OneShare Health Sharing Programs & Features - OneShare Knowledge Base

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OneShare Knowledge Base

OneShare Health Sharing Programs & Features

Get clarification on what Features are available for Members of OneShare Health Cost-Sharing Programs.

What Programs are available at OneShare Health?

How do I know if my medical need is Emergent?

Does the Lifetime Sharing Maximum accumulate from Program to Program?

Becoming a Member

How do I become a OneShare Health Member?

Is a Health Care Sharing Program right for me?

How Much Does OneShare Health Cost?

Can I get a OneShare Health Quote?

When does the initial payment draft?

Can I choose the ongoing draft date?

Can I change the ongoing draft date after I enroll?

What is the Refund Policy?

What is the Annual Administration Fee?

When will the Annual Administration Fee Draft be taken from my account?

Does OneShare Health Offer Child-Only Programs?

If I age into a new age bracket, will the Contribution amount change?

If I move to a new state could the contribution amount change?

If my Contribution Amount changes due to a change of residence and age, when will the new Contribution Amount start to apply?

At what age does a Dependent have to move to their own Program?

How many times will OneShare attempt to draft an account before terminating for Non-Contribution?

Can I reinstate my Program after it has been cancelled or terminated?

If I participate in more than one Health Care Sharing Ministry, will OneShare coordinate sharing?

If Coordination of Payments applies, will I have to submit proof of any amounts shared by the first ministry before OnShare Health will consider to share on Eligible Medical Expenses?

Is OneShare Health first to pay if I have another Health Care Sharing Program or Insurance Policy in place?

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Features

Are X-rays, Labs, and Diagnostics eligible for sharing?

Do I need to have medical procedures approved before the date of service?

How is surgery shared?

What if my Surgery Pre-Notification is denied?

Does OneShare Health offer Maternity Sharing?

How is Maternity Shared on the Classic Crown Program?

What is the difference between Complications of Pregnancy and Complications of Labor & Delivery?

How is hospitalization shared?

Do I need to go through Pre-Notification for a hospitalization?

How can I log into RX Valet?

How is Ambulance shared?

What happens if my Ambulance bill is over $10,000?

What are the Cancer Sharing Guidelines?

Is Pre-Notification required for Cancer Treatment?

Is Cardiac Rehabilitation eligible for sharing?

How is Cardiac Rehabilitation shared?

Is Chiropractic Care and Manipulation Therapy eligible for sharing?

Does Chiropractic Care and Manipulation Therapy need to go through Pre-Notification?

Is Diagnostic Imaging ordered by a Chiropractor Eligible for Sharing?

Is Home Health Care Eligible for Sharing?

What type of Home Health Care Visits are Eligible for Sharing?

How is Home Health Care shared?

Are Organ Transplants eligible for sharing?

What type of Outpatient Therapies are eligible for sharing?

How is Outpatient Therapy shared?

Are Routine Chronic Maintenance Visits Eligible for Sharing?

Are chronic conditions eligible for sharing in a hospital setting?

How is preventive shared?

What Preventive Services are eligible for sharing?

What happens if I go over the $1,000 preventive sharing limit?

Are Mammograms Eligible for Sharing?

Are Colonoscopies Eligible for Sharing?

Are newborn wellness visits subject to the 180-day waiting period?

Are sports physicals eligible for sharing?

Are Preventive Bone Density Tests, such as Dexascan, eligible for sharing?

What is considered Prosthesis?

Are there sharing limitations on Prosthesis?

Are Sleep Apnea Studies eligible for sharing?

Do Sleep Studies Require Pre-Notification?

Is Genetic Testing Eligible for Sharing?

Is a Behavioral Health & Mental Wellness Evaluation for diagnostic purposes eligible for sharing?

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Eligibility

Which OneShare Health Programs have Emergency Room Visit Fee eligibility?

Which OneShare Health Programs have Urgent Care Visit Fee eligibility?

Which OneShare Health Programs have PCP Visit eligibility?

Are Newborn expenses eligible for sharing if conception occurred prior to the my Active Date?

Will Newborn expenses be eligible for sharing if the Mother is not on the program but the Father is?

Are psychiatric visits eligible for sharing?

Is Behavioral Health/Mental Wellness Eligible for Sharing?

Are Medical Expenses for injuries sustained in a recreational vehicle accident eligible for sharing?

Can I still see a doctor for a pre-existing diagnosis of Hypertension, Hyperlipidemia, and Thyroid?

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Current Members

How can I add our Newborn to our family Program?

How many days does a Provider or Member have to submit a Medical Expense to be considered for sharing?

Are Member Contributions and Fees tax-deductible?

Do I have to include Form 8965 as an attachment to Form 1040 when filing federal income taxes?

I turn 65 next month, but my spouse is still under 65, does my spouse have to enroll into a new program?

If I reinstate my Program, will the Wait Periods, Individual Sharing Amount Accumulations, etc reset?

Can I stay on my program when I turn 65?

If I want to add a Family Member to my Family Program, will my contribution increase?

What is a pre-existing condition review?

How long does a pre-existing condition review take?

What happens if the Provider or Member does not submit Medical Records within 30 days of the initial request?

Once Medical Records are received, how long does it take the Clinical Team to review?

Where do I send my Medical Records?

Where can I find a HIPAA Authorization form?

What is Member Advocacy?

Why did I receive Financial Assistance forms for services I’ve already received?

How do I Contact the Pre-Notification Department?

What types of services require Pre-Notification?

Where can I find the Pre-Notification Form?

Where can I find a Program Change Form?

Can I change my Program in the middle of the year?

Where do I submit the Program Change Form or Demographic Update Forms to?

Can I dispute the determination of my Share Request if I don’t agree with how it was processed?

How can I file a Dispute?

My Dispute was upheld, is there an Appeals process?

Where can I find the link to my Member Portal?

How can I access a digital copy of my ID Card?

Where can I find helpful links and information about my Program?

How does my provider submit a bill to OneShare Health?

How do I explain my Program services to my Provider?

Where can I find a Demographic Update Form?

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Catastrophic365

What is the Catastrophic365 Program?

Are Pre-Existing Conditions eligible for sharing on the Catastrophic365 Program?

What is the Catastrophic365 Application Fee?

Am I locked in for 12-Months if I enroll into the Catastrophic365 Program?

Can I Re-Enroll into a Catastrophic365 Program once my current Program Expires?

Does the Catastrophic365 Program have the same waiting periods as the Catastrophic and Classic Programs?

Will the waiting periods reset each time I re-enroll into a Catastrophic365 Program?

If I am diagnosed with any new condition on the Catastrophic365 Program, will that diagnosis be considered pre-existing if I re-enroll into another program?

My dependent turns 27 this month, can they stay on my Catastrophic365 Program until it expires?

Can the Primary or Dependent who turns 65 on the Catastrophic365 Program stay on the Program until the expiration date?

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Clever Health

How can I access my Clever Health features?

How much does Virtual Urgent Care (Telemedicine) Cost through Clever Health?

How can I make a Virtual Urgent Care (Telemedicine) or Virtual Primary Care Appointment through Clever Health?

How much does Virtual Primary Care Cost through Clever Health?

What Mental Health Features does Clever Health provide?

How much does it cost to use Mental Wellness through MeMD using the Clever Health App?

How can I make a Mental Wellness appointment using the Clever Health App?

Can Mental Health Providers prescribe medications through MeMD?

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Wellcard-Savings

How can I log into WellCard-Savings?

What discounts does WellCard-Savings offer?

How can I access my Dental Discounts through WellCard-Savings?

How do I get a copy of my Dental Discount Card?

How can I search for a Dentist within the Aetna Dental Access® Network?

How much of a Dental discount does WellCard-Savings provide?

How can I obtain my Vision Discount Card?

How much of a discount will I receive if I use the Vision Discount Card through WellCard-Savings?

How can I access MRI and Image Savings through WellCard-Savings?

How can I search for participating Vision providers?

How can I access Lab Discounts through WellCard-Savings?

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First Health Network

What is the First Health Network?

Are there First Health Providers located nationwide?

If a Provider is not within the First Health Network, can a Member nominate their Provider?

How can I search for Providers within the First Health Network?

Can I use any Provider of my choice?

What if a Provider is not Health Care Sharing Friendly?

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

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