More Frequently Asked Questions

• How will a balance bill be handled when using an Out-of-Network Provider?

  If a Member receives a balance bill from an Out-of-Network Provider, they can submit the balance bill for review to Correspondence@OneShareHealth.com.

• Will Members be receiving new ID Cards and Membership Guides?

  Yes, Members will receive a new hard copy ID card by December 1, 2023. A digital copy of your ID card and your Membership Guidelines are available in your Member Portal at OneShareMembers.com.

• Are there First Health Providers located nationwide?

  Yes, more than 5,300 hospitals, over 55,000 ancillary facilities, and over 982,000 professional Providers at over 1.5 million health care service locations. First Health Network enables 95% of the U.S. population to have access to a Provider. 

• How can a Member nominate a Provider?

  Member can complete a Provider Nomination Form at www.onesharehealth.com/en/choice. Information required on the form:

  1. Facility name (if applicable)

  2. First name

  3. Middle initial

  4. Last name

  5. Degree (MD, DC, PT, etc.)

  6. Specialty

  7. TIN

  8. Physical street address (POB are not accepted)

  9. Office contract name

  10. Office contact phone number

  11. Office contact email 

• What if a Member has a surgical procedure or appointment booked prior to December 1, 2023?

  Please contact the Pre-Notification team at (855) 699-0419.

• Will Members have to go through the Pre-Notification process again?

  No, but we encourage Members to verify that the Provider is In-Network with First Health.

• What if a Provider will not submit the bill and requests full payment “up front?”

  If payment is required by the Provider that day, the Member should ask for a self-pay or cash-pay rate, which should be less than the usual billed charges. If they do pay a bill on the date of service, a Member should:

  1. Keep all applicable records and receipts from date of service.

  2. Fill out the Expense Sharing Request Form (found in the Member Portal).

  3. Submit both directly to OneShare Health for processing.

  4. The eligible amount (minus Visit Fees/ISA) will be reimbursed to the Member.

• How will share requests be handled from Out-of-Network Providers?

  Bills from Out-of-Network Providers will be processed and OneShare Health works with Providers to find an appropriate reimbursement amount. If a Member receives a balance bill from an Out-of-Network Provider, they can submit the balance bill for review to Correspondence@OneShareHealth.com.