Essential | Enhanced | |
---|---|---|
Doctor Visits | ||
See any Doctor you Choose | ||
TeleMedicine | ||
Hospital/Surgical Visits | ||
Emergency Room Visits | ||
Ambulance | ||
Maternity | ||
Therapies | ||
Well Child Checkups including immunizations and labs | ||
Adult Wellness including labs | ||
Preventive Screenings like Mammogram, PSA, Colonoscopy. | ||
Prescriptions | ||
Mental Health | ||
Dental, Vision, Audiological | ||
Alternative/Holistic Medicine |
Program Comparison
Consider these questions to help you decide:
If your goal is to keep your monthly share as low as possible, REDEEMTM Essential may be the best fit. This program comes with a higher AUA, meaning you'll pay more of your medical expenses before the community starts sharing your costs. Members in Essential also pay a Co-Share.
If you prefer more extensive sharing with lower initial medical expenses before sharing starts, REDEEMTM Enhanced could be ideal. This program offers a lower AUA, providing greater financial support from the community sooner. There is no Co-Share.
The Annual Unshareable Amount (AUA) represents the amount that your membership is responsible for paying towards your medical expenses before the community starts sharing your costs.
FlexShare is an exclusive add-on feature that provides expanded sharing for additional items like pre-existing conditions, mental health services, alternative treatments, dental and vision care, and more! Adding FlexShare to REDEEM Essential, Enhanced, or SeniorSaver can provide the additional support you need.
Which One is Right for You?
Understanding your financial responsibility.
Once you decide how much you can afford to pay towards your medical bills each year, you can select the program that best matches your budget and health care requirements. This approach gives you better control over your expenses and helps you plan effectively.
Essential | Enhanced | |
---|---|---|
Annual Unshareable Amount (AUA) |
$3,500 $7,000 $10,500 $14,000 |
$2,000 $4,000 $6,000 $8,000 |
Co-Share Cap | $5,000 |
$0 |
Annual Sharing Cap | $1 Million |
$2 Million |
Co-Share | 20% (Share at 80%) |
0% |
FlexShare Allowance (Add-on) |
$1,000 per Membership |
$1,500 per Membership |