General Information:

United Refuah HealthShare℠ is a health cost sharing organization [an IRC 501(c)(3) tax-exempt organization] for members of the Jewish faith, who practice person to person sharing of medical expenses. Members of this community are interested in seeing Providers that will participate with United Refuah HealthShare℠.

Billing Information:

  • United Refuah HealthShare℠ has no network, therefore members are able to use any provider of their choice.
  • Referrals are not required
  • Some services require a prenotification. Please call 440-772-0700, when servicing these procedures/treatments  listed below:
    • Inpatient Admissions (including Hospital, Skilled Nursing, Rehabilitation, and Hospice)
    • Organ/Tissue Transplant Services
    • Extended Emergency Department Observation Periods and Observation Care
    • Home Health Care Services and Hospice Services
    • All Outpatient Surgery (including surgical centers, clinics, hospitals)
    • Obstetric and Prenatal Needs (members must notify of pregnancy as soon as possible)
    • Maternity upon admission or anticipated admission for labor and delivery, c-section or inpatient management during pregnancy
    • Non-emergency Magnetic Resonance Imaging (MRI) scans
    • Non-emergency CT scans
    • Positron Emission Tomography Scanning (PET)
    • All join injections- pain management, etc.
    • Dental-only fully impacted wisdom teeth those extrusions that are deemed medically necessary by a physician, and any accidents are eligible
    • Sleep studies if determined by a physician
    • Cardiac Catheterization
    • Cardiac Rehabilitation
    • Diagnostic Colonoscopy
    • Endoscopy
    • Chemotherapy or Radiation Therapy
    • Cancer Treatment
    • Occupational Therapy – for 10 visits
    • Physical Therapy – for 10 visits
    • Speech Therapy – for 10 visits
    • Acupuncture – for 10 visits
    • Outpatient Respiratory Therapy
    • Laboratory Testing
    • Complementary or Alternative Medical Management after initial evaluation
    • Treatment outside of United States-will need prior contact with the Prenotification department

 

  • Medical Bills should be submitted via HCFA 1500 or CMS UB04 to:
    • United Refuah HealthShare℠
    • PO Box 18523
    • Cleveland Heights, OH 44118
  • ID cards contain all relevant information for billing, including member number and effective date.

Payment Information:

  • Members are responsible for an Annual Preshare Amount (APA) as follows:
    • $500 for a single member
    • $1,000 for a couple
    • $1,500 for a family
  • Preventative Screenings and Wellness are not subject to the Annual Preshare Amount.
  • No timely filing limit applies.
  • Bills are processed on average within 30 days of receipt.
  • General Reimbursement Rates are as follows:
    • Physicians are reimbursed at 150% of Medicare allowable for the area where service is rendered.
    • Inpatient related services are reimbursed at 160% of Medicare allowable for the area where service is rendered.
    • Outpatient related services are reimbursed at 170% of Medicare allowable for the area where service is rendered.