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FAQ

Are doctor’s office/wellness visits shareable?

Most doctor office visits are less than a plan’s ISA and therefore do not qualify for sharing. However, if the doctor’s office visit is in relation to an illness or injury that is eligible for sharing, the doctor’s bill is included in the “case” and eligible to be shared on both the Standard and Complete plans, after the ISA is met. If the bill is required to be paid at time of service, you pay as “self-pay,” then send AHS the receipt if the visit is part of an eligible case.

When is a maternity case not shareable?

If a birth occurs in less than 10 months after becoming a member, that maternity case will not be shareable. Exceptions can be made if a doctor or midwife verifies an early or premature birth in which the due date for the pregnancy was at least 10 months after taking out membership. Also, note that maternity is not sharable in the “Catastrophic” membership plan. This includes any medical needs of both mother and child.

How does a new infant become a member?

If there are other children already in the program and you have a sharable pregnancy, the new infant automatically becomes a member without any additional monthly contribution required. Please notify AHS of the name and date of birth to update the family record.

  • If the new infant is the first child, and it was a shareable pregnancy, the infant is considered a full member with the $85 per month child contribution beginning on the first full month after the birth (additional children will not require any additional contribution).
  • If it was a non-shareable pregnancy (example: due date is within 10 months of the parents joining
  • AHS) the new infant can become a member through registration with AHS. However, the new infant is considered a new member, and pre-existing condition exclusions and other limitations would apply, the same as for other new members.

What happens if a member falls behind in submitting the monthly sharing contribution?

  • The member will be reminded by AHS. No bills will be eligible for sharing on a membership overdue 30 days or more unless satisfactory arrangement has been made with AHS. After 60 days, the membership will become “inactive.” If a former member wishes to reinstate an inactive account, it will be considered a new member application with new pre-existing condition requirements and application fees applied.

When do I need to notify AHS of a case?

For non-emergency situations notify AHS as soon as you become aware of the need for medical attention. In an emergency, notify AHS as soon as you leave the ER or have been admitted to the hospital.

Does AHS share medical bills that are incurred outside the United States?

On a limited basis.

  • Long and short term mission sharing may be approved by AHS on a case-by-case basis.
  • For leisure travel, AHS recommends acquiring travel insurance.

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