Fair and Reasonable Sharing is our model that reimburses Providers at a fair price when compared to services performed.
According to your Member Guidelines, the Fair and Reasonable Amount is the amount approved for sharing for certain Eligible Expenses. The Fair and Reasonable Amount is calculated as a percentage of an objective benchmark value for the services provided.
Fair and Reasonable Sharing is OneShare Health’s model that facilitates sharing at a fair amount when compared to services performed. We start with approving an amount based upon a percentage above the Provider’s Medicare rate. If a Provider does not accept that amount, we will advocate on your behalf with the Provider to significantly reduce their charges, when appropriate. Learn more about Fair and Reasonable Sharing here!
“Therefore encourage one another and build one another up, just as you are doing.”
I Thessalonians 5:11 (ESV)