anv060123old - Hcap Strategy

Potential HSA Contribution/Mo

Contribution Type	Amount
Employer HSA Contribution (Employee Only)	$50
DW Healthy HSA Contribution (Employee Only)	$50
Employer HSA Contribution (Employee + Spouse)	$100
DW Healthy HSA Contribution (Employee + Spouse)	$100
Employer HSA Contribution (Employee + Family)	$100
DW Healthy HSA Contribution (Employee + Family)	$100

Doable Wellness HSA Contribution when < 1,200 points claimed in Learn & Earn ea/mo. HSA contribution only apply to those with Planstin Preventive HSA plans.

DW Questions? 866-333-8201 or support@doableness.com

Optum Bank Contact Info

Member Services 800-791-9361 or www.optumbank.com

Your Initial Unshareable Amount (IUA)

$1,000

Your IUA is the amount that you pay for any eligible medical event over $1,000 not considered a pre-membership condition

How to Use Zion Healthshare

1. If an emergency, get emergency care. Inform hospital you are a “self pay” customer. You can submit your need after you receive needed care.

2. If your need is over $1,000 and is a scheduled procedure, a surgery, or maternity submit your need before the event by touching “Medical Need Request” below.

3. Needs are required to be submitted within 6 months of the date care was received.

Zion Medical Advocacy

888-399-0017

You can use any network, hospital, or doctor with Zion Healthshare for your need over $1,000 as long as your need is not a pre-membership medical condition

Hospitalization

Injury

Surgery

Critical Illness

Maternity

Quick questions to determine pre-membership needs

1. Is your current medical need request related to an illness that presented symptoms prior to membership?

2. Did your injury happen prior to membership?

3. Are you currently on any medication related to this condition?

4. Did you see your doctor or have testing done prior to membership for this condition?

Shareable Amounts for Pre-Membership Conditions

Year One: $0 (waiting period)

Year Two: $25,000 Max per need

Year Three: $50,000 max per need

Year Four+: $125,000 max per need

Email for submitting bill/statements

needs@zionhealth.org

Disclaimer: Zion HealthShare is not health insurance, nor is it a discount healthcare program, and it is not regulated by state insurance codes. Your membership with Zion Healthshare is voluntary, as is any financial assistance provided by the community. Though the community aims to help all members with eligible needs, you are ultimately responsible for paying your medical bills.

Have an immediate need?

Call 888-920-7526

Have Primary account holders information ready

Use the app to schedule appt. Takes more time the first time but all of your information is saved for future visits

Basic Health Insurance

The benefits with your Planstin Plan depends on your chose plan. Touch below to see the summary sheet of your plan

Your Planstin Plan can be used for:

Preventive Care

Copays (except HSA Plan)

Makes an HSA Acct possible

Rx Savings

Remember any medical conditions over $1,000 that are not classified as pre-membership needs will be covered by Zion HealthShare.

1. Touch button above

2. Touch “Change Network”

3. Select PHCS Network

4. Touch “Specific Service”

5. Search for Provider

Provider change at times so we recommend contacting your provider to ensure they are still a part of the PHCS Network

Provider not Listed as part of PHCS Network?

While it is easier to use providers that are a part of the PHCS Network, Planstin may still pay for services rendered by an out of network provider through their “Reference Based Pricing (RBP)”

1. Give your Planstin information to your providers and have them submit to Planstin

2. Tell them Planstin will pay 150% of Medicare negotiated pricing.

3. You will be responsible for any add’l expense beyond.

Planstin Contact Info

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