For Our
Members Only

We are proud to offer of members additional coverage through the following plans.

What is Medical Cost Sharing?

A Cost Sharing Community is where members come together to help each other share the burden of major medical expenses.  Each member selects an Individual Unreimbursed Amount (IUA) of their choice and commits to a monthly contribution. Plans range from $500 IUA to $5,000 IUA.

Here are some highlights of Medical Cost Sharing:

  • All members are cash-pay patients. This provides you the best price for the service.
  • The member pays their IUA directly to the provider and submits the medical bills to Sedera for reimbursement of the amount above the IUA.
  • Sedera pays the reimbursement directly to the member and the member then pays the provider.
  • Sedera will help negotiate prices for non-emergency procedures. Be sure to engage with Sedera as soon as you learn a procedure is necessary.
  • Pre-existing conditions may be reimbursed at a lower rate during the first few years.  Contact Sedera at 800-473-5472 to discuss your situation
  • Enrollment can be done at anytime.  https://sedera.community/SiskiyouVitalMedicine

Pre-Existing Conditions:

Contact Sedera at 800-473-5472

To Enroll follow this link:

https://sedera.community/SiskiyouVitalMedicine

Payment for the premiums will be drafted from your bank account or credit card on the day you enroll and monthly on the enrollment anniversary date until canceled.

ENROLL TODAY

Dental/Vision/RX

Pinnacle Program

To Enroll

Must be a member of Siskiyou Vital Medicine.
Contact our office at admin@siskiyouvitalmedicine.com and request a Pinnacle Enrollment form.  An electronic version will be emailed to you.  You may complete the form on-line, or print and complete. Submit the form to Siskiyou Vital Medicine no later than the 15th of the month for benefits starting next month.

Dental

Dental is provided through Ameritas.
Here are some highlights of the Dental program:

  • $50 deductible (Waived for Preventative)
  • 100% preventative.
  • 80% basic
  • 50% major
  • $1,500 annual maximum, per person
  • No waiting periods

Vision

Vision is provided through Ameritas.
Here are some highlights of the Vision program:

  • Exam, lenses, frames are covered every 12 months
  • $10 Deductible for annual eye exams
  • $25 Deductible for lenses or frames
  • Frames covered up to $150
  • No waiting periods

RX Discount

RX discount is provided through The Health Wallet.
Here are some highlights of the discount program:

  • Phone App or Website can be used to find coupons to reduce the cost of your prescription medications
  • 95 Affordable Care Act drugs are at no-cost.
  • Over 67,000 pharmacies in the network
  • No waiting periods

Cost Dental/Vision/RX Pinnacle Program:

  • $  84.00 Member
  • $151.57 Member & Spouse
  • $161.23 Member & Children
  • $242.83 Member & Family

Payment for the premiums will be drafted from your bank account or credit card on the day you enroll and monthly thereafter on the anniversary date of your membership with Siskiyou Vital Medicine.

REQUEST INFORMATION

ARE YOU AN EMPLOYER LOOKING FOR AFFORDABLE TO HEALTHCARE OFFERINGS?

Consider joining the VITAL EDGE HEALTH NETWORK where you pay for healthcare, not health coverage. Starting at $100 a month per employee.


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