Affordable Healthcare For You and Your Family
Individuals and their families have access to simple and affordable medical plans that features $0 for routine primary care and low out-of-pocket costs for hospitalization.
Real Savings.
24/7 Primary Care.
Support You can trust.
We make healthcare simple, convenient, and low-cost with 24/7 access to primary care. Check out this short video to hear directly from our members about how Redirect Health has made a real difference in their life.
Your Health, Your Way:
Choose a Healthcare Plan That Fits You!
Discover EverydayCARE® - the healthcare plan that offers no-cost coverage for your most common needs giving you 24/7 access to care with less worry and more support.
Step 1: Select your age range:
Step 2: Select your coverage:
iEverydayCARE®1, 2
Routine Care
$0 routine care, 24/7 virtual visits, mental health, labs, chiropractic
Primary Member Only
iEverydayCARE®1, 2
Hospital
Routine Care + hospital coverage, specialists, and imaging
Primary Member Only
iEverydayCARE®1, 2
Hospital PLUS
Hospital + expanded labs, Rx benefits, reduced exclusions
Primary Member Only
$0 member responsibility Virtual and In-Network Office Visit with 48 Hour Pre-Authorization $20 member responsibility4 Out-of-Network Office Visit with 48 Hour Pre-Authorization $50 member responsibility5 In-Network or Out-of-Network Visit without 48 Hour Pre-Authorization |
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(Basic)
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(Standard)
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(Expanded)
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$0 member responsibility Mental Health Tele-Counseling with 48 Hour Pre-Authorization |
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Rx & Immunizations - View Formulary Copays may vary depending on pharmacy location, quantity, and dosage with 48 Hour Pre-Authorization |
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$0 copay Virtual Specialist Curbside Consult6 with 48 Hour Pre-Authorization |
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Specialist Consults & Care $50 member responsibility with 48 Hour Pre-Authorization |
Everyday 1to1® Care Navigation - Get the healthcare you need without spending more than you should - Appointment scheduling, Referrals, Navigation - Negotiations, Alternative funding mgmt. Cost of Care is 100% Member Responsibility |
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$50 member responsibility MRI, PET, CT scans, ultrasound, mammogram and other imaging with 48 Hour Pre-Authorization |
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Hospital Care - Inpatient & Outpatient7 Individual - plan year
$2,000 initial member responsibility Family - plan year
$4,000 initial member responsibility Emergency Room $500 initial member reponsibility + 20% co-share |
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Excluded Services8 Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care, and specialty and non-formulary medications |
Everyday 1to1® Care Navigation - Get the healthcare you need without spending more than you should - Appointment scheduling, Referrals, Navigation - Negotiations, Alternative funding mgmt. Cost of Care 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 apply 12 month look back |
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iEverydayCARE®1, 2
Routine Care
$0 routine care, 24/7 virtual visits, mental health, labs, chiropractic
Primary Member Only
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Virtual Primary Care (24/7/365)
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In-Office Primary & Urgent Care
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Pediatric Care
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Annual Adult Physical3 & Well Child3
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Chiropractic (12 free visits per year)
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X-rays
$0 member responsibility
Virtual and In-Network Office Visit
with 48 Hour Pre-Authorization
$20 member responsibility4
Out-of-Network Office Visit
with 48 Hour Pre-Authorization
$50 member responsibility5
In-Network or Out-of-Network Visit
without 48 Hour Pre-Authorization
$0 member responsibility
Mental Health Tele-Counseling
with 48 Hour Pre-Authorization
Rx & Immunizations - View Formulary
Copays may vary depending on pharmacy location, quantity, and dosage with 48 Hour Pre-Authorization
$0 copay
Virtual Specialist Curbside Consult6
with 48 Hour Pre-Authorization
Everyday 1to1® Care Navigation
- Get the healthcare you need without spending more than you should
- Appointment scheduling, Referrals, Navigation
- Negotiations, Alternative funding mgmt.
Cost of Care is 100% Member Responsibility
Excluded Services8
Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care and specialty and non-formulary medications
iEverydayCARE®1, 2
Hospital
Routine Care + hospital coverage, specialists, and imaging
Primary Member Only
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Virtual Primary Care (24/7/365)
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In-Office Primary & Urgent Care
-
Pediatric Care
-
Annual Adult Physical3 & Well Child3
-
Chiropractic (12 free visits per year)
-
X-rays
$0 member responsibility
Virtual and In-Network Office Visit
with 48 Hour Pre-Authorization
$20 member responsibility4
Out-of-Network Office Visit
with 48 Hour Pre-Authorization
$50 member responsibility5
In-Network or Out-of-Network Visit
without 48 Hour Pre-Authorization
$0 member responsibility
Mental Health Tele-Counseling
with 48 Hour Pre-Authorization
Rx & Immunizations - View Formulary
Copays may vary depending on pharmacy location, quantity, and dosage with 48 Hour Pre-Authorization
$0 copay
Virtual Specialist Curbside Consult6
with 48 Hour Pre-Authorization
Specialist Consults & Care
$50 member responsibility
Specialist Consults & Care
with 48 Hour Pre-Authorization
$50 member responsibility4
MRI, PET, CT scans, ultrasound, colonoscopy, mammogram and other imaging
with 48 Hour Pre-Authorization
Hospital Care - Inpatient & Outpatient7
Individual
$2,000 initial member responsibility
20% co-share | $4,000 out-of-pocket max4
Family
$4,000 initial member responsibility
20% co-share | $6,000 out-of-pocket max4
Emergency Room
$500 + 20% member responsibility
Excluded Services7
Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care and specialty and non-formulary medications
Everyday 1to1® Care Navigation
- Get the healthcare you need without spending more than you should
- Appointment scheduling, Referrals, Navigation
- Negotiations, Alternative funding mgmt.
Cost of Care is 100% Member Responsibility
iEverydayCARE®1, 2
Hospital PLUS
Hospital + expanded labs, Rx benefits, reduced exclusions
Primary Member Only
-
Virtual Primary Care (24/7/365)
-
In-Office Primary & Urgent Care
-
Pediatric Care
-
Annual Adult Physical3 & Well Child3
-
Chiropractic (12 free visits per year)
-
X-rays
$0 member responsibility
Virtual and In-Network Office Visit
with 48 Hour Pre-Authorization
$20 member responsibility4
Out-of-Network Office Visit
with 48 Hour Pre-Authorization
$50 member responsibility5
In-Network or Out-of-Network Visit
without 48 Hour Pre-Authorization
$0 member responsibility
Mental Health Tele-Counseling
with 48 Hour Pre-Authorization
Rx & Immunizations - View Formulary
Copays may vary depending on pharmacy location, quantity, and dosage with 48 Hour Pre-Authorization
$0 copay
Virtual Specialist Curbside Consult6
with 48 Hour Pre-Authorization
$50 member responsibility
Specialist Consults & Care
with 48 Hour Pre-Authorization
$50 member responsibility
MRI, PET, CT scans, ultrasound, colonoscopy, mammogram and other imaging
with 48 Hour Pre-Authorization
Hospital Care - Inpatient & Outpatient7
Individual
$2,000 initial member responsibility 20% co-share | $4,000 out-of-pocket max4
Family
$4,000 initial member responsibility 20% co-share | $6,000 out-of-pocket max4
Emergency Room
$500 initial member responsibility + 20% co-share
Excluded Services7
Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care and specialty and non-formulary medications
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 apply
12 month look back
How Pre-Existing Conditions are Shared (iEverydayCARE Hospitalization 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 Date | Shareable |
|---|---|
| First 12 months | Not shareable |
| Months 13-24 | Shareable to $25,000 |
| Months 25-36 | Shareable to $50,000 |
| Months 37 and after | Shareable to $125,000 |
- 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.
Healthcare made simple, every step of the way
Start with the Redirect Health Member App
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Available to answer any questions 24/7/365 in English and Spanish
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If you have a medical need simply use the Member App, call or text
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Our Care Team is made up of healthcare experts and medical providers
We Navigate and Coordinate Your Care
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We’ll help you determine if virtual, in-person, urgent, or emergency care is needed
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Connect to a virtual medical provider at a convenient time for you who will determine if further in-office care is needed
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We’ll assist with any next steps, such as in-office visit scheduling or filling prescriptions at a near-by pharmacy so you never waste any time
Better Follow-Up, Better Outcomes
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We find you the right level of care to address your medical needs, so you never pay more than you should
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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
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Ever have a question? The Care Team is available 24/7/365
24/7 Primary Care in Your Pocket
We Put People First! Care Navigation works for everyone.
Finally! Healthcare on your terms - access care anytime, from anywhere, 24/7/365.
