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Guidelines - IV.D Changing Programs

A member must meet specific criteria to change between programs or AUA levels.

Members are allowed to change their membership AUA level or program within 30 days of either their anniversary month or a qualifying life event, with the effective date being the first day of the following month.

Qualifying Life Event Changes:

  • Change in marital status
  • Change in child/dependents
  • Birth/Adoption
  • Loss of spouse
  • Loss of employment
  • Dependent turns 26
  • Turning 65 and would like to join REDEEM SeniorSaver

The Program Change Request form is available in the Forms section of the Member Center.

Membership Anniversary Changes. Members are allowed to change their AUA level or program each year, effective with the first day of their anniversary month. REDEEM HealthShare will email the Program Change Request form to the primary member 60 days before the membership anniversary date. If you want to change programs, you must submit the Membership Anniversary Program Change Request form at least 30 days in advance of your anniversary month.

Switching Fee and Resetting AUA

  • Switching Fee. Changing your program or AUA level requires a switching fee of $100. You can choose the first day of any future month for your switch to occur and the Total Share Amount Due (Member Center) will include the $100 switching fee within one to two months after the switch is effective.
  • Resetting AUA. Changing your program or AUA level will reset the AUA.
  • You can add or remove members from your membership at any time without incurring a fee.

Switching Between Programs and AUAs

When switching from REDEEM Essential to REDEEM Enhanced OR when switching from a higher AUA to a lower AUA, the 12-month waiting period for the conditions and treatments listed in Sharing Limits (Section III.C.) resets.