HCap High Res w HEALTH INSURANCE + HEALTHSHARE + HSA

Prev Basic Visit:

PREVENTIVE SERVICES

When you arrive at your provider (with your plan, there are no network restrictions. You can visit any provider or facility of your choice):

1.Show your Planstin insurance card (if your provider is not familiar with Planstin, have them call 888-920-7526).

2.Receive your test/care.

3.Pay any required copays or additional fees.

4.Call this number for help or with any questions-(435) 239-3154

NOTE: To determine if your medical need is considered preventive, please see the following website for a list of current preventive services: Preventive health services | HealthCare.gov

NON-PREVENTIVE SERVICES

Please be prepared to pay for any services provided.

When you arrive at your provider (with your plan, there are no network restrictions. You can visit any provider or facility of your choice):

Tell the front desk or receptionist that you are "self-pay customer"
Do not show your Planstin card.
Pay for any required fees or services.
Call this number for help or with questions-(435) 239-3154

NOTE: Please be aware that this plan does not cover any medical services that are not considered preventive. Surgery, hospitalization or other serious medical conditions will not be covered by this plan. To determine if your medical need is considered preventive, please see the following website for a list of current preventive services: Preventive health services | HealthCare.gov

EMERGENCY SERVICES

IMPORTANT: If this is a medical emergency, seek immediate medical attention at the nearest facility/provider or call 911. Please be aware that this plan does not cover any medical services that are not considered preventive. Surgery, hospitalization or other serious medical conditions will not be covered by this plan.

Please be prepared to pay for any services provided.

When you arrive at the facility or providers office (with your plan, there are no network restrictions. You can visit any provider or facility of your choice):

Tell the front desk or reception that you are a "self-pay customer"
Do not show your Planstin card.
Pay for any required fees and services.
Call this number for help or with questions-(435) 239-3154

To determine if your medical need is considered preventive, please see the following website for a list of current preventive services: Preventive health services | HealthCare.gov

URGENT CARE SERVICES

IMPORTANT: If this is a medical emergency, seek immediate medical attention at the nearest facility/provider or call 911.

When you arrive at the facility or providers office (with your plan, there are no network restrictions. You can visit any provider or facility of your choice):

Show your Planstin Insurance card (if your provider is not familiar with Planstin, have them call 888-920-7526).
Pay your required copay amount.
1. Note: If hospitalization is required or if you believe that your cost will exceed $1,000, call this number at your earliest convenience to help initiate your Zion HealthShare process-(888) 399-0017
2. Be sure to keep any receipts or invoices you receive from the provider.
Call this number for help or with questions-(435) 239-3154

SUMMARY OF BENEFITS

Member Services 888-920-7526 or
member@planstin.com

Claims Fax 435-631-9478 or
claims@planstin.com

Prescription Questions & Pricing 800-356-3477 or member@planstin.com

Contact Info

(435) 239-3154
support@hcapstrategy.com

Prev Basic Visit:

When you arrive at your provider (with your plan, there are no network restrictions. You can visit any provider or facility of your choice):

1.Show your Planstin insurance card (if your provider is not familiar with Planstin, have them call 888-920-7526).

2.Receive your test/care.

3.Pay any required copays or additional fees.

4.Call this number for help or with any questions-(435) 239-3154

NOTE: To determine if your medical need is considered preventive, please see the following website for a list of current preventive services: Preventive health services | HealthCare.gov

Please be prepared to pay for any services provided.

When you arrive at your provider (with your plan, there are no network restrictions. You can visit any provider or facility of your choice):

Tell the front desk or receptionist that you are "self-pay customer"

Do not show your Planstin card.

Pay for any required fees or services.

Call this number for help or with questions-(435) 239-3154

Please be prepared to pay for any services provided.

When you arrive at the facility or providers office (with your plan, there are no network restrictions. You can visit any provider or facility of your choice):

Tell the front desk or reception that you are a "self-pay customer"

Do not show your Planstin card.

Pay for any required fees and services.

Call this number for help or with questions-(435) 239-3154

To determine if your medical need is considered preventive, please see the following website for a list of current preventive services: Preventive health services | HealthCare.gov

IMPORTANT: If this is a medical emergency, seek immediate medical attention at the nearest facility/provider or call 911.

When you arrive at the facility or providers office (with your plan, there are no network restrictions. You can visit any provider or facility of your choice):

Show your Planstin Insurance card (if your provider is not familiar with Planstin, have them call 888-920-7526).

Pay your required copay amount.

Note: If hospitalization is required or if you believe that your cost will exceed $1,000, call this number at your earliest convenience to help initiate your Zion HealthShare process-(888) 399-0017

Be sure to keep any receipts or invoices you receive from the provider.

Call this number for help or with questions-(435) 239-3154