iEverydayCARE®|Benefit Summary
for you and
your family
Everyday 1to1® Platform
Your Family’s 24/7 Medical Director
$0 member responsibility Virtual and In-Office Visit9
with 48 Hour Pre-Authorization
$50 member responsibility5 In-Office Visit
without 48 Hour Pre-Authorization
$0 member responsibility Labs RedirectHealth.com/labs
with 48 Hour Pre-Authorization
$0 member responsibility Mental Health Tele-Counseling
with 48 Hour Pre-Authorization
Rx & Immunizations RedirectHealth.com/RxFormulary
Member responsibility may vary depending on pharmacy location, quantity, and dosage
with 48 Hour Pre-Authorization
$0 member responsibility Virtual Specialist Curbside Consult6
with 48 Hour Pre-Authorization
Specialist Consults
$50 member responsibility5
with 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
Excluded Services8
Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care, and specialty and non-formulary medications
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 Newpath Medical Inc., a Wyoming Medical Cost Share organized pursuant to Wyo. Stat. Ann. 26-1-104. See program guide for details. Redirect Health 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. 5 Maximum sharing 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 used. Maximum sharing is 140% Medicare allowable. 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 and at 140% Medicare allowable.
Makes any Health Plan More Affordable
Affordable access to basic healthcare for everyone in your entire family. Prevention of chronic and expensive disease starts with children
Your Family’s 24/7 Medical Director
1. You will always get the care you need.
2. We will always help you make it affordable.
3. It will be hard sometimes, but we will always be at your side doing the hard work.
Finally! Healthcare on your terms – access care anytime, from anywhere, 24/7/365.
Access Your ID Card(s)
Speak with a Medical Provider
Access Plan Details
Renew Prescriptions
Update Your Information
Submit receipts or billing questions
Available to answer any questions 24/7/365 in English and Spanish
If you have a medical need simply use the Member App, call or text
Our Care Team is made up of healthcare experts and medical providers
We’ll help you determine if virtual, in-person, urgent, or emergency care is needed
Connect to a virtual medical provider at a convenient time for you who will determine if further in-office care is needed
We’ll assist with any next steps, such as in-office visit scheduling or filling prescriptions at a nearby pharmacy so you never waste any time
We find you the right level of care to address your medical needs, so you never 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
Get the most out of your healthcare by following these simple steps
Always use the Member App to schedule care and prepare for your appointments. Many times you’ll get everything you need over the phone. Your Care Team will make sure you always get the right care. Never pay more than you should.
Submit doctor’s bills through the SECURE Member App (but most times we’ll pay your doctor before you get a bill)
Expedite any request or obstacle on the Member App or use RedirectHealth.com/ExtraHelp
Your Redirect Health membership protects you and your family from high-dollar medical expenses
Always contact Redirect Health FIRST to initiate any medical need 24/7/365 - the Member App is the best way.
A medical provider will be recommended or you can choose your own from a large network. You can even add a doctor.
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.
Redirect Health will arrange and coordinate qualifying financial assistance programs, manage alternative funding options, and pre-negotiate costs of services.
Redirect Health assembles and reviews claims and submits them to the Plan Administrator for payment.*
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.
Pre-existing conditions become eligible for sharing based on members’ tenure with the plan, as indicated by the following graduated sharing schedule:
*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.