Features

Our support is personalized for you and your family’s health needs. We can assist you with any of the following tasks, both before and after you receive care.

Benefits Assistance

Make the most of your benefits with our guidance. Unsure whether a particular doctor, service or procedure is covered? We’re here to help.

Reimbursement Management

See faster, more efficient reimbursement times for your out-of-network bills. We’ll review the bills you upload for accuracy, submit to your insurance, and ensure successful processing.

Benefits Usage

Receive a personalized report which highlights any unused benefits that may be helpful for everyone on your health plan.

Retrospective Claims Review

We review all past claims to ensure your benefits were accurately applied. If we identify any issues, we will let you know and can work to address the issue on your behalf.

Quick-Access Insurance Cards

Access your and your family’s insurance cards with ease. Open our app to instantly view and share your insurance details- no wallet digging required. (Coming soon to Apple Wallet)

Proactive Claims Monitoring

We keep an eye on your incoming claims to ensure they are processed correctly. If we identify any issues, we will step in to address on your behalf.

Cost Transparency

Get clear insights into your healthcare costs. We can assist in estimating costs before your next health visit or expense.

Simplified Billing

Understand your bills and avoid unexpected charges. We review your medical bills for common mistakes and verify your benefits were applied correctly.

Cost Reduction

Reduce out-of-pocket spend by learning about prescription copay assistance programs and other ways to save.

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Membership

Sheer offers three flexible membership options designed to match how often you need support and how complex your care is. Read more about selecting the right plan.

$0
/month

Standard Tier

For those with mostly in-network care or expecting lower healthcare costs.

  • Retrospective claims review
  • Benefits question support
  • Bill review and claim submission
  • Denial and appeal support

10% success fee on reimbursements and money returned.

$40
/month

Premium Tier

Best for individuals or families with frequent out-of-network care.

  • Everything in the Standard plan
  • No success fees on Standard and Premium features

Keep 100% of any money saved or reimbursed through Sheer's Standard features.

$75
/month

Max Tier

For members requiring support with secondary coverage, fertility care, or complex out-of-network issues.

  • Everything in the Premium plan
  • Advanced fertility support
  • FSA/HSA submissions
  • 3rd-party benefits management support (eg: Accolade)

Pay $0 in success fees for all Premium features, along with the new features unlocked above.

Supported Insurance

We resolve issues for the following health insurance types.

Medical

Aetna, Anthem, Cigna, UHC, UMR and more

Dental

Guardian, MetLife, Delta Dental and more

Vision

EyeMed and more

Prescription

CVS Caremark, Express Scripts, and more

Fertility & Infertility

Progyny, benefits from your medical plan, and more

MyChart

Mt. Sinai, NYU Langone, NY-Presbyterian, Weill Cornell and more

Have a question we didn't answer? Check out our FAQ page or email us at help@sheerhealth.com.
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