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IMPORTANT!

Changes to Improved Provider Access, Membership Programs, and Discount Services Are Now Live!

Members will have Freedom of Choice as of May 15^th

We are continually innovating new and unique ways to serve our Members and their medical needs. As part of these updates, on May 15, 2022, OneShare Health will no longer be a part of First Health^® Provider Network. Instead, Members will have the freedom to see the Provider of their choice. To bring Members no-restriction freedom of choice, we will facilitate sharing at a Fair and Reasonable Amount for Eligible Inpatient, Outpatient, Hospital, Surgery Center, or Clinical Lab Facility care! We will lower Member costs for most services by using a percentage above Medicare allowable.

Highlights of the expanded Provider Choice include:

• Decreased Out-of-Pocket costs for Members on most services
• More sharing dollars available for the Member population
• Advocation and seamless processing of balance bills for our Members
• Greater Provider choice for Members without Out-of-Network penalties

My Choice Provider Locator Tool:

Our Members need to find doctors they can trust. That's why OneShare Members have access to an easy-to-use My Choice Provider Locator, which lists the doctors who have already partnered with us!

Is your Member's doctor not on the list, but they'd like to keep them? We are excited to announce that OneShare will now accept any accommodating Provider and work with them behind the scenes to ensure our Members receive a fair price for the services performed! Check it out by clicking below.

Changes to Our Membership Programs Live as of May 15^th

For All Existing and New Members

• Emergency Room – Eligible expenses on all Programs and tiers for Emergency Room visits are shared up to $10,000, then ISA Applies.

For Newly Enrolled Members on or after May 15^th

Existing Members will be grandfathered, and these will not apply

• Program Visit Fee Changes
• Classic Physician – $40 Visit Fee
• Classic Specialist – $75 Visit Fee
• Classic Urgent Care Facility – $75 Visit Fee
• Classic Emergency Room – $500 Visit Fee
• Catastrophic Emergency Room – $500 Visit Fee
• Preventive Services Waiting Period – There will be a 180-Day Waiting Period for new Members’ Preventive Services starting May 15, 2022. (excluding immunizations)
• Newborn Sharing Eligibility Changes – Newborns who were conceived prior to Active Date will have a 30-Day Waiting Period to be added to the Program.
• Tobacco Use – Smoking / Vaping / other tobacco use will be a new disqualifying question for prospective Members. Applicants who answer "yes" to using tobacco or vaping in the previous 12 months will not be able to enroll with OneShare Health.

Please note the following Discount Program differences for Members who reside in AK, MA, MT, and WA:

Massachusetts Members: Will gain the following:

• Diabetes Care & Supplies
• HealBright - Emotional Wellness
• Daily Living Products
• Cash Rewards
• Vitamins
• Entertainment Benefits
• Fitness
• TeleDentist
• TeleVet

Washington Classic and Complete Members:
Will no longer receive Prescription sharing but should utilize Clever Health Prescription Discounts in their app. These Members will also no longer have access to Vision and Dental Discounts, but will gain the following:

• Diabetes Care & Supplies
• HealBright - Emotional Wellness
• Daily Living Products
• Cash Rewards
• Vitamins
• Entertainment Benefits
• Fitness
• TeleDentist
• TeleVet

Washington Catastrophic Members: Members still have access to Prescription Discounts through the Washington State HCA, in addition to the Clever Health Prescription Discounts. WA Catastrophic Members will also gain the following:

• Diabetes Care & Supplies
• HealBright - Emotional Wellness
• Daily Living Products
• Cash Rewards
• Vitamins
• Entertainment Benefits
• Fitness
• TeleDentist
• TeleVet

Alaska and Montana Members:
Will no longer receive Dental, Vision, MRI & Imaging, Lab Savings, Lifeline Screening, and Hearing Care. They will have access to Clever Health Prescription Discounts in addition gaining these Discounts:

• Diabetes Care & Supplies
• HealBright - Emotional Wellness
• Daily Living Products
• Cash Rewards
• Vitamins
• Entertainment Benefits
• Fitness
• TeleDentist
• TeleVet

April 15^th Updates Are Live:

Changes to Member Monthly Contribution Amounts—Live as of April 15^th

• Current Members enrolled on or before March 1, 2021, will have an increase of 5% to their Monthly Contributions. This will be applied on the next billing cycle following April 15, 2022.
• For enrolling new Members, current quoting platforms will see an increase of 4% on all Programs and tiers.

Please note the following exclusions from Contribution increases:

• Members who have moved into a new age band within the past six months (October 15, 2021 – April 14, 2022)
• Members who will move into a new age band in the next six months (April 15, 2022 – October 15, 2022)

This is intended to offset the following factors:

• An increase of $36 Million in submitted Share Requests due to the COVID pandemic.
• The industry medical cost trend is expected to increase 6.5% in 2022.

Complete Membership Programs No Longer Available for Enrollment as of April 15^th

Beginning on April 15, 2022, the Complete Program is no longer available for enrollment through OneShare Health (OneShare Health will still support current Members of the Complete Program without Prescription Sharing). OneShare Health encourages Members to fill prescription refills prior to May 15, to be Eligible for Sharing according to Membership Guidelines. After May 15, Members should utilize the Clever Health™ app to save up to 80% on prescription drugs.

Please discard any old brochures, marketing materials, or other outdated resources for the Complete Program as it will no longer be available to prospective Members.

Want More Training? Enroll in Our Upcoming Webinars!

We have set up special producer training webinars for you for even more information on these updates! To participate in this additional training that begins in April, please follow the link below to register for one of the following dates:

Can't Find What You Need? Check Out the New Producer Resource Hub!

With the Producer Resource Hub, you have access to all the resources you need to answer all your clients’ questions! Feel free to search through the Hub to find all sorts of information regarding our Programs, Quote Tool, Member Guidebooks and Brochures, and more!