As a OneShare Health Member, we are giving you the freedom to choose a healthcare Provider; to go to any hospital or Facility of your choosing. Why? To lower Out-of-Pocket expenses for your care and stretch your healthcare dollars.
To bring you this no-restriction freedom of choice, we facilitate sharing at a Fair and Reasonable Amount for Eligible Inpatient, Outpatient, Hospital, Surgery Center, or Clinical Lab Facility care. Read more here!
So, what is “Fair and Reasonable?”
Healthcare prices are going up, which affects Member Out-of-Pocket costs and the amounts they contribute to share in each other’s expenses. OneShare exists not just to facilitate the sharing of these expenses but to partner with and advocate for our Members throughout their healthcare journey. To help keep Member costs down, we are utilizing a Fair and Reasonable Sharing methodology.
Fair and Reasonable Sharing is our model that reimburses Providers at a fair price when compared to services performed. We lower Member costs for most services by using a percentage above Medicare allowable. If Providers do not accept that amount, we will advocate on your behalf with the Provider to significantly reduce their charges, when appropriate.
We use Fair and Reasonable Sharing for the following: services performed in an Inpatient or Outpatient Hospital setting, Surgery Centers, Clinical Labs, and services from doctors not listed in the My Choice Provider Locator. OneShare stands ready to advocate for Members to help lower their costs and create an efficient and enjoyable Member experience.
“Therefore encourage one another and build one another up, just as you are doing.”
I Thessalonians 5:11 (ESV)