Holistic Plan need or reimbursement request

Submit a Holistic Plan Need or Reimbursement.

Because ClearShare is not insurance, when you incur medical expenses, our sharing process is different from submitting a claim with traditional insurance. Use this form to submit your Holistic Plan bills or reimbursement requests.

View the Member Guidelines associated with your plan for details on the services eligible for sharing or reimbursement.

If you have a Need Request for your ClearShare 1000, ClearShare 2500, or ClearShare 5000 plan, please use this form instead.

Submit a Holistic Need or Reimbursement Request