Ansari Shield – Employers Groups Only

Program Policies

You have the Freedom to go to the Provider of your choice and let them know that you are a Self-Payer.

Most procedures must take place in Your primary care office, or an Ambulatory Center. (Exception; emergency or urgent care, hospital)

Any service, procedure or treatment that is not medically necessary is the member’s Responsibility.

A “Need” is a procedure or treatment that you want to have.

Before scheduling an appointment, call customer service to if you need help in submitting a Sharing Request Form.

While visiting your doctor and before a procedure, have him/her to complete the CMS 1500 Form/UB92 and submit it to Ansari Healthshare so we can Negotiate the Charges for you. You can get a copy of the Sharing Request Form & the Prenotification Form under “Members” after scrolling down and clicking on Sharing Request Form.

Your IUA is separate from your Monthly contributions. Once you reach your IUA for an eligible benefit and whenever you request another eligible benefit for a need this process starts over again from “0”. You must reach your IUA again for each eligible or qualifying benefit.

Member is responsible for a procedure if a needs request form is required and the member failed to get a pre-notification which is an authorization for service. *Each membership requires a 12-month continued commitment in order to participate in Ansari Healthshare programs. AnsarihealthShare is designed to work only with self-paying members medical expenses. AnsarihealthShare reserves the right to make changes any time as they see fit to enhance the programs and in making business decisions.