Aliera Healthcare has combined the best of two programs: Aliera DPCMH solution and Unity HealthShare Hospitalization and Surgery cost-sharing. This two part offering provides the most flexible and cost effective program in the market today, while at the same time remaining independent of insurance. Neither program is insurance, yet ACA exemption applies for individuals and families alike.

AlieraCare

Coverage Premium  PLUS Value
Non-Affiliated Practitioner only Not Available Not Available Not Available
Primary Care 5 PCP Visits/year 3 PCP Visits/year Preventive Only
Urgent Care 2 Visits/year 1 Visit/year Not Available
Labs & Diagnostics 100% @PCP % UC 100% @PCP % UC 100% @PCP % UC
X-Rays $25 read fee $25 read fee Preventive Only
Telemedicine Included Included Included
Prescription Rx-Valet Rx-Valet Rx-Valet

UNITY COST SHARING (HCSM)
MSRA* $5,000 $7,500 $10,000
Non-Affiliated MSRA*Practitioner only 50% of allowed charges (no cap) 50% of allowed charges (no cap) 50% of allowed charges (no cap)
Hospitalization $500,000 per incident $250,000 per incident $150,000 per incident
In-patient Surgery 100% After MSRA 100% After MSRA 100% After MSRA
Out-patient Surgery 100% After MSRA 100% After MSRA 100% After MSRA
Emergency Room $300 MSRA $500 MSRA Not Available
Specialty Care $75 MSRA Not Available Not Available
Cancer $500,000 Max $150,000 Max Not Available
Maternity $5,000 max. normal delivery; $8,000 max. medically necessary C-section Not Available Not Available
Annual Maximum Limit Not Applicable $500,000 $250,000
Lifetime Maximum Limit $1,000,000 $1,000,000 $1,000,000
End-of-Life Sharing $10,000 $2,500 Not Available