Guidelines - II.B Important Membership Terminology
REDEEM HealthShare is defined using certain terms, vocabulary and definitions. A complete list may be found in the Glossary of Terms.
Annual Unshareable Amount (AUA). The Annual Unshareable Amount (AUA) is the dollar amount a household membership must pay toward their own eligible medical bills during a 12-month period before their eligible medical bills can be published and shared by the membership. All eligible medical bills are subject to the AUA unless otherwise specified. The AUA 12-month period begins on your effective date. The AUA resets on the anniversary of your membership date or upon switching between programs or AUA levels after which it resets on the Effective Date Anniversary.
Co-Share Amounts and Limits (REDEEM™ Essential only). In REDEEM Essential only, once the membership household meets their AUA, REDEEM HealthShare shares 80% of eligible medical bills. The member pays the remaining 20% (the Co-Share amount) up to the annual Co-Share limit directly to the provider. There is a $5,000 Co-Share limit per household membership per year. The Co-Share limit will reset on the anniversary of the membership date or on the effective date of any AUA reset occurring during the membership year.
Membership Date. Your membership date is the date that your membership in a REDEEM HealthShare program started. All medical bills with a date of service on or after this date will be determined for eligibility under these Guidelines.
Samaritan Ministries Legacy Member. A member who transfers their participation from a current Samaritan™ Classic or Samaritan™ Basic program without membership interruption to REDEEM. These members have transferred their participation from a current Samaritan Classic or Samaritan Basic program. For Samaritan Ministries Legacy Members who join REDEEM without membership interruption, any waiting period begins at the member's start date in the legacy program.