Initial Unshared Amount or IUA, is the amount that a member is responsible for before sharing starts. Members may select the amount of the IUA they want for coverage. The member is responsible for all medical expenses below their IUA.
Eligible for Sharing
Urgent care
Hospital
Outpatient Ambulatory
Emergency Room
MRI/CT scan
Wellness visit
Mammogram Screening
Maternity
Child Immunizations -18 yrs and under
Colonoscopy Screening
PREVENTIVE VISITS ARE THE PILLARS AND THE
FOUNDATION FOR A VIBRANT & A HEALTHY
COMMUNITY!!!
Prostate Screening
Cardiovascular Screening
Pap smear Screening
Diabetic Screening
Cologuard
Bone mass density screening
Ineligible For Sharing
Abortions
Alcohol, or illicit drug treatment
Chiropractic Care
Contraceptives
Custodial Care
Dental Care (see Discounts)
Medical Equipment
Fertility
Medical Supplies
Gastric Bypass
Sex Changes
Tele-Medicine (see Discounts)
Sterilizations
Vision Services (see Discounts)
NOTE: SEE Guidelines for more!
*Ineligible for sharing are procedures that are not medically necessary
*Medical costs that are below your IUA are also Ineligible for sharing.
*Non-ER services that are treated in the ER are ineligible for sharing.
* Most screenings are ineligible for sharing because they are less than your IUA