Everyday 1to1 Membership
Everyday 1to1® Membership|Benefit Summary

Everyday 1to1® Membership

“Insurance Optional” Healthcare

Concierge Guidance, Clarity, and Control

Everyday 1to1®
Protection

One Platform for Care, Cost, and Confidence

Everyday 1to1® Membership

An “Insurance-optional” Healthcare Plan

Affordable access to healthcare for your entire family. Unlimited. No copays. Then add any healthcare or insurance you want.

Your Family’s 24/7 Medical Director

  • Medical Professionals ON STAFF with licenses in all 50 states
  • Your Complete Electronic Medical Records always at our finger tips
  • 24/7 Virtual Primary Care & Urgent Care
  • Virtual Specialist and Emergency Room curbside consults and second opinions
  • Enhanced Population Health & Prioritized Pro-active Out-reach
  • CareLogistics™ + Care Navigation
  • Referral Management
  • Rx Management (Insurance vs. Cash)
  • Physician-to-Physician Case Management
  • Hospital Discharge and Follow-up Management
  • Alternative Funding Management for Plan Exclusions and Limitations. Free access to Impact Together™ and foundation funds .

Our 3 Promises

1. You will always get the care you need.

2. We will always help you pay the least.

3. It will be hard sometimes, but we will always be at your side doing the hard work.

Enroll Anytime. No Surprises. Simple.

Primary Member

$79

Primary Member + Spouse

$158

Primary Member + Child(ren

$158

Primary Member + Family

$249

Simple Access. Trusted Care. Real Support

We Put People First!
CareLogistics™ Saves Time and Money.

Finally! Healthcare on your terms – access care anytime, from anywhere, 24/7/365.

Everything You Need at Your Fingertips – and More

Access Your ID Card(s)
Speak with a Medical Provider
Access Plan Details
Renew Prescriptions
Update Your Information
Submit receipts or billing questions
1

Download the Redirect Health Member App

  • Available to answer any questions 24/7/365 in English and Spanish.
  • If you have a medical need simply use the Member App.
  • Our Care Team is made up of healthcare experts and medical providers.
2

Let Us Coordinate Your Care

  • We’ll help you determine if virtual, in-person, urgent, specialist or emergency care is needed.
  • Connect to a virtual medical provider at a convenient time for you. Expert guidance you can count on.
  • We’ll assist with any next steps, such as in-office visit scheduling or filling prescriptions at a nearby pharmacy so you don’t waste time.
3

Follow-Up that Matters

  • We find you the right level of care to address your medical needs, so you don’t pay more than you should.
  • Whether you had a virtual or in-person visit, we follow-up after your visit to make sure your care plan is staying on track.

How the Plan Works

Protect you and your family from high-dollar medical expenses

1

Plan Compliance

Your plan is set up to comply with ERISA and the Affordable Care Act (Penalty A). We also coordinate required 5500, HRAs, PCORI & 1094/1095.

2

Plan Management

Redirect Health manages your program with the extra care you need - Appointment Preparation, concierge access, coordination, navigation and pre-negotiation.

3

Predictive Healthcare

Even before your plan’s effective date Redirect Health starts learning about your employees’ healthcare needs and the obstacles that may get in their way. Proactive, predictive and smart healthcare.

How Needs are Shared with the Community

Your Redirect Health membership protects you and your family from high-dollar medical expenses

1

Contact us FIRST

Always contact Redirect Health FIRST to initiate any medical need 24/7/365 - the Member App is the best way.

2

Choose a doctor

A medical provider will be recommended or you can choose your own from a large network. You can even add a doctor.

3

Physician-to-Physician case management

A Redirect Health clinician coordinates with your doctor to facilitate care and prevent unnecessary missed work and spending. Streamlined coordination, navigation & pre-negotiation is our goal.

4

Advocacy

Redirect Health will arrange and coordinate qualifying financial assistance programs, manage alternative funding options, and pre-negotiate costs of services.

5

Claims payment

Redirect Health assembles and reviews claims and submits them to the Plan Administrator for payment.*

Members can expedite any request RedirectHealth.com/ExtraHelp

How Pre-Existing Conditions are Shared

(EverydayCARE Hospital & Hospital PLUS Only)

A condition is considered pre-existing for a member or dependent if symptoms or treatment have occurred within the 12 months prior to joining the Medical Cost Share. See the Membership Guidelines for detailed description of what will be considered a pre-existing condition. Controlled diabetes, hypertension, high cholesterol, seasonal allergies and intermittent asthma will not be considered pre-existing when reported prior to membership effective date.

Conditions beginning after a member’s effective date will be shared after paying a $2,000 initial member responsibility then 20% with a maximum out-of-pocket of $4,000^ per year. See the Membership Guidelines for sharing rules.

Additional Sharing Restrictions and Limitations

See Member Guidelines

Pre-existing conditions become eligible for sharing based on members’ tenure with the plan, as indicated by the following graduated sharing schedule:

Time After Membership Effective DateShareable
First 12 monthsNot shareable
Months 13-24Shareable to $25,000
Months 25-36Shareable to $50,000
Month 37 and afterShareable to $125,000

*Specialist, advanced imaging, and hospital claims must be pre-authorized and coordinated by Redirect Health to be eligible for payment.

^Subject to program sub-limits. Prescription drug benefits are not included in out-of-pocket max calculation.

Add Optional Medical Health Sharing to Your Membership
iEverydayCARE®1,2Routine Care
iEverydayCARE®1,2Hospital
iEverydayCARE®1,2Hospital PLUS
iEverydayCARE®1,2Routine Care
iEverydayCARE®1,2Hospital
iEverydayCARE®1,2Hospital PLUS

Everyday 1to1® Platform

Your Family’s 24/7 Medical Director

The Protection You Need
Routine Care
  • Virtual Primary Care (24/7/365)
  • In-Office Primary & Urgent Care
  • Pediatric Care
  • Annual Adult Physical3 & Well Child
  • Chiropractic (12 free visits per year)
  • X-rays

$0 member responsibility Virtual and In-Network Office Visitwith 48 Hour Pre-Authorization

$20 member responsibility4 Out-of-Network Office Visitwith 48 Hour Pre-Authorization

$50 member responsibility5 In-Network or Out-of-Network Visitwithout 48 Hour Pre-Authorization

$0 member responsibility Labs RedirectHealth.com/labswith 48 Hour Pre-Authorization

(Basic)
(Standard)
(Expanded)

$0 member responsibility Mental Health Tele-Counselingwith 48 Hour Pre-Authorization

Rx & Immunizations RedirectHealth.com/RxFormulary

Member responsibility may vary depending on pharmacy location, quantity, and dosagewith 48 Hour Pre-Authorization

$0 member responsibility Virtual Specialist Curbside Consult6with 48 Hour Pre-Authorization

Specialist / Advanced Imaging / Hospital

Specialist Consults

$50 member responsibility5with 48 Hour Pre-Authorization

Advanced Imaging

$50 member responsibility5

MRI, PET, CT scans, ultrasound, mammogram and other imaging

with 48 Hour Pre-Authorization

Hospital Care - Inpatient & Outpatient Procedures7

Individual – plan year

$2,000 initial member responsibility

20% co-share | $4,000 out-of-pocket max4

Family – plan year

$4,000 initial member responsibility

20% co-share | $6,000 out-of-pocket max4

Emergency Room

$500 initial member responsibility + 20% co-share

Everyday 1to1® CareLogistics™

  • Get the healthcare you need without spending more than you should
  • Appointment scheduling, Referrals, Navigation
  • Negotiations, Alternative funding mgmt.

Cost of Services is 100% Member Responsibility

Excluded Services8

Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care, and specialty and non-formulary medications

Everyday 1to1® CareLogistics™

  • Get the healthcare you need without spending more than you should
  • Appointment scheduling, Referrals, Navigation
  • Negotiations, Alternative funding mgmt.

Cost of Services is 100% Member Responsibility

  • Additional chemotherapy$30,000 sharing limit10
  • Dialysis$10,000 sharing limit10
  • Skilled nursing$5,000 sharing limit10
  • Air ambulance$5,000 sharing limit10
  • Pre-existing exclusions apply12 month look back
Network

MultiplanPractitioner Only Network9

(or add a doctor 48 Hours prior to visit)

1 This program is NOT insurance. iEverydayCARE is managed by Redirect Health exclusively for members of the Reimagined Society. The Medical Cost Share risk pool is managed by Newpath Medical Inc., a Wyoming Medical Cost Share organized pursuant to Wyo. Stat. Ann. 26-1-104. See program guide for details. Redirect Heath and Newpath Medical Inc. are not insurance companies. 2 This program does NOT meet the minimum requirements for MEC (Minimal Essential Coverage) or the ACA (Affordable Care Act). New Jersey, Massachusetts, Vermont, California, Rhode Island and the District of Columbia have passed their own state-level individual mandate laws that mirror the Federal Affordable Care Act. Redirect Health and Medical Cost Share memberships do not satisfy the new individual mandate requirements of these states. It should be expected that state enforced penalties may apply in these states. See State Specific Disclosures (www.RedirectHealth.com/state-disclosures) for more information regarding program limitations. 3 Routine physical/exam; gynecological exam; mammogram; pap smear; prostate testing(PSA); other routine lab and immunizations. 4 Eligible benefits subject to initial member responsibility and member co-shares counts toward max out-of-pocket. Excludes prescription drug benefits, pre-existing conditions, and subject to program sub-limits. Special enrollment requirements apply in order to qualify for Specific Deductible Waivers. Medical Questionnaires may be required. 5 Maximum allowable is 140% of Medicare allowable. 6 A Redirect Health medical professional will interact with specialist on the member’s behalf. 7 Pre-authorization REQUIRED for ALL NON-EMERGENCY Care. 8 See Membership Guidelines for coverage limitations and details. 9 Any doctor who accepts the Redirect Health Usual, Customary & Reasonable (UCR) Agreement can be in-network This overview is intended only as an illustration of the benefit plan design. Please refer to Membership Guidelines for actual coverage, limitation, and exclusion provisions. 10 Maximum sharing after Initial Member Responsibility.

Add Optional Newpath Medical Health Sharing - Member Only Pricing

Effective 10/1/26

All plans include the Everyday 1to1® Membership.

iEverydayCARE®Routine Care
iEverydayCARE®Hospital
iEverydayCARE®Hospital PLUS
iEverydayCARE®Routine Care
iEverydayCARE®Hospital
iEverydayCARE®Hospital PLUS
Any Age
Age 18-44
Age 45-59
Age 60-64
Age 18-44
Age 45-59
Age 60-64
Primary Member Only
$157
$380
$456
$554
$462
$566
$691
Primary Member + Spouse
$283
$762
$893
$1,035
$926
$1,111
$1,308
Primary Member + Child(ren)
$283
$795
$926
$1,069
$959
$1,145
$1,341
Primary Member + Family
$420
$1,189
$1,308
$1,352
$1,434
$1,636
$1,761

The benefits displayed on this page reflect the most current benefits information and may be updated periodically. Depending on your plan and enrollment effective date, the benefits applicable to you may differ from those shown. Your applicable plan documents or agreement will govern your benefits. Please contact your Redirect Health account representative if you have questions or would like to confirm the benefits that apply to you.