LEARN HOW THE IUA WORKS

IUA OUTLINE

The Initial Unsharable Amount (IUA) for each member’s medical need is the responsibility of member.  All qualified medical expenses after IUA is met are shareable with the Zion Health community at 100% and without an annual or lifetime limit.

ADVANTAGE

For each medical need, the community shares in medical expenses after the initial unshareable amount (IUA) is met.  This amount paid by the member does not need to be paid again until you are symptom free for 12 months.

RECAP

The Initial Unsharable Amount (IUA) is better for members than a deductible when a large medical need comes up.  Often care for a sickness or injury is not limited to a single calendar year.  Members generally save by having an IUA.

Pre-existing condition phased in period

Another benefit to the healthshare program is that coverage is guaranteed issue, which means if you have a previous health condition, you may still be eligible for coverage.  However, that particular condition may not be shareable immediately, but other events/conditions which are non-related to a pre-existing condition would be covered immediately.  Please see below.

Pre-existing conditions have a waiting or phase in period.  Zion Health attempts to negotiate all medical bills received and many membership types include the PHCS network for pre-negotiated medical expenses.

• 1st Year of Membership – Waiting period of all pre-existing conditions
• 2nd Year of Membership – Up to $25,000 of sharing for pre-existing conditions
• 3rd Year of Membership – Up to $50,000 of sharing for pre-existing conditions
• 4th Year of Membership and Beyond – Up to $125,000 of sharing for pre-existing conditions per year

Exceptions For High Blood Pressure, High Cholesterol & Diabetes

High blood pressure, high cholesterol and diabetes (type 1 & 2) will not be considered a pre-existing condition as long as they have not been hospitalized for the condition in the past 12 months and able to control through medication or diet.

A large part of the appeal of healthcare sharing programs is that they are much less expensive than traditional health insurance. 

The healthshare program offered is a medical cost sharing program that helps individuals and families address the challenges of escalating health care costs and soaring insurance premiums. It is not insurance, but an alternative where members share in each other’s medical needs. The healthshare company collects the member monthly contribution amounts and pays the providers directly, minus any applicable IUA. The IUA is applicable for each medical event per year.  Members voluntarily submit contributions to the program on a monthly basis in order to maintain eligibility for sharing of medical needs and to help share in the needs of others.

NOTE:  If you are on COBRA currently, or other coverage, and wish to obtain new coverage, do not cancel coverage until you have been fully accepted.  The reason for this is that you, and anyone you wish to have covered, will need to medically qualify for the plan from and underwriting standpoint.  In other words, if you have a major health issue, stay where you are.

Another benefit to the healthshare program is that in some cases, coverage may be guaranteed issue, which means if you may have a health condition, you may still be eligible for coverage.

NOTE:  If you are on COBRA currently, or other coverage, and wish to obtain new coverage, do not cancel coverage until you have been fully accepted. In other words, if you have a major health issue, stay where you are.