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Unlimited Primary Care Prescription Program Catastrophic Program

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Page 1: Unlimited Primary Care PrescriptionProgram CatastrophicProgram Catastrophic EverMe… · EverMed DPC physicians have smaller patient panels than traditional care models. Coupled with

Unlimited Primary CarePrescription ProgramCatastrophic Program

Page 2: Unlimited Primary Care PrescriptionProgram CatastrophicProgram Catastrophic EverMe… · EverMed DPC physicians have smaller patient panels than traditional care models. Coupled with

Unlimited, No Co-Pay EverMed Primary Care

Large Selection ofPractices

Lower Family Out of Pocket Spend

Convenient Telemedicine

Same Day/Next DayAppointments

Accessible & Affordable Healthcare You Can Feel Good About

Affordable, Usable Healthcare for Those that Care

EverMed DPC and WellCardHealthare not insurance andare not intendedasa substitute for insurance.WellCardHealth s adiscountmedicalprogram. It doesnotreplaceCOBRAoranyothermedicalinsuranceprogramnorisitaMedicarePartDprescriptiondrugplan.WellCardHealthdoesnotqualifyforessentialcoverageunderthe AffordableCareAct(ACA-ObamaCare).Cardholdersareresponsibleforpayingthediscountedcostatthetimeofservicefromparticipatingproviders.WellCardHealthhasnomembershipfee nor isparticipation inany organizationor purchase of any goodor service required toobtainor use WellCardHealth.WellCardHealth willnot share or sell your personalinformation.ThediscountplanorganizationisAccessOneConsumerHealth,Inc.,84VillaRoad,Greenville,SC,29615, www.accessonedmpo.com.ThisprogramisnotavailabletoresidentsofMontana,butmaybeusedbynon-residentsatparticipatingMontanaproviders.Otherstateresidents:visitwww.WellCardHealth.comforfulldisclosurestatement.ExcludedStates:AK,LA,TN,UT,WA

Member Health Access Discount Card

Chiropractic

Dental Care

Vision and Hearing

MRI/CT Scans

Labs and More

Page 3: Unlimited Primary Care PrescriptionProgram CatastrophicProgram Catastrophic EverMe… · EverMed DPC physicians have smaller patient panels than traditional care models. Coupled with

INCLUDED SERVICES

ServicesPrimary Care Visits Acute Care Visits Preventive CareAnnual Wellness ExamsWell Child Exams Sports PhysicalsTelemedicine* (Email, Phone, Text & Portal Consults)

ProceduresEKGPPD (TB Test)Flu ShotEar IrrigationNebulizer TreatmentsLiquid Nitrogen ProceduresSmoking and Tobacco Cessation Counseling Minor Surgical Procedures (Complexity Varies) Alcohol and Substance Abuse ScreeningInjection Fees (medication costs may not be covered) Immunizations (medication costs may not be covered)

Labs**UrinalysisBlood GlucoseUrine Pregnancy Test Lipid Profile HgbA1cRapid Strep Test

Additional ServicesDiscount Prescription CardPrescription Savings PortalDiscount Mail Order Prescription ProgramSpecialty Care Triage/Support

*Each clinic offers some form of telemedicine, checkwith your clinic selection for their method.**Availability of lab services varies per clinic.

[email protected] www.EverMedDPC.com 800-377-6099

Returning the Focus to the Patient

Direct Primary Care is not insurance. It is anaffordable option for individuals, families and employers to receive quality, local, personal medical care.

Many EverMed DPC clinics offer additional services as part of the monthly DPC subscription fee. For acomplete list of what each clinic offers, visit their page on the EverMed DPC website.

Page 4: Unlimited Primary Care PrescriptionProgram CatastrophicProgram Catastrophic EverMe… · EverMed DPC physicians have smaller patient panels than traditional care models. Coupled with

How EverMed Direct Primary Care WorksOur Focus is the Patient, Not Codes

With EverMed DPC, physicians are no longer distracted with insurance codes and billing. Our only concern is your overall health!

Same Day, Next Day Appointments

Open access to care means you can see your physician when you need them. Telemedicine provides appropriate follow up and conditions may be assessed in the comfort of your home, while traveling or at work.

Longer Visits

EverMed DPC physicians have smaller patient panels than traditional care models. Coupled with less administration, this means they have more time for you. Physicians cover multiple issues and even multiple family members per visit.

See your Physician, not a Physician

Seeing a physician for what ails you is great, seeing your physician who knows you and your medical history is even better! Understanding your personal health journey and current treatments is the key to properly providing quality care.

[email protected] www.EverMedDPC.com 800-377-6099

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[email protected] www.EverMedDPC.com 800-377-6099

EverMed Primary Care for Your Family

Unlimited access to Primary Care

This means never hesitating to seek care or call to see if it is recommended that you be seen. Your DPC provider is there for you and your family.

No Co-pays for Primary Care

Money and co-pays are no longer a barrier to care.

Telemedicine

Have to pack up the kids, take time off work or traveling? Feel sick and just want to stay at home? Telemedicine allows you to be diagnosed and treated via secure text, email, phone or portal.

Acute Care (Yep, still no co-pays!)

All EverMed DPC clinics manage Acute Care—minor sprains, the flu and sniffles, but some locations offer full Urgent Care services including x-rays, simple casting and sutures.

Page 6: Unlimited Primary Care PrescriptionProgram CatastrophicProgram Catastrophic EverMe… · EverMed DPC physicians have smaller patient panels than traditional care models. Coupled with

Prescription Drugs – save up to 50%WellCard is accepted at over 59,000 pharmacies nationwide. Over 60,000 brand and generic drugs are included, with savings as high as 50%. WellCard may be used any time and with no annual limit.

Dental –save up to 45%WellCard is accepted at over 150,000 provider access points nationwide, and covers all dental services and specialties, including orthodontia. Savings can be as high as 45%,and there is no limitation on services or use.Vision –save up to 50%WellCard is accepted by over 11,000 OUTLOOK vision providers. Cardholders receive up to 50% savings on lenses, frames, and other vision needs.

MRI & Imaging – save up to 50%WellCard members receive concierge appointment service and enjoy savings of 50% and more on MRI, PET, andCT scans, as well as other imaging services at over 3,500 locations nationwide.

Lab –save up to 50%WellCard members save up to 50% using the onlinesearch tool to locate a lab and order their test. Actual savings are displayed immediately. Test results are available within 48-96 hours.

24/7 Doctor – save timeWellCard cardholders have access to licensed credentialed physicians 24/7 by phone or email.

Doctor Visits –save up to 20%Over 450,000 physicians and ancillary providers nationwide provide a full range of specialties and services. WellCard participants average savings of 20% at time service is rendered.Hearing –save up to 15%WellCard members receive a free hearing test and 15%discount on over 80 models at 1,500 Beltone locationsnationwide, with a Lifetime Care Program included.

Diabetic Care Services – save up to 10%A full line of diabetes testing supplies are delivered directly to the member’s home. Members receive free access to a Certified Diabetes Educator and Envoy Health newsletter with tips on living with diabetes.

Vitamins –save up to 10%A wide range of vitamin and mineral supplements are delivered directly to the member’s home at discounted rates.

Medical Bill Help –save up to 30%Experienced, trained professionals help negotiate lower prices on medical bills and address errors. Members pay only if savings are achieved.

Daily Living Products – save up to 10%A wide range of medical supplies, safety equipment, and health products are delivered directly to the member’s home at discounted rates.

WellCard Rewards –save when you shop Cardholders receive a percentage of their purchase back as cash when shopping online with hundreds of merchants.

Over 410,000 Physicians and 45,000 Ancillary Provider Locations.

Over 59,000 Nationwide Pharmacies Accept WellCardHealth with Availability for Mail Order and SpecialtyPharmacy.

WellCard Health Members Saveon Prescription Drugs and a Wide Range of Health Services.

For more information, visit www.WellCardHealth.com or call 800-562-9625

This is Not Insurance. It is a discount medical program. It does not replace COBRA or any other medical insurance program nor is it a Medicare Part D prescription drug plan. WellCard Health does not qualify for essential coverage under the Affordable Care Act (ACA-ObamaCare). Cardholders are responsible for paying the discounted cost at the time of service from participating providers. WellCard Health has no membership fee nor is participation in any organization or purchase of any good or service required to obtain or use WellCard Health. WellCard Health will not share or sell your personal information. The discount plan organization is AccessOne Consumer Health, Inc., 84 Villa Road, Greenville, SC, 29615, www.accessonedmpo.com. This program is not available to residents of Montana, but may be used by non-residents at participating Montana providers. Other state residents: visit www.WellCardHealth.com for full disclosure statement.

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[email protected] www.EverMedDPC.com (800) 377-6099

EverMed Direct Primary Care How to Activate and Use Your WellCard

Need help? Call us at 800-377-6099 and we’ll walk you through activating your WellCard provided by DPC Core.

What is the DPC Core WellCard?WellCard Health is a prescription and wellness savings card. Included withEverMed DPC membership plans, this card powered by WellDyneRx will search for the best prices on prescriptions based on your geography.

Activate Your DPC Core WellCard RxFor basic Rx discounts, you are ready to go. If you want to use additional tools or access additional wellness savings benefits, follow the simple instructions on your card or visit www.EverMedDPC.com and click on the prescription savings link to activate your card.

Apps and Online ToolsGo online and download the WellCard Health app to your phone.• Your card will always be with you.• Search pharmacies in your area for the lowest prescription cost.

Additional BenefitsYour DPC Core WellCard Health offers savings beyond the pharmacy. Save10-50% on vision, hearing, vitamins, laboratory, MRI & Imaging, dental care and more...for the whole family.

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Your health is our mission!We are committed to providing youthe most affordable and flexible programs.

© 2019 OneShare Health LLC. v.040119. This is not insurance.This program is ACA exempt. See www.onesharehealth.com for full disclosures of programs.

PER INCIDENT MAXIMUM PER INCIDENT MAXIMUM$150,000 $250,000

$5,000 INDIVIDUAL SHARING AMOUNT PER PROGRAM YEARAgeBands IND IND+1 IND +2 IND+3 IND +4 IND + 5 7+ IND IND +1 IND +2 IND +3 IND +4 IND + 5 7+

18-39 254.97 405.96 579.95 579.95 624.25 714.88 80 335.71 510.86 690.62 690.62 734.92 781.25 8040-49 258.19 421.78 595.77 595.77 640.07 730.70 80 363.83 538.95 718.72 718.72 763.02 809.35 8050-59 272.68 436.26 610.26 610.26 654.56 745.19 80 389.59 564.71 744.48 744.48 788.78 835.11 8060-64 303.64 467.22 641.21 641.21 685.51 776.14 80 444.59 619.71 799.48 799.48 843.78 890.11 80

10,000 INDIVIDUAL SHARING AMOUNT PER PROGRAM YEAR18-39 227.35 373.44 531.09 531.09 575.39 666.02 80 300.15 460.85 623.32 623.32 667.73 758.36 8040-49 236.73 386.61 544.26 544.26 588.56 639.19 80 484.27 646.73 691.04 691.04 735.34 825.97 8050-59 243.81 398.69 556.34 556.34 600.64 691.27 80 345.03 505.73 668.20 668.20 712.50 803.13 8060-64 271.57 427.26 585.98 585.98 626.42 717.05 80 390.85 551.56 714.02 714.02 758.32 848.95 80

Monthly Contribution Amount

See Program Disclosures for full details, limitations and applicable ISA for all Sharing Services.

Families of 7 or more, additional contribution amount of $80 per dependent.

PER INCIDENT MAXIMUM$500,000

$5,000 INDIVIDUAL SHARING AMOUNT PER PROGRAM YEARAge Bands IND IND +1 IND +2 IND+3 IND+4 IND + 5 7+

18-39 367.77 555.87 751.21 751.21 795.51 886.14 8040-49 400.07 588.17 783.51 783.51 827.81 918.44 8050-59 429.69 617.79 813.13 813.13 857.43 948.06 8060-64 492.94 681.67 876.38 876.38 920.68 1011.31 80

$10,000 INDIVIDUAL SHARING AMOUNT PER PROGRAM YEAR18-39 326.85 498.36 673.80 673.80 718.37 809.00 8040-49 353.75 525.27 700.71 700.71 745.01 835.64 8050-59 378.46 549.97 725.41 725.41 769.71 860.34 8060-65 431.16 602.67 778.12 778.12 822.42 913.05 80

Sharing Services

Individual Sharing Amount (ISA) $5,000 / $10,000

Diagnostic / X-ray / Labs Subject to ISA. 100% up to Maximum Sharing Limit Out Patient: Pre-Admission and Post In-Patient

Specialists $75 Visit Fee Hospitalization or Out-Patient Surgery

Emergency Room $300 Visit Fee

In/Out Patient Surgery 100% after ISA up to Maximum Sharing Limit 2 month waiting period

Hospitalization 100% after ISA up to Maximum Sharing Limit

Maximum Limit Per Incident $150,000 / $250,000 / $500,000

Lifetime Sharing Maximum $300,000 / $500,000 / $1,000,000

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© 2019 OneShare Health LLC. v.040119. This is not insurance.This program is ACA exempt. See www.onesharehealth.com for full disclosures of Programs.

OneShare Health Legal Notices

General Notice for the following states: Alabama Code Title 22-6A-2, Arizona Statute 20-122, Arkansas Code 23-60-104.2, FloridaStatute 624.1265, Georgia Statute 33-1-20, Idaho Statute 41-121, Louisiana Revised Statute Title 22-318,319, Maine RevisedStatute Title 24-A, §704, sub-§3, Michigan Legislature §550.1867, Mississippi Code Title 83-77-1, Nebraska Revised StatuteChapter 44-311, New Hampshire §126-V:1, North Carolina Statute 58-49-12, South Dakota Statute Title 58-1-3.3, Texas Code Title8, K, 1681.001, Virginia Code 38.2-6300-6301, and Wyoming Statutes Title 26.1.104(a)(v)(C):

Notice: The organization facilitating the sharing of medical expenses is not an insurance company, and its product should never beconsidered insurance, and neither its guidelines nor plan of operation is an insurance policy. If you join this organization instead ofpurchasing health insurance, you will be considered uninsured. Whether anyone chooses to assist you with your medical bills willbe totally voluntary because no other participant will be compelled by law to contribute toward your medical bills. As such,participation in the organization or a subscription to any of its documents should never be considered to be insurance. Regardlessof whether you receive any payment for medical expenses or whether this organization continues to operate, you are alwayspersonally responsible for the payment of your own medical bills. This organization is not regulated by the State’s Department ofInsurance, though complaints concerning this Health Care Sharing Ministry may be reported to the office of the State AttorneyGeneral. You should review this organization’s guidelines carefully to be sure you understand any limitations that may affect yourpersonal medical and financial needs.

Specific Notice for the following States: Indiana Code 27-1-2.1, Illinois Statute 215-5/4-Class 1-b, Missouri Statute §376.1750 andWisconsin Statute 600.01(1)(b)(9):

Notice:  The organization facilitating the sharing of medical expenses is not an insurance company, and neither its guidelines norits plan of operation is an insurance policy. Any assistance you receive with your medical bills will be totally voluntary. Neither theorganization nor any other participant can be compelled by law to contribute toward your medical bills. As such, participation inthe organization or a subscription to any of its documents should never be considered to be insurance. Whether or not you receiveany payments for medical expenses and whether or not this organization continues to operate, you are always personallyresponsible for the payment of your own medical bills.

Kentucky Revised Statute 304.1-120(7):NOTICE: UNDER KENTUCKY LAW, THE RELIGIOUS ORGANIZATION FACILITATING THE SHARING OF MEDICAL EXPENSES ISNOT AN INSURANCE COMPANY, AND ITS GUIDELINES, PLAN OF OPERATION, OR ANY OTHER DOCUMENT OF THERELIGIOUS ORGANIZATION DO NOT CONSTITUTE OR CREATE AN INSURANCE POLICY. PARTICIPATION IN THE RELIGIOUSORGANIZATION OR A SUBSCRIPTION TO ANY OF ITS DOCUMENTS SHALL NOT BE CONSIDERED INSURANCE. ANYASSISTANCE YOU RECEIVE WITH YOUR MEDICAL BILLS WILL BE TOTALLY VOLUNTARY. NEITHER THE ORGANIZATION ORANY PARTICIPANT SHALL BE COMPELLED BY LAW TO CONTRIBUTE TOWARD YOUR MEDICAL BILLS. WHETHER OR NOTYOU RECEIVE ANY PAYMENTS FOR MEDICAL EXPENSES, AND WHETHER OR NOT THIS ORGANIZATION CONTINUES TOOPERATE, YOU SHALL BE PERSONALLY RESPONSIBLE FOR THE PAYMENT OF YOUR MEDICAL BILLS.

Maryland Article 48, §1-202(4):Notice: This publication is not issued by an insurance company nor is it offered through an insurance company. It does notguarantee or promise that your medical bills will be published or assigned to others for payment. No other subscriber will becompelled to contribute toward the cost of your medical bills. Therefore, this publication should never be considered a substitutefor an insurance policy. This activity is not regulated by the State Insurance Administration, and your liabilities are not covered bythe Life and Health Guaranty Fund. Whether or not you receive any payments for medical expenses and whether or not this entitycontinues to operate, you are always liable for any unpaid bills.

Pennsylvania 40 Penn. Statute §23(b):NOTICE: This publication is not an insurance company nor is it offered through an insurance company. This publication does notguarantee or promise that your medical bills will be published or assigned to others for payment. Whether anyone chooses to payyour medical bills will be totally voluntary. As such, this publication should never be considered a substitute for insurance. Whetheryou receive any payments for medical expenses and whether or not this publication continues to operate, you are always liable forany unpaid bills.

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Made with in Texas.

©2019 OneShare Health LLCOneShare Catastrophic Program v.040119

Our Statement of Beliefs

We believe in the sanctity and dignity of every human life, and that every life has a special meaning and purpose.

We believe that every individual has the constitutional and religious right to worship God in freedom.

We believe and agree in the religious and ethical principle of sharing withthose who are less fortunate and who experience medical needs.

We believe that every person has the fundamental right to make their own choices about healthcare.

We believe and agree that it is our responsibility to God and our fellowmembers to engage in healthy living, and to avoid habits and behaviorswhich are harmful to the body.

This is not insurance. This program is ACA exempt. See www.onesharehealth.com for full disclosures of programs.