Sheer Health: Maximize Savings, Minimize Insurance Stress

Navigating health insurance often feels like being lost in a maze. From deciphering if a doctor is in-network or out-of-network to ensuring your medical bills are accurate, it’s no wonder so many people feel overwhelmed and confused. That’s where Sheer Health comes in – a simple app and web portal designed to make understanding and getting the most out of your health insurance easy and stress-free. To date, Sheer has saved members over $17 million by correcting billing errors and optimizing reimbursements.

The co-founders, Ben Howard, Dan Horbatt and Jeff Witten, wanted to solve a problem that everyone faces — the constant feeling of being overwhelmed when dealing with your health insurance company, knowing if a medical bill is correct to pay or worrying that you’re paying more than you should for a prescription. Conversations with friends, colleagues, and even strangers revealed a common thread: everyone struggled with health insurance benefits, claims, and bills. Driven by a desire to make it easier to understand insurance benefits, verify the accuracy of medical bills, and maximize reimbursements for out-of-pocket costs, they saw an opportunity to create a solution. In 2023, Sheer Health was born to ensure that dealing with health insurance, including dental, vision, and prescription plans, would become a thing of the past. The goal is for people to never have to deal with their health insurance again!

What Is Sheer Health?

Sheer is an app and web portal designed to do one thing: to make insurance easy to understand. Whether dealing with health, dental, vision, or prescription insurance, Sheer has your back. Members can choose between three membership tiers:

• Standard Tier: $0/month with access to all core features and a 10% success fee on reimbursements. Ideal for those with lower healthcare costs or mostly in-network care. For example, if Sheer Health puts $300 in your pocket, we share in $30 of the savings.
• Premium Tier: $40/month with no success fee on core features. Perfect for individuals with large medical bills or frequent out-of-network care. All savings or reimbursements go directly back to you.
• Max Tier: $75/month includes everything in Premium and unlocks additional features without success fees. This plan is built for members requiring support with multiple insurance policies, pursuing fertility treatments, or having a third-party benefits manager (like Accolade).

How Does It Work?

Sheer simplifies the insurance process by helping you navigate every step of your healthcare journey:

• Claims Monitoring: We proactively track your health insurance claims, ensuring they're processed correctly.
• Bill Accuracy: Our platform checks your medical bills for accuracy, so you are not paying more than you should.
• Claim Support: If there's an error in your claim, we dispute it on your behalf.
• Cost Clarity: We offer insights into your healthcare costs, helping you save money and avoid unexpected expenses.
• Expert Guidance: We provide tips and advice on maximizing your insurance benefits, including fertility treatments, pediatric support, and mental health care.
• Benefit Optimization: We help you get the most out of your health, dental, and vision benefits to ensure you're fully covered where it matters.

The Focus is on You

Lilly, a mother who faced unexpected complications following her child’s routine allergen test. As the medical bills arrived, the confusion and stress about how insurance processed the claims increased. Sheer stepped in, reviewed the bills, and ensured that the claims were processed correctly. This intervention not only saved Lilly money but also alleviated significant stress during a challenging time. What sets Sheer apart is that we proactively work for members and catch issues for you. The app and web portal are designed for simplicity and ease of use, ensuring that even those who are not tech-savvy can navigate their insurance with confidence.

Building a Sheer Community

Sheer is not just an app or web portal, but it is a vibrant community dedicated to improving the healthcare experience for everyone. The platform is designed to empower users, providing them with the tools and knowledge they need to make informed decisions about their healthcare. Beyond offering a product, Sheer fosters a supportive community where members can share their experiences, learn from one another, find trusted recommendations and much more. The platform provides users with the information and tools they need to take control of their healthcare journey. Whether it’s understanding insurance benefits, ensuring medical bills are accurate, or navigating the claims process, Sheer supports members every step of the way.

The Road Ahead

Insurance cards contain a wealth of information, including policy numbers, provider networks, and coverage details. However, this information can be difficult to interpret and even harder to keep track of. The physical cards are often misplaced, leaving you scrambling to find them when they’re needed most, like at a doctor's visit.

Sheer is committed to addressing these issues by introducing new features that make your life easier when going to the doctor, getting care or picking up a prescription. Sheer members will benefit from smart insurance cards accessible through the app, eliminating the need to carry physical cards and ensuring you’re not overcharged for a visit/service/procedure. This digital solution will not only keep important information at your fingertips but also ensure that you can easily understand and manage your coverage details.

Joining Sheer means becoming part of a community that is transforming the way people navigate the confusing and complex work of health insurance, health care and medical bills. Together, the community is making healthcare simpler, more transparent, and far less stressful.