Expenses relating to medically necessary physician or hospital visits are eligible for sharing after PEPE or AUA is met

Medical expenses related to care given at an emergency care facility are eligible for sharing, after PEPE or AUA is met, if deemed to be a medical emergency. If admitted to the hospital on an emergency basis, must submit pre-notification within 48 hours of admission to be eligible.

Ambulance transportation expenses are eligible for sharing, after PEPE or AUA is met, if deemed to be an emergency. Ambulance transportation for non-emergencies will not be eligible for sharing.

Medically necessary medical testing performed by a qualified professional will be eligible for sharing and subject to PEPE or AUA.

Medically necessary medical imaging performed by a qualified professional will be eligible for sharing and subject to PEPE or AUA.

Medical expenses related to care given at an urgent care facility are eligible for sharing if deemed to be an urgent medical need. Sharing is subject to PEPE or AUA.

Yearly wellness visits or screenings are eligible for sharing subject to PEPE or AUA.

Medically necessary prescriptions are eligible for sharing after PEPE or AUA is met. Prescriptions which are prescribed for longer than 45 days after the incident must be evaluated Share HealthCare to determine further eligibility.

Expenses related to medically necessary home healthcare are eligible for sharing after PEPE or AUA is met.

Expenses related to physical therapy that is medically necessary and prescribed by a medical professional are eligible for sharing after PEPE or AUA is met.

Expenses related to speech therapy that is medically necessary and prescribed by a medical professional are eligible for sharing after PEPE or AUA is met.

Expenses related to respiratory therapy that is medically necessary and prescribed by a medical professional are eligible for sharing after PEPE or AUA is met.

Expenses related to labor, delivery and initial, routine hospital expenses for the infant as well as expenses relating to any complications are eligible with NO waiting period or limits. If a member is pregnant within two months of membership beginning, maternity expenses will be shared at up to 50% of the member's share contributions to that point. For example, if the member has paid $2,490 in monthly share amount to that point, up to $1,245 will be eligible to be shared by fellow members. Hospital admissions related to maternity must be reported to Pre-Notification department within 48 hours of admission. Maternity expenses are subject to PEPE or AUA.

Expenses related to vaccinations are eligible for sharing and subject to PEPE. In accordance with CARES Act legislation, COVID-19 vaccinations are administered at no cost to the public. Any fees related to administering the COVID-19 vaccination will be billed to Share HealthCare directly.