The Complete Program
The Complete Program is the most comprehensive OneShare plan. Individuals have four options for ISA during enrollment. The out-of-pocket maximum for the Complete program does not exceed three times the ISA for individual, individual plus one or family, no matter how many members your family has. Once you meet your Max OOP, it will be 100% eligible for sharing, but you will still pay visit fees.
Mammograms fall under preventive services and are 100% eligible for sharing. They’re available immediately, which means you can enroll today and go in for a mammogram tomorrow. For this service, the age of the member and the type of mammogram does not matter. Mammograms are available once per program year.
In the Complete program, a colonoscopy is 100% available for sharing under preventive.
Specialist coverage is unique under the Complete program because it allows for unlimited visits. Members pay a consultation fee after each visit, which goes toward the ISA. Once the ISA has been met, the members will pay $0 for the remainder of the program year. Members do not need a referral to make a visit when on the Complete program.
Under the Complete program, members use Dial Care for telemedicine, where the service is available 24/7, 365 days a year. Members do not pay anything for the consultation. Some conditions that can be addressed through telemedicine include rashes, flu, allergies, colds, asthma and migraines.
The Complete program is the perfect plan for pregnant women. It has no waiting period, which means you can enroll when pregnant and be eligible for sharing. However, to do so, you must double your ISA, and you will be covered up to $10,000 for the Enhanced plan and $20,000 for the Crown plan. Since the pregnancy would be considered a pre-existing condition, the $5,000 for natural, $8,000 for C-Section and $50,000 for complications will not apply.
The Complete program also includes out-of-network coverage. However, maternity is not available out-of-network unless it’s a life-threatening situation.
Once the ISA has been met, 60% of a surgery is available for sharing on the Basic plan, 70% on the Enhanced plan and 80% on the Crown plan. There’s also a waiting period of two months for non-life threatening surgeries.
Benefits of the Complete Program
Here are the top four benefits of the Complete program:
- Everything on the Complete program chart is unlimited
- Prescription discounts are available. When a member has a minimum of $1,200 in prescription expenses for that period year, 50% is eligible for sharing up to a maximum limit of $3,000 for the year.
- There is no waiting period on maternity.
- There is no maximum limit per incident, resulting in up to $1 million per member.
Join the OneShare Complete Program Today
If you’re looking for a comprehensive healthshare program that is excellent for maternity coverage with no waiting period, the OneShare Complete program is the right plan for you. Enroll today by calling Health for California at 1-707-571-7590 (Live Support) or 1-877-752-4737 (Toll-Free) and enjoy comprehensive coverage.