PLANS

Plus Plans

Classic Plans

Glossary of Terms

UNITS
A unit is one qualifying individual member. Two units are two qualifying members. Three units are three or more qualifying members. No household’s monthly contribution will exceed that of three units, regardless of the number of members in the household.

MRA (PER INCIDENT MEMBER RESPONSIBILITY AMOUNT)
The portion of an eligible medical need that does not qualify for sharing and that is your obligation to pay before the membership shares in eligible medical needs.

HEALTHCARE CREDIT (HC)
The Altrua HealthShare membership provides HC to all members. The HC may be used for any healthcare needs including office and specialist visits, laboratory services, preventative visits, radiology services, alternative medicine, chiropractic treatment, dental check-ups and cleanings, vision exams, and other services that the member feels necessary to maintain good health and that is in agreement with the Membership Guidelines. HCs are reimbursable to the member only, and may not be used towards the Per Incident MRA. For HC to be applied toward medical needs, the member is first responsible for payment of 25% of expenses incurred for services. After the 25% payment by the member and application of the HC, if there is a remaining balance, it is the member’s responsibility. The HC begins to accumulate upon the membership effective date, however, there is a 90-day waiting period to utilize them. The HC is credited at the start of each new calendar quarter and is prorated to include only months of active membership.

TELEMEDICINE (DialCare is not available on the POH Plus Plans)
DialCare (https://www.dialcare.com) is a modern, easy-to-use telemedicine solution for non-emergency illnesses and general care. Members have direct access to state-licensed and fully credentialed doctors, via phone or video consultations, to receive treatment and advice for common ailments, including colds, the flu, rashes and more. Doctors are available 24 hours a day, 365 days a year, allowing members and their families convenient access to quality care from home, work or on the go. When medically appropriate, a DialCare doctor may prescribe a short term, non-DEA controlled medication that they can pick up at the pharmacy of their choice. Members can conveniently connect with a doctor with no consult fee. Following conditions can be treated.

• Allergies
• Fever
• Respiratory infections
• Gout
• Sinus infections
• Bronchitis
• Insect bites
• Skin inflammations
• Cold & flu
• Sore throat
• Joint aches & pains
• Digestive issues
• Ear infections
• Rashes
• Urinary tract infections
• And more!

Manifest RX prescription discount plan
Manifest RX prescription discount plan (https://altrua.manifestrx.com)

ERS (The Established Provider Reimbursement Solution)
ERS is a pricing mechanism that eliminates the need to use a traditional “network” or “affiliated providers' while driving down costs.

SHARING
The process in which the membership shares on eligible medical needs.

ELIGIBLE
A status indicating that you have met the conditions that qualify for sharing as described in the Membership Guidelines, and your medical needs fall within the sharing limits.

INELIGIBLE
A status indicating that you have failed to meet the conditions that qualify for sharing as described in the Membership Guidelines, or that your medical needs do not fall within the sharing limits.