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Guidelines - III.C Sharing Limits

Certain conditions may be eligible for sharing, subject to membership AUA and Co-Share amounts and other conditions that may apply. See each category below for details.

First 90 Days of Membership. For the first 90 days, only bills resulting from injury, acute illness, or accident are eligible for sharing, up to a maximum of $50,000 per household membership. This waiting period does not apply to Samaritan Ministries Legacy Members.

Non-Shareable Conditions in First Membership Year. The following conditions are not shareable for the first 12 months of membership. For Samaritan Ministries Legacy Members who join REDEEM without membership interruption, this waiting period begins at the member's start date in the legacy program. When selected, FlexShare always has an initial 6 month waiting period. Bills for these conditions are eligible for FlexShare after the initial 6 month waiting period:

  • Arthritis
  • Autoimmune conditions
  • Bone spurs (bone calcification)
  • Cataracts
  • Glaucoma
  • Lyme disease
  • Macular degeneration
  • Sleep related restricted airway conditions, for example, sleep apnea and including CPAP equipment
  • Varicose veins

Non-Shareable Treatments in First Membership Year. The following treatments are not shareable for the first 12 months of membership. For Samaritan Ministries Legacy Members who join REDEEM without membership interruption, this waiting period begins at the member's start date in the legacy program. Bills for these conditions are eligible in FlexShare, if that option is selected, after the initial 6-month waiting period.

  • Allergy treatments
  • Hormone therapy
  • Joint replacement
  • Lipedema, Lymphedema, Liposuction
  • Prosthetics