Eagle Access Plus
Healthshare & DPC
Welcome to Eagle Care Health Solutions
Healthshare & Direct Primary Care
Overview
The Eagle Access Plus Solution includes 24/7 access to a nationwide network of dedicated virtual direct primary physicians, virtual behavioral health therapy, 24/7 access to virtual urgent care access, in-person outpatient physician office / urgent care visits, wellness & preventive benefits, and prescription benefits.
Note: Prices may be subject to change. Talk to one of our agents today to lock in your price!
Additionally, you can read more about the advantages of a combined DPC & Medical Cost Sharing plan below.
Quality Healthcare Across the Nation
Eagle Care Health Solution’s(-) mission is to provide affordable and convenient access to excellent primary medical care, wellness, and chronic disease management.
We deliver the Direct Primary Care (DPC) membership to individuals ages 2 to 65 and accept all pre-existing conditions.
Members receive the unlimited services listed below by scheduling care through Eagle Care’s Central Scheduling Department (CSD) during business hours.
What’s Provided
Acute Conditions
- Strep Throat
- Cold / Flu
- Sinus Infections
- Urinary Tract Infections
- Skin Rashes & Infections
- Muscle Sprains
- GI Conditions
- Vitamin B12 Injections
- Toradol Pain Injections
- Unlimited Visits
Wellness/Physical Exam
- Sports / School
- Annual Exams
- Health Counselling
- Group Health Presentations
- Flu Vaccinations
- Comprehensive Wellness Exam (Physical)
- Weight Management
Labs & Testing (Unlimited)
- Urine
- Blood Work
- Strep Testing
- Flu Testing
- COVID Testing
- Plain Film X-Rays
- EKGs
Other Services
- $0 Ground & Air Ambulance Costs
- Hospitalization & ICU
- Surgery & Anesthesia
- Emergency Room
- Maternity & NICU
- Outpatient Physician Office Visits
- PPO Network
Preventive Services
For Adults
- Immunization vaccines
- Blood Pressure Screening
- Cholesterol Screening
- Etc.
For Women
- Breast Cancer Screenings
- Cervical Cancer Screening
- Etc.
For Children
- Immunization vaccines
- Blood Pressure Screening
- Vision Screening
- Etc.
In-Person & Virtual Direct Primary Care
-
Unlimited usage for all covered persons on the plan. No co-pays. No consultation fees. 24/7/365 access.
In-Person & Virtual Urgent Care
-
Unlimited usage for all covered persons on the plan. No co-pays. No consultation fees. 24/7/365 access.
Virtual Behavioral Health
- Includes 5 sessions per month per plan for covered mental health issues.
Basic Rx Benefit
-
Comprehensive formulary with over 2000 medications. 200+ of the most commonly prescribe medications for $1. Accepted at over 70,000 participating pharmacies. Includes direct mail order delivery, international pharmacy access, prescription assistance program, pet medications, and discounted diabetic supplies.
What’s Included with Our Medical Cost Sharing
Zion Health Essential Membership
Medical Cost Sharing
In addition to the benefits you get from DPC you get membership into our Healthshare.
A HealthShare is a membership program where members are able to share in medical expenses.
Eagle Care Health Solutions has partnered with Zion Health to bring the best HealthShare experience.
Zion Health is not an insurance program, but members share with one another major medical costs as a community.
Sharing is a great way to plan for the largest of medical expenses with no lifetime or annual caps on qualified medical expenses.
Use of Healthshare
Members are not required to use a network of doctors or providers. Members are considered cash-pay patients with the provider which saves the community money and provides the member with the freedom to use any provider in the world.
Pre-Existing Conditions
In the first year of Membership, pre-existing conditions are not shareable with the Zion Health community yet. After the first year of continuous Membership, up to $25,000 can be shared. After the second year of continuous Membership, up to $50,000 can be shared. After the third year and going forward, the pre-existing condition is now considered fully shareable with the Zion Health community.
Shareable Medical Expenses
With Zion Health, medical expenses that come up are called “needs”. Sharing is a great way to plan for the largest of medical expenses with no lifetime or annual caps on qualified medical expenses.
Initial Unshareable Amount (IUA)
The first $1,000, $2,500 or $5,000 in eligible medical expenses is the member’s responsibility. The remaining eligible shareable medical expenses would be submitted to Zion Health for sharing.
Definitions
Here are some useful definitions for this plan.
24 Months Symptom and Treatment Free
- Needs that arise from conditions that existed prior to membership are only shareable if the condition was regarded as cured and did not require treatment or present symptoms for 24 months prior to the effective date of membership.
- Any illness or injury for which a person has been
– examined,
– diagnosed,
– taken medication,
– had symptoms,
– or received medical treatment within 24 months prior to the effective date of membership is considered a pre-membership medical condition. - Please note needs that existed prior to membership may still qualify for sharing through the Additional Giving fund.
Exceptions for High Blood Pressure, High Cholesterol, and Diabetes
- High blood pressure, high cholesterol, and diabetes (types 1 and 2) will not be considered pre-membership medical conditions as long as the member has not been hospitalized for the condition in the 12 months prior to enrollment and is able to control it through medication and/or diet.
Exceptions for Other Medical Conditions
- Zion Health recognizes that each member’s situation is different. Zion Health reserves the right to make exceptions for certain medical conditions on a case-by-case basis. Zion Health makes decisions in service to the community as a whole.
Pre-Membership Medical Condition Phase-In Period
- Pre-membership medical conditions have a phase-in period wherein sharing is limited. Starting from the initial enrollment date, members have a one-year waiting period before pre-membership medical conditions are shareable. After the first year, pre-membership medical condition needs are eligible for sharing on a limited basis, with the amount increasing each membership year. Members are never required to pay a second IUA for the same need, including pre-membership conditions.
- Zion Health attempts to negotiate all medical bills received. Even if a pre-membership condition is not shareable, members may still receive discounts for their services through negotiation.
- Shareable amounts for pre-membership medical conditions
– Year One $0 (waiting period)
– Year Two $25,000 maximum per need
– Year Three $50,000 maximum per need
– Year Four $125,000 maximum per need - After year four of membership, expenses related to pre-membership medical conditions will remain shareable at a maximum of $125,000 in a 12-month rolling period and resetting each membership year.
The Advantages of Medical Cost Sharing Combined with DPC
With medical expenses as high as they are here in America, it is getting harder and harder for Americans to pay their medical bills. Transparency is also an issue, where out-of-pocket costs can come as a surprise for many people who receive medical service.
With a traditional health insurance company, health care providers are forced to spend sometimes hours of their time and resources billing with health insurance plans instead of caring for you. With our Direct Primary Care model, there are no surprises. Healthcare costs are known upfront. You don’t have to fret over medical bills and you can plan ahead with our health plan.
To give you the most essential health benefits, we’ve added a medical cost sharing program which implements an out-of-pocket maximum after a certain amount of Initial Unshareable Amount (IUA) paid on any eligible expense. Best of all, there is no network required. Your choice of healthcare provider can be there with a medical plan in mind for you. In addition, prescription drugs are greatly discounted, saving you on medical bills and putting more cash in your pocket.
A combined DPC and a health cost sharing plan are a great alternative to health insurance to make sure all your bases are covered. The best part is, your health history doesn’t matter, we accept pre-existing medical conditions. A health plan by the people for the people of America. You have health options.
There is also no enrollment period because it’s always a good time to enroll. From an individual plan to family coverage, our plan options mean you can have the peace of mind that you and your loved ones (if applicable) will get the medical care and attention needed.
Not only are we in the business of taking care of physical health, but we offer mental health services as part of our covered health care services. We want to make sure you and your loved ones receive the best health outcomes, and keeping the fortitude of both body and mind will help prevent problems in the future. Our focus on preventive services looks at the long-term health benefits of all our members. Our monthly premiums are kept low by the wellbeing of all, and as they say, an ounce of prevention is worth a pound of cure.
With Virtual DPC and Teledoc, you can have health care providers at your fingertips.
We encourage healthy lifestyle choices and thus there is a tobacco surcharge included for those who smoke. For those who don’t, you can enjoy the low health care costs of our superb alternative to insurance.
Talk to our expert advisors about DPC and healthcare sharing options, or whatever eligible option may fit you best. We are here to help.
(-) Eagle Care Health Solutions is a healthcare membership. It is not insurance.
(*) No walk-ins allowed. Unlimited services (including Virtual DPC/telehealth) must be accessed through Eagle Care’s Central Scheduling Department (CSD). In-office appointments are only available within business hours (Monday through Friday. 7AM to 6 PM CST). The CSD may direct the member to another level of care if appropriate, depending on the member’s condition and utilization of services.
All procedures taking place in the office or urgent care will be covered by the $10 or $25 copay.
(1) Well-woman pap smear pathology interpretation is not included. Annual physicals are only available to members with six consecutive months of membership.
(2) Telehealth services are provided through MeMD, a third-party provider. When medically necessary, MeMD’s providers can submit a prescription electronically for purchase and pick-up at your local participating pharmacy, however, MeMD providers cannot prescribe elective medications, narcotic pain relievers, or controlled substances. MeMD’s providers are each licensed by the appropriate licensing board for the state in which they are providing services, and all have prescriptive authority for each of the states in which they are licensed. MeMD’s provides access to online medical consultations with physicians, nurse practitioners, and physician assistants who can write prescriptions when medically necessary and permitted by state law. MeMD is not an online pharmacy, and medications cannot be purchased or dispensed from MeMD directly. MeMD is not a replacement for your primary care physician or annual doctor’s office visit. Subject to state regulations, MeMD is available nationwide with providers licensed to practice in you state who use video and/or audio technology.
(3) The discount program is offered through a third-party provider.
(4) Self + Children: Up to a total of 3 members; each additional member will be $25.00
(5) Self + Family: Up to a total of 6 members; each additional member will be $25.00
(6) IUA (Initial Unshareable Amount): The amount a member pays as a per Need or incident basis before sharing through the community begins.