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Contributions as Low as per month Contributions will vary based on state, Member's age, Demographics, Program, and Tier. |
Contributions as Low as per month Contributions will vary based on state, Member's age, Demographics, Program, and Tier. |
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| Eligible Services | ||
| Virtual Urgent Care (Telemedicine) Telemedicine services are not owned or operated by OneShare Health LLC., but made available to OneShare Members by Clever Health. |
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| Mental Health Support Mental Health Support is not owned or operated by OneShare Health, LLC, but made available by Clever Health. If you are in a crisis situation, please call or text the 988 Suicide & Crisis Lifeline or visit 988lifeline.org for help. |
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| X-Rays / Labs / Diagnostics Catastrophic programs are eligible for Emergency Room and Hospitalization only. |
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| Emergency Room Emergency Room expenses under $10,000 are subject to a Visit Fee. Emergency Room expenses $10,000 or over are subject to ISA. |
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| Hospitalization After ISA is met, Eligible up to Per Incident Sharing Maximum. Outpatient, Pre and Post Admission for Hospitalization/Outpatient Surgery. |
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| Prescription Discount Program Discount Services vary by state and are not owned or operated by OneShare Health, LLC. Members in Washington state are eligible for the state's WPDP Discount Card through the Washington State HCA. |
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| Lifetime Sharing Maximum | ||
| Primary Care Physician OneShare Members have access to a broad range of Providers through the First Health Network. Choosing an in-network Provider will result in faster sharing request processing and ensure that Members do not face additional sharing responsibility for Eligible expenses. |
N/A | |
| Urgent Care Facility | N/A | |
| Preventive Services Preventive Services and 1 Wellness Visit are Eligible after a 180-day waiting period. |
N/A | |
| Maternity Eligible After ISA on Classic Crown. Natural Delivery $5,000; C-Section $8,000; complications $50,000. |
N/A | |
| Per Incident Sharing Maximum | $150,000 / $250,000 / $500,000 | $150,000 / $250,000 / $500,000 |






Download Catastrophic Program Overview
Download Classic Program Overview





