Member Guide Update 01-01-2025
Here are the changes that will be made in the CrowdHealth Member Guide starting January 1, 2025:
- Maximum Ask will be $140 for members under 55, $280 for members 55+, and $420 for families of 4 or more.
- Psychiatric Inpatient Care will be eligible for crowdfunding on a valid health event. Subject to the Previously Documented, Diagnosed, or Symptomatic limitations.
- Acupuncture will be eligible for crowdfunding on a valid health event.
- International medical care will be eligible on a valid health event but will be fair market price compared against similar or reasonable standard of care services in the US. Expenses relating to international air ambulances or medical evacuations will remain ineligible.
- You will be able use your $300 Annual Wellness Health event for any preventative service of your choice.
- For your prescriptions to be eligible for crowdfunding, you must use a prescription discount when purchasing and choose generic if available. Reminder that maintenance medications are limited to a 120 days supply per valid health event.
- Alternative Care will be eligible pending second opinion clinical review by an independent third party if determined medically appropriate.
- If your bill is scored red due to a low generosity score and not fully funded by the Crowd, it can be rerun through crowdfunding as green once the member’s generosity score reaches 90% so long as the date of service on the bill is less than 12 months old at the time of resubmission.
- Your bill will be scored green if there are no reasonable alternatives within the nearest major metro area of your ZIP code for procedures under $10,000, or no reasonable alternatives within 1000 miles of your ZIP code for procedures equal to or more than $10,000.
- Membership Fee is being changed to Advocacy Fee to more accurately express the purpose of the charges. Advocacy Fees will now be $55 per member per month.
- Charge disputes through your bank or credit card company, after your advocacy fee or crowdfunding request has been processed, will result in termination of your CrowdHealth membership. If you have issues with your charges, contact us at hey@joincrowdhealth.com to discuss.
- We are clarifying Dental Care to include wisdom teeth removal, tooth extraction, dental implants, bridges, crowns, dentures, root canal, or oral surgery as ineligible services.
- Durable Medical Equipment must be prescribed by a licensed medical professional and must be a necessary part of treating the condition. Disposable or single use DMEs are limited to a 120 day supply, and replacement DMEs or maintenance for DMEs are not eligible.