How much does Solidarity cost? What medical expenses are eligible for sharing?
Medical costs are shared on a per person, per incident basis for illnesses or injuries incurred after the Membership effective date when medically necessary and provided by or under the direction of licensed physicians, osteopaths, urgent care facilities, clinics, emergency rooms, or hospitals.Medical expenses that are eligible for sharing include, but are not limited to, home health care, physician and hospital services, emergency medical care and medical testing, unless otherwise limited or excluded by these Guidelines.
To be eligible for sharing, total bills must exceed an annual unshared amount.A Medical Expense Need is any medically diagnosed condition for which one received medical treatment and incurred medical expenses from the same diagnosis.Medical bills related to the same diagnosis are considered part of the incident.Solidarity HealthShareSM requires that expenses be submitted in the manner and form specified.Standard industry billing forms and medical records may be included.
If the treatment meets the following criteria, it is eligible for sharing.
Emergency land or air ambulance transportation to the nearest medical facility capable of providing the medically necessary care to avoid seriously jeopardizing the Sharing Member's life or health.
If there is enough change in the Sharing Member's physical condition to make the original device no longer functional, a new and replacement braces of the leg, arm, back, neck, or artificial arms or legs.
Treatments for disfiguration caused by amputation, disease, accident, or breast reconstruction are eligible for sharing.The removal or revision of scars, tattoos, or actinic changes are not eligible for sharing.
Emergency room services for stabilization or initiation of treatment for a medical emergency or condition provided on an outpatient basis at a Hospital, Clinic, or Urgent Care Facility, including when Hospital Admission occurs within 23 hours of emergency room treatment.
Expenses for Fertility treatments relating to the restoration or healing of the reproductive system in order to support procreation in the marital act can be found in NaPro Technology VI.A.16.).
Home health care agencies can provide skilled care at home for each related medical incident, which reduces the expected medical expense and replaces hospital or nursing home services.
Expenses related to a surgical procedure are approved by the Solidarity HealthShare SM Ethics Board.If it is a medical emergency, Solidarity HealthShare SM must be pre-notified by the Sharing Member.
There is an alternative pro-life vaccine if the vaccine is derived from aborted fetal tissue.
Medical expenses for maternity include, but are not limited to, charges and expenses arising from physician care, hospital or birthing center admissions, attendance by midwives, or home deliveries accompanied by a physician.
When traveling or temporarily residing outside the United States, charges for the care and treatment of a medically-diagnosed condition can be beneficial.Eligibility of the charges is subject to the Guidelines.English and US dollars are used for medical billing.
Expenses for office visits, treatment, medication, and emergency hospitalization are eligible for sharing up to twenty twenty visits per membership year for psychiatric or psychological counseling, diagnosed and prescribed by a physician.
Expenses for NaPro Technology include evaluation, treatment, therapies, surgeries, education and supplies.
Natural Family Planning, also known as fertility awareness-based methods, has expenses for individual instruction and initial supplies.The approved methods include, but are not limited to, Creighton, Couple to Couple League, and the Family of the Americas.
Expenses incurred in evaluation, screening, transportation, the candidacy determination process, organ transplantation, follow-up care, and re-transplantation are included.2296).
Musculoskeletal disease or injury can be treated with up to twelve (12) visits per membership year.
Up to twenty twenty visits per membership year for physical therapy by a licensed physical therapist in accord with a Physician's order to improve body function.
90 days before and after each related medical diagnosis or incident, prescription drugs and supplements are eligible for sharing.Solidarity PharmacySM Program offers discounts on recurring prescription drugs.
Occupational, respiratory, and speech therapy by a licensed therapist in accord with a Physician's order to improve function are eligible for up to 20 visits per membership year.