PLAN C
HEALTHSHARE CONNECTION
PLAN A + PLAN B = PLAN C
PLAN C PRICING
FREE Annual Preventative Health & Wellness Check
Prescription Discount Card
In-office Copay Program
- Doctor’s Visits
- Urgent Care
- Physical Therapy
- Specialists Visits
- Chiropractic
- Out Patient Testing
- Dental
- Vision
Total Telehealth Package Through MeMd Including
- Urgent Care Telehealth – Free
- Men’s & Women’s Telehealth Services – Free
- Behavioral Therapies – $65 Copay Per Session
Hospital Treatments And Services
- In-patient Procedures
- Out-patient Testing
- Emergency Room
- Acute Hospital Care
- Sub-acute Health Care
- Covid-19 Care
- Maternity (See Conditions)
- Surgeries
Medical Therapies
- Speech Therapy
- Respiratory Therapy
- Physical Therapy
- Occupational Therapy
Ambulance Services
Home Healthcare
Accident Care
Physician’s Services
Limb Prosthetics
Chiropractic Treatments
MONTHLY PRICING
(per member, per month)
OPTIONS
Under 30 years old
Over 30 years old
MEMBER
$329
$348
MEMBER + 1
SPOUSE | DEPENDENT
$614
$662
MEMBER + FAMILY
MEMBERS 2 – 5
EACH ADDITIONAL FAMILY MEMBER
$894
$953
$25
$25
ADDITIONAL FEES
(per member, per month)
SMOKING / VAPING FEE
$75
ADULT CHILD DEPENDENT FEE
$50
ADDITIONAL DEPENDENT FEE
$25
** PLEASE REFER TO THE MEMBERSHIP RESOURCE GUIDE FOR SPECIFICATIONS REGARDING TREATMENT OPTIONS
This plan is offered to include unlimited annual medical needs with a non-shareable amount of $1500 per need.
Members must only pay their non-shareable amount of $1500 for the first 3 (individual member) or 5 (family plan) needs.
FREE TOTAL TELEHEALTH BY MEMD 24/7/365
BEHAVIORAL HEALTH AVAILABLE FOR A MINIMAL COPAY
ADDITIONAL FEES
SMOKING/VAPING FEE: A $75 fee will be assessed per member, per month for any smoking or vaping members. This total will be added to your monthly billed fees.
ADULT CHILD DEPENDENT FEE: A $50 monthly fee will be assessed for any adult child dependents on a family plan if they are not enrolled in college or a trade school. Adult children are defined between the ages of 18-26. All child dependents must be unmarried to qualify as a dependent on a family plan. Verification may be requested.
ADDITIONAL DEPENDENT FEE: HealthShare Connection Family Plans are available for up to 5 members. Additional legal dependents can be added to a family plan for $25 per month, per additional dependent.
HOW DOES IT WORK?
Plan C introduces this comprehensive benefit plan as a viable
alternative to traditional health insurance for today’s modern
healthcare user. With the combination of Plan A and Plan B, members have coverage options for their immediate healthcare needs such as telehealth, in-office doctor’s visits, dental, vision and Urgent Care needs. These services can be utilized with NO DEDUCTIBLE and just a simple, low co-pay.
Additionally, members have access to shared membership funds available for larger, more expensive medical needs. This portion of the membership provides payment for services such as hospitalization, emergency room services, accident care, and more. The larger medical expense claims may be subject to a Non-Shareable Amount of up to $1500 per need. This amount can be lessened by the combined payments made by the member and HSC towards the medical need. Please see the Member Resource Guide for more information.
HSC COST-SHARING PROCESS
Member has a large medical expense relation to a new injury or illness:
IN-OFFICE COPAY PROGRAM
| COVERAGE | COPAY | COVERED BILLED CHARGES |
|---|---|---|
| General Office Visists | $25 | Up to $1000 |
| Specialist / Behavioral Health Office Visit | $25 | Up to $1000 |
| Chiropractic / Physical therapy Office Visit | $25 | Up to $1000 |
| Urgent Care Visits | $50 | Up to $2000 |
| Lab Work | $25 | Up to $2000 |
| Out-Patient Testing | $200 | Up to $2000 |
| Dental | $25 | Up to $1500 |
| Vision | $25 | $100 Office & $100 Glasses |
PREVENTATIVE WELLNESS CHECK
COVERED SERVICES
COVERED PREVENTATIVE SERVICES
ALL ADULTS
- Blood Pressure Screening
- Cholesterol Screening
- Type II Diabetes Screening
- Syphilis Screening
- HIV Screening
- Sexually Transmitted Infection Prevention Counseling
- Tobacco Use Screening For All Adults & Cessation Interventions
- Aspirin use for men ages 45-79 & women ages 55-79 to prevent CVD when prescribed by a physician
- Colonoscopy (Colorectal cancer screening for adults starting at age 50, limited to one every 5 years)
- Diet counseling
- Immunizations and vaccines (Hepatitis A&B, Herpes, Zoster, Influenza, Measles, Mumps, Tetanus, Rubella, Human Papillomavirus, Meningococcal, Pneumococcal, Diphtheria, Pertussis)
- Abdominal aortic aneurysm one-time screening for age 65-75
- Depression screening & counseling
- Obesity screening
COVERED PREVENTATIVE SERVICES
WOMEN’S SERVICES
- Breast cancer mammography screening every year for women age 40 and over
- Breast cancer chemo prevention counseling
- Cervical cancer screening
- Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, not including abortifacient drugs
- Domestic and interpersonal violence screening and counseling for women
- Gonorrhea screening
- Syphilis screening
- Chlamydia infection screening
- HIV screening and counseling
- Human Papillomavirus (HPV) DNA testing every three years for women with normal cytology results who are age 30 or older
- Osteoporosis screening over age 60
- Tobacco use screening and interventions
- Sexually transmitted infections counseling
- Wellness visits
COVERED PREVENTATIVE SERVICES
PRENATAL / POSTNATAL SERVICES
- Anemia screening on a routine basis
- Bacteria, urinary tract and infection screening
- BRCA counseling and genetic testing for women at higher risk
- Breastfeeding comprehensive support and counseling from trained providers, as well as access to breastfeeding supplies
- Folic acid supplements
- Gestational diabetes screening
- Hepatitis B screening
- Routine prenatal visits
- Rh-incompatibility screening including follow-up testing
- Expanded counseling for pregnant tobacco users
- Delivery, C-Section, Inductions not covered at this time
COVERED PREVENTATIVE SERVICES
NEWBORN SERVICES
- Hearing screening
- Immunization vaccines for children from birth to age 18 with variable doses, according to recommended ages and populations
- Cervical Dysplasia screening and vaccines for Diphtheria, Tetanus, Pertussis, Hepatitis A & B, Human Papillomavirus, Inactivated Poliovirus, Influenza (Flu Shot), Measles, Mumps, Rubella, Meningococcal, Pneumococcal, Rotavirus, Varicella
- Congenital Hypothyroidism screening
- Gonorrhea preventive medication for eyes
- Hemoglobinopathies or sickle sale screening
- Phenylketonuria (PKU) screening
- Iron supplements for newborns to 12 months when prescribed by a physician
COVERED PREVENTATIVE SERVICES
ALL CHILDREN SERVICES
- Autism screening for children, limited to two screenings up to age 24 months
- Vision screening, 5 and younger
- Developmental screening for children under the age of 3 and surveillance throughout childhood
- Lead screening
- Dyslipidemia screening
- Height, Weight and Body Mass Index measurements
- Obesity screening and counseling
- Hematocrit or Hemoglobin screening
- Oral health risk assessment, up to age 10
- Depression screening, 12 and older
- Alcohol and drug use assessments
- Blood pressure screening
- Sexually transmitted infection prevention counseling and screening for adolescents
- Tuberculin testing
FIND A PROVIDER
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Of Doctors Conveniently Located Near You!