness classes, nutritional programs and more!
Imagine.....
Simply snapping a photo of the itemized proof of payment for an eligible healthcare expense or health promoting care &
being reimbursed within 48 hours!
Total freedom oriented!
Paired with a
Self Funded Co-operative
World Wide Protection
Alternative & western medical
No restrictive networks
No annual or lifetime limits
Basic Wellness Services | $4500 (annual maximum)
Annual Wellness Exams (up to three per year)
Well Child Exam (including routine immunizations)
Gynecological Exam (well woman visit aged 21 and over)
Flu, Shingles and Pneumonia Vaccinations
Annual Preventive Mammogram (including Breast Ultrasound or MRI following a preventive mammogram)
Annual Dermatological Skin Checks if considered one of the wellness visits
Covered once annually from age 40-80
Colorectal Cancer Screening:
Age range: 45 - 80 (covered from age 40 if 1st degree relative has positive history of colon cancer)
- Screening Type: Procto/Sigmoidoscopy every 5 years. Cologuard every 3 years.
Colonoscopy is an eligible every 5 years
Bloodwork Screenings:
- Lipid Panel (Cholesterol and triglycerides)
- Comprehensive Metabolic Panel (CMP)
- Complete Blood Count (CBC) with differential test
- Thyroid Panel TSH (Thyroid Stimulating Hormone) with reflex to T4 if abnormal
- Routine Comprehensive Urinalysis (UA)
- Hemoglobin A1C (HgbA1C)
- Vitamin D Level
PSA for men age 50-75 Start at age 40 if 1st degree relative has positive history of prostate cancer
Bone Density Screening Post-menopausal women, every 2-3 years
Heart Screening: C-Reactive Protein (CRP) & Homo cysteine levels for those with strong personal history or 1st degree relative history of
heart disease or those of South Asian or Pacific Island origins.
Reimbursement max of $4,500 per member- per year on membership
Preventive Vision Exam
Up to $250 per year - per member
Preventive Dental Exam, X-rays, Sealants, Cleaning and Fluoride Treatment
Up to $250 per member - per year
Mental Health / Substance Abuse evaluation, and counseling
Up to $3,000 per member - per year
Gym Membership
Yoga - Pilates, classes
Fitness Training (on-line or in-person)
$250 annual maximum per member - per year
Nutritional/Meal Planning (on-line or in-person) Weight Loss/Weight Gain Counseling and Support
$500 annual maximum per member -per year
Covers counseling, cost of medication, hypnotherapy, or other cessation program
Up to $500 per member - per year
Up to $5,000 annually on 3rd IUA (documentation must be submitted for review)
Monday - Friday
9am - 5pm EST
Members choose their Initial Unshared Amount for any new accident, injury or illness and the remainder of the medical costs for that incident are then group shared with no annual or lifetime limit.
Maternity: 60 day waiting period. – Included in one IUA
PRENATAL CARE
· Routine office visits
· Routine lab work
· Fetal non-stress test (after 36 weeks)
· Up to three standard ultrasounds (unless an unexpected complication requires
additional scans)
DELIVERY
· Ob-gyn labor and delivery
· Cesarean
· Multiple births
· Hospital labor and delivery
· Hos
Maternity: 60 day waiting period. – Included in one IUA
PRENATAL CARE
· Routine office visits
· Routine lab work
· Fetal non-stress test (after 36 weeks)
· Up to three standard ultrasounds (unless an unexpected complication requires
additional scans)
DELIVERY
· Ob-gyn labor and delivery
· Cesarean
· Multiple births
· Hospital labor and delivery
· Hospital room and board
· Anesthesiologist
· Legally practicing midwives
Home births, Maternal fetal medical specialist consultations, when ordered by the medical provider, managing the pregnancy, Pelvic manipulation – only shareable if new onset of back and/or pelvic pain, after the 30th week, and with a total of 20 visits but no more than $2000, whichever occurs first, Exceptions will be considered for multiple births
Birthing centers,
Charges related to unexpected complications for the mother
One in-hospital pediatrician visit, including routine immunizations
Routine lab work, and routine hearing tests (all shareable when the baby is added to the membership within 30 days of delivery and when these services occur prior to discharge from hospital.
Up to 10K per adult member on membership
Up to 2.5K for any dependent child on membership.
One year uninterrupted membership required.
Once an Employer Direct Billing relationship has been established, the employer will receive a monthly invoice.
This then allows the employer to contribute what they desire to the employee and payroll deduct the remainder.
Establishing an ICHRA allows a company the ability to be entirely flexible in its employee options.
If some of your employees do not fit the HealthShare model then this would allow you the ability to offer them a set amount of funds towards another solutions. This is a feature that can be turned "on" at anytime once an Employer account is established.
This membership will include my assistance along with member services.
Preventative Health Reimbursement and Self Funded Healthcare Co-operative