Premium Plan

Never deal with your health insurance woes again! Save time and money with the Sheer Premium Plan.

Ever have questions about how much a doctor’s visit will cost you, what services your plan covers or anything else regarding your health care coverage?

Sheer Health provides a benefits concierge to answer your health insurance, health care and health related financial questions.

- Do you have questions about your health care costs, such as how much a doctor’s visit or procedure might cost you?
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- Are you unsure of all of the benefits to which you’re entitled under your health plan?
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- Do you want or need a particular service but are unsure of what your health plan covers (eg. acupuncture, occupational therapy, a breast pump)?
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- Do you want to confirm if a doctor is in or out-of-network?
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- Are you looking for a trusted recommendation for a particular kind of doctor, like a pediatrician, an allergist, or a dermatologist?

Unsure of all of the benefits your health plan offers?

Sheer Health provides an overview and education of your medical benefits:

- Benefits you receive at no cost (e.g. preventative health).
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- Covered services and benefits for in-network and out-of-network providers.
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- Personalized insights informed by your claims history, current health status and family needs.

Unsure of what benefits your dental plan offers?

Sheer Health provides an overview and education of your dental benefits:

- Benefits you receive at no cost (e.g. teeth cleanings, x-rays).
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- Covered services and benefits for in-network and out-of-network providers.
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- Personalized insights informed by your claims history, current health status and family needs.

Want to know what plan is best for your family?

Receive personalized guidance for selecting health plans during open enrollment, at the start of a new job, or when choosing between your own benefit plan vs. getting on a spouse's plan.

-Taking into account an individual or a family's claims history, current health status and potential future health needs and events, Sheer Health provides customized financial and benefit-related insights and recommendations.

Have you had a claim denied or rejected by your health plan?

Sheer Health reviews past denied and rejected claims to overturn errors.

- We identify errors in denied, rejected or mis-processed claims, as well as find miscoded or upcoded medical bills.

-We will take over the process of appealing denied claims, ensuring that members save both time and money.

Have you visited an out-of-network provider and not received any money back?

Sheer Health takes on all of the administrative and time-consuming burden by submitting and managing all out-of-network claims.

- Have you already paid out of pocket to an out-of-network provider? We’ll ensure you’re receiving the appropriate money back or that amounts paid contribute to your deductible.
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- We'll review all out-of-network claims to ensure they were submitted correctly, and we'll file any necessary corrections or updates.
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- Members have access to a dedicated text message service to receive answers to questions about benefits, claims, cost estimations or anything else relating to their health insurance.

Have you ever forgotten to pay a medical bill? Have you ever received a bill that you thought was incorrect or more than you anticipated?

Sheer Health protects you from unwelcome medical charges.

- Sheer Health can assist if a medical bill is about to be sent to collections, or if a bill is already in collections.

Have you ever received a bill after visiting the doctor and wondered what it was for, if the amount owed was correct or if you actually need to pay it?

Sheer Health provides proactive notifications before your medical bills arrive.

- We'll provide timely updates after a doctor’s visit or medical procedure on your potential out-of-pocket costs.
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- Sheer Health will review claims before they’re billed with the aim of eliminating inflated or erroneous charges, so that you receive an accurate bill.