Plan Comparison

PLAN DETAIL
PLATINUM
GOLD
BRONZE
Contribution (1 PERSON / 2 PERSONS / FAMILY) $210 / $420 / $630 $158 / $316 / $474 $53 / $106 / $159
MRA $500 per incident $1,000 per incident $5,000 per incident
Healthcare Credit $1,000 per year $500 per year $150 per year
Telemedicine Unlimited telemedicine with no consultation fee
Inpatient Hospitalization 100% Sharable after MRA
Outpatient Surgeries 100% Sharable after MRA
Prescription Discounts on generic and brand name prescription drugs
Doctor Visits, Exams 100% Sharable after MRA or Allow to use Healthcare Credit Not Sharable, Allow to use Healthcare Credit
ER Care 100% Sharable after MRA Not Sharable
Maternity Sharable Maximum of $7,000 Not Sharable
Maximum Limit per Incident $200,000 $150,000


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 (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!


PHCS Multiplan network - Physicians, Hospitals, Facilities
We have joined the PHCS Multiplan network (https://www.multiplan.com) which is one of the largest health care networks, so that we can share needs all across the nation. Search MultiPlan to find a provider near you.

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.

Legal Notices     Disclaimer     한국어     Privacy     


1151 N. Magnolia Ave. Suite 109 Anaheim, CA 92801   Tel: 800-341-0884   email: info@pohealthcare.com

© 2015-2022 People-Oriented Healthcare all right reserved