MEMBER AGREEMENT – iEverydayCARE with Hospitalization
This program is managed by Redirect Health LLC (Redirect). The Medical Cost Share risk pool is managed by New Path Medical Inc. (New Path).
I have read the Benefit Summary for Redirect’s iEverydayCARE with New Path Medical Cost Share membership and understand my benefits. Specifically, I understand my obligation to collaborate with Redirect so I can attain the appropriate healthcare I may need at the right price. The requirements below benefit all Members of the New Path Community by assuring honor and integrity on the part of the Member, as well as minimizing medical risks and ensuring proper accountability while encouraging good health practices. All Members must agree with and attest to the following statements:
iEverydayCARE Out-of-Pocket costs – These are the costs Members pay when accessing primary care, chiropractic, laboratory, care coordination, navigation, and negotiation services outlined in the Benefit Summary and the Membership Guidelines. All costs are shared by the Medical Cost Share so long as Redirect initiates and guides care. There is no sharing if Redirect Health does not initiate and guide care.
Initial Member Responsibility (IMR) is $1000. This is the amount paid, by the Member, before the New Path community shares in Medical Expenses on a per need basis. All qualified medical expenses submitted within six (6) months of service and after the IMR is met, are shareable with the New Path community at 100%, without an annual or lifetime limit. For each unexpected medical need, the New Path community shares in the expenses after the IMR is met. This amount, paid by the member, is not required to be paid again for this need until the member is symptom free for 12 months. This ensures sharing to be placed where the community would recognize the most need.
Maximum Family Out-of-Pocket is $3,000. This is the maximum out-of-pocket amount a New Path member will pay in a twelve (12) month period for their family.
NEW PATH MEDICAL COST SHARE PRE-EXISTING CONDITION WAITING PERIOD
A need that stems from a condition which existed within the 12 months prior to membership would be a pre-existing condition and would not be considered fully shareable. However, it would be shareable if the condition is fully cured and has not had treatment or symptoms in the 12-month period prior to membership. Any illness or accident for which a person has been diagnosed, received medical treatment, been examined, taken medication, or had symptoms in the 12 months prior to the Effective Date would fall into the Pre-existing category. For more information see pre-existing conditions definition in the full Membership Guidelines.
Pre-existing conditions have a waiting period. Even if a condition or need is determined to be pre-existing, and thus ineligible for sharing, Redirect will still attempt to negotiate all medical bills received to the fair price.
I declare all statements contained in this entire application about me and my dependents are true and correct to the best of my knowledge and that no material information has been withheld or omitted. I understand that my intentional or unintentional misrepresentation of a material fact or my failure to report information about me or my dependents may be used as the basis to rescind, terminate or modify membership for me or my dependents. Rescind means that the membership was never in effect. I agree that membership will be not be effective until the Effective Date.
I also hereby authorize any physician, medical practitioner, hospital, clinic, Veterans administrations facility, other medical or medically related facility, insurance or reinsurance company, pharmacy, pharmacy benefit manager, health plan, medical Cost Share or Consumer Reporting Agency, having information available as to diagnosis, treatment and prognosis with respect to any physical or mental condition, including drug or alcohol abuse, and/or treatment of me or my minor children and other non-medical information of me and my minor children, to release to Redirect Health or its third party administrator, or its legal representative, any and all such information as required for determination of eligibility for membership and/or benefits. I also understand that my dependents of legal age, in order to be eligible for membership and/or benefits, may be required to sign a similar release of medical records for the purpose of determining the accuracy of statements made by me on this application and for the ultimate determination of eligibility for membership and/or benefits. I understand that I may request a copy of this authorization at any time. I understand that any information that is disclosed pursuant to this authorization may be re-disclosed and no longer covered by federal or state rules governing privacy and confidentiality of health information. I agree that a photographic copy of this authorization shall be as valid as the original and that this authorization shall be valid for 2 ½ years from termination of membership. I understand the information obtained by use of this authorization may be used by Redirect Health, a third-party administrator, and any excess loss insurance carrier designated by Redirect Health to determine eligibility for membership and/or benefits, for myself and my dependents. Any information obtained will not be released to any person or organization, except to persons or organizations performing business or legal services in connection with my enrollment for membership and/or benefits, for any claim, for medical management purposes, or as may be otherwise lawfully required or as I may further authorize. I also understand that I have a right to revoke this authorization in writing at any time, except to the extent information has been released in reliance upon this authorization.
Should I refuse to sign this authorization, I understand I will not be enrollment in iEverydayCARE membership. Incomplete applications may be rejected.
New Path Medical Inc. is a non-profit organization that enables members to share in medical costs together. Community health sharing works well with Redirect Health’s iEverydayCARE. For detailed benefit and sharing information, see the full Membership Guideline.
MEMBERSHIP IN REDIRECT HEALTH AND NEW PATH SHOULD NEVER BE CONSIDERED A SUBSTITUTE FOR A HEALTH INSURANCE POLICY THAT IS AFFORDABLE. NEITHER REDIRECT HEALTH OR NEW PATH ARE INSURANCE COMPANIES.
IF THE NEW PATH MEMBERSHIP COMMUNITY IS UNABLE TO SHARE IN ALL OR PART OF A MEMBER’S ELIGIBLE MEDICAL NEEDS, EACH MEMBER WILL REMAIN SOLELY FINANCIALLY LIABLE FOR ANY AND ALL UNPAID MEDICAL NEEDS. THESE MEMBERSHIP GUIDELINES DO NOT CREATE A LEGALLY ENFORCEABLE CONTRACT BETWEEN NEW PATH AND ANY OF ITS MEMBERS. NEITHER THESE GUIDELINES, NOR ANY OTHER ARRANGEMENT BETWEEN MEMBERS AND NEW PATH, CREATE ANY RIGHTS FOR ANY MEMBER AS A RECIPROCAL BENEFICIARY, A THIRD-PARTY BENEFICIARY, OR OTHERWISE. AN EXCEPTION TO A SPECIFIC PROVISION OF THESE GUIDELINES ONLY MODIFIES THAT PARTICULAR PROVISION AND DOES NOT SUPERSEDE OR VOID ANY OTHER PROVISIONS. THE DECISION BY NEWPATH TO REIMBURSE A MEMBER’S ELIGIBLE NEEDS DOES NOT AND SHALL NOT CONSTITUTE A WAIVER OF THIS PROVISION OR ESTABLISH BY ESTOPPEL OR ANY OTHER MEANS ANY OBLIGATION ON THE PART OF NEW PATH TO REIMBURSE A MEMBER’S ELIGIBLE NEEDS.
This program is NOT insurance and is managed by Redirect Health. The Medical Cost Share risk pool is managed by New Path Medical, Inc. There is no sharing if Redirect Health does not initiate or guide care. This program becomes available with membership to the Reimagined Society Inc. Association. The total rate charged is inclusive of an association fee of $2 for an individual, $3 for an individual with spouse or child(ren), and $4 per family per month. This Membership 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 and New Path Medical Cost Share memberships do not satisfy the new individual mandate requirements of these states. It should be expected that state enforced tax penalties may apply in these states.
I understand that information on this application is valid for a maximum of 60 days from the date of signature.
|Standard||1-5 business days||$7.95|
|Two Day||2 business days||$15|
|Next Day||1 business day||$30|
|* Free on orders of $50 or more|