Think of your plan as having two different plans that don’t talk to each other that are under the same umbrella of Clearshare.
- Your medical/emergency clearshare plan has an annual max which works like a deductible.
- Anything that can’t be addressed using $0 telemedicine or care coordination would be something you’d have the provider bill clearshare.
- Then Clearshare would bill you til you hit your annual max. Once your annual max is met, 100% of the care is covered.
- Then you have your holistic or holistic savings plan which gives your 5 or 3 doctor visits.
If you want to use one of those visits for a skin check or any other preventative doctor visit, you would pay the provider yourself, get an itemized superbill and submit it via the holistic reimbursement request form.
You’d get reimbursed up to $150 and end up paying $20. Anything over $170 would be your responsibility.
So—when you have a medical issue, you’re using clearshare for, you have them bill clearshare & you’ll be billed til you hit your annual max.
For any/all holistic services or doctor visits you want to use from your holistic plan, you pay the provider the cash pay price, submit your bill and get reimbursed.
Hope that helps clarify things!