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Health Insurance Plan Options
Sterling Urgent Care Paired w Zion Health Share
Below are options that can be combined, per your choice, to make up a comprehensive health strategy. You can select which options are the best fit for you and your household.
Pairing with Zion HealthShare means no deductible to meet, rather for any qualifying expense (see Zion HealthShare member guidelines), you pay the first $1K (known as your Initial Unshareable Amount or IUA) of qualifying medical events and the HealthShare pays the rest. After you pay 3 IUAs, in a 12 month period, any other major event over $500 is paid by Zion HealthShare w/o requiring another $1K IUA. More money can go to HSA in HSA Plan or a Copay plan can be chosen. All Preventive is care 100% covered. Telemedicine is free. Rx Discount..
If an illness or injury exists that a person with Zion HealthShare coverage has been examined, diagnosed, taken medication, had symptoms or received medical treatment in the last 24 months , these medical needs will qualify for sharing by Zion HealthShare per the Pre-Membership Medical Condition Phase-In Period. Expenses related to mental health are not shareable with Zion HealthShare, but Amaze Tele-Mental Health can be added as a strong compliment for improving mental health and prescriptions are covered through Planstin.
Learning Curve: With these plans you present yourself as a “Self-Pay” Patient for anything that is not preventive coverage and pay for the coverage or the first $1K IUA using your HSA (if applicable). You have responsibility to learn the Zion HealthShare Member Guidelines. These innovative plans have Health Savings Account dollars built into the premium that you will receive in your HSA and can use for any qualifying medical expense! Note: High blood pressure, high cholesterol, and diabetes (types 1 & 2) are not considered pre-membership medical conditions as long as 1. no hospitalization for the condition in 12 months prior to joining and 2. the member is able to control the condition through medication or diet.
Remember any medical conditions over $1,000 that are not classified as pre-membership needs will be covered by Zion HealthShare if selecting a plan that includes Zion HealthShare.
Where 96% of All Medical Claims Are Treated
When you choose either Option 2 or 3 above, a Sterling Urgent Care Membership is included in your health care strategy at no additional charge to you.
You can visit a Sterling Urgent Care facility for allergies, fever and illness, flu shots, lacerations, physicals (annual and sports), primary care, sprains, broken bones and much more. Most care is included at no additional charge to you with a low cost of $15 for X-Rays, $10 Rx and $15 Lab Work.
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 clicking “Medical Need Request” below.
3. Needs are required to be submitted within 6 months of the date care was received.
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
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?
Year Three: $50,000 max per need
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.
The mission of Doable Wellness is to increase motivation to live a healthier life by providing incentives and tools that make healthy behaviors doable.
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