If I have a medical need what do I do?
May 1, 2024
If you are a Zion HealthShare member, for major medical events like hospitalizations, surgeries, or maternity you should identify yourself as a self-pay patient at the provider's office and request an itemized statement that includes a self-pay discount.
To manage these expenses, you will need to coordinate directly with Zion HealthShare. This involves using your Zion HealthShare Member Portal to upload statements, facilitate bill payments, or process reimbursements if you have already paid these costs out-of-pocket.
Learn More
- Learn more about the sharing process here.
- Visit zionhealthshare.org/member-guidelines to learn more about eligible medical costs.
- Are you a HealthShare member? Contact a Benefit Advocate to verify your benefits: 888-920-7526.
Explore
Most Planstin-managed health plans do not use a provider network . That means you are free to work with any provider with out fear of any out-of-network penalties. Very few Planstin-managed health plans still use a provider network. In this case, your health plan uses the PHCS network of providers. Fair-priced healthcare & care coordination The majority of Planstin-managed health plans use an innovative healthcare pricing strategy called fair-priced healthcare. This strategy does not require the use of a provider network, and instead relies on a care coordination team to help you work with your provider, make appointments, and locate providers that work well with your benefits. To learn more about fair-priced healthcare, click here . To learn more about care coordination click here .
Preventive Core is a health plan that focuses on preventive care. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive Core health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive Core health plan, click here and select your specific plan name.
All Planstin-managed health plans now feature care coordination services as a part of a fair-price healthcare strategy. The Planstin Care Coordination team will help match members with providers that work best with their plan.