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Program Name CHS200 CHS400 CHS600
Provider Networks
Professional and Ancillary services   Multiplan/PHCS Practitioner and Ancillary Network - Sharing of physician and ancillary service expenses is available only for In Network providers.
Hospital   Sharing of eligible expenses is available for any accredited hospital in the United States. This program does not use a hospital network.
Non-Sharable Amounts (NSA)  
One Member per Household $2,000 $4,000 $6,000
Two Members per Household $4,000 $8,000 $12,000
3 or More Members per Household $6,000 $12,000 $18,000
Application Fee and Monthly Membership Dues
Application Fee (Non-refundable) $75 $75 $75
UHF Monthly Membership Dues per Household $15 $15 $15
Sharing Restrictions and Maximums     
Pre-Existing       Restricted sharing for pre-existing conditions.
(Elective cosmetic surgery is never eligible for sharing.)
Sharing Limit per Medical Incident       $400,000 $300,000 $200,000
Annual Physical / Well Child Exam and Other Preventive Services   After 30 days, Members are eligible for one Routine Physical (Adults) or Well Child Exam (Children) per year. Sharing for Routine Physical, Well Child Exam and other Preventive Care services combined is limited to $500 per Member per year.
Visit Maximums per Member               9 visit maximum for any combination of Primary Care, Specialist and Urgent Care office visits.
12 sessions in total for any combination of Chiropractic Visits and Physical Therapy Sessions.
10 sessions in total for any combination of Occupational, Speech, Audiological, Optometric/Vision, Respiratory, and Hyperbaric Therapy Sessions.
4 visits in total for any Primary Care Physician or appropriate mental health professional visits for the monitoring and management of medications prescribed for mental health conditions such as anxiety, depression, bi-polar disorder, and ADHD.
9 pre-natal care visits per pregnancy.
Annual Sharing Maximum Per Member $900,000 $500,000 $250,000
Consultation Fees      
Telemedicine - Unlimited Use, Available 24/7
(Not Subject to NSA)
$0 $0 $0
Annual Physical / Well Child Exam and Other Preventive Services  
(Eligible for Sharing Prior to Meeting NSA)
$0 $0 $0
Primary Care and Psychiatric Medication Management Consultation - Office Visits   $25 $30 $40
Specialty Care and Psychiatric Medication Management Consultation - Office Visits   $50 $60 $80
Urgent Care Visits   $75 $75 $100
Emergency Room      $300 $400 $500
Additional Program Features
Health Tools   Included Included Included
Portion of Expenses Sharable After Meeting NSA        
Hospitalization   80% 70% 60%
Surgery   80% 70% 60%
Maternity - Labor & Delivery   80% 70% 60%
Diagnostic Tests and Imaging Accessed Via Non-Hospital Independent In-Network Facility      80% 70% 60%
Pharmacy
RxSimpleShare      RxSimpleShare shares only for drugs that are on the approved formulary list.
There is a $5 co-share payment per prescription and sharing is limited to $500 maximum per month (based on actual cost of medication). A 30 day waiting period applies for new UHS program members.
Please refer to the Sharing Guidelines for definitive rules and guidelines. In case of any discrepancies, the Sharing Guidelines will prevail.
UHF

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If you have a question about a specific member and/or needs request, please call the number on the back of the member’s UHF membership card.

For more general inquiries, call 877-987-1233.

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Contact - For Agents
Or call 800-921-4505, select option 3
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UHF

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Contact - For Individuals

Or call 888-636-7119