Call OneShare Health Pre-Notification Team at (855) 699-0419 Monday through Friday, 8 am to 5 pm CST.
It is always best to call OneShare Health Pre-Notification Team at (855) 699-0419 prior to scheduling services so we can help Members find a Facility that we worked with before and that will make the processing of their Sharing Requests easier.
To be Eligible for consideration for sharing, Pre-Notification is required for the following:
- Inpatient Hospital Confinements (including Hospital, Skilled Nursing, Inpatient Rehabilitation Facility).
- Outpatient Surgery (including but not limited to: surgical centers, clinics, hospitals).
- Organ/Tissue Transplant Services.
- Home Health Care Services.
- Cancer Services.
- Equivalent/Alternative Care including Chiropractic Care and Manipulation Therapy in lieu of surgery.
Our goal is to help our Members avoid unnecessary services and Hospitalization, to improve the quality of care, and empower our Members to make informed medical choices. Through our valuable Membership tools such as bundled services, we strive to make our Members’ experiences as simple as possible, to help Members understand what care is available, and to give our Members access to the highest quality, value, and providers for their procedure. OneShare Health does not mandate the medical treatment a Member chooses. Our Member Support tools are available to help Members navigate their health care journey and make informed choices for their care.
Even if Members have completed the Pre-Notification process with OneShare Health, this does not guarantee their medical need is Eligible for Sharing. Considerations such as Membership status, Pre-Existing Conditions, Cancer Eligibility, and Program Limitations are considered when determining Sharing Eligibility.
If Members are seeking services performed in an Inpatient or Outpatient Hospital setting, Surgery, or Clinical Lab for a scheduled service, call OneShare Health at least 10 days prior to their visit. OneShare Health will process Eligible services at a Fair and Reasonable Amount based on an objective Medicare-based benchmark.
“Therefore encourage one another and build one another up, just as you are doing.”
I Thessalonians 5:11 (ESV)