Program Sharing Details for the
Healthy Life EasyShare Programs
I. General Sharing Requirements,
Restrictions, Limitations & Maximums
Total eligible needs for sharing among the Members are limited as set forth in this section, or elsewhere
in these Guidelines, and as may be indicated in writing to the individual Sharing Member from time-to-
time.
i. Waiting Period Prior to Sharing Eligibility.
The following waiting periods apply before Medical Expense Needs may become eligible for sharing
through this Universal HealthShare EasyShare Programs:
1. For a member who has been a Sharing Member continuously for at least twelve (12) months prior to
conception, medical expenses for Maternity are eligible for sharing, subject to the applicable Annual
Non-Sharable Medical Amount;
2. There is a 180-day waiting period before any Medical Expense Need for Cologuard testing may be
eligible for sharing;
3. There is a 30-day waiting period before any Medical Expense Need for Preventive Care including an
Annual Routine Physical or Well Child Exam may be eligible for sharing; and
4. There is a 90-day waiting period before any other Medical Expense Need may be eligible for sharing.
Note: This 90-day waiting period does not apply to sharing eligibility for Telemedicine, Primary Care,
Urgent Care, or Specialty Care visits or diagnostic testing, in-office procedures, and laceration repair
that take place during the visit, however, the waiting period does apply to Imaging and office based
surgical procedures.
ii. Annual Non-Sharable Amounts for Medical Expenses.
The EasyShare Programs have no annual Non-Sharable Amount; it is $0 for these Programs.
iii. Consultation Fees.
Members in the EasyShare Programs must always pay the following per-visit consultation fees, payment
of which will be due at the time of your visit. This portion of your fees are never eligible for sharing; they
are always your personal responsibility:
Member Consultation Fee
EasyShare50 EasyShare25
Telemedicine Consultation $0 $0
Primary Care Physician Visits $25 $40
Pediatrics Visits $25 $40
Routine Annual Physical/Well Child Exam and
Preventive Care Visits (including Immunizations)
$25 $40UHFR093021E100121 Page 103
Specialty Physician Visits $50 $75
Urgent Care Physician Visits $75 $75
The EasyShare Programs allow for immediate sharing for Primary Care, Specialty Care, Pediatric, and
Urgent Care office visit charges, (the 90-day waiting period does not apply to these office visits).
Preventive Services have a 30 day wait period. You must pay a Consultation Fee for each visit; this fee
will be due at the time of your visit. After your payment of the Consultation Fee, the remaining portion of
the physician charges for the office visit only will be eligible under this sharing category. Charges other
than the actual 