A red and white logo for planstin administration

Is surgery covered?

April 10, 2024

Maybe.


Preventive Basic, Preventive HSA, and Preventive Copay plans do not cover surgery. However, all Care+ health plans do include coverage for in-patient and out-patient medical concerns. 


Additionally, many members with a preventive health plan also become Zion HealthShare members. A Zion HealthShare membership is designed for larger, unexpected medical needs like surgery. 



Learn More

  • To learn more about Zion HealthShare click here.


  • Read the Zion HealthShare Member Guidelines here.


  • Click here to learn more about Care+.


  • For more details about the coverage of your specific plan, click here and search for your plan ID. 


  • Contact a Benefit Advocate if you have further questions about your coverage: 888-920-7526.




January 29, 2025
Most Planstin-managed health plans do not use a provider network . That means you are free to work with any provider with out fear of any out-of-network penalties. Very few Planstin-managed health plans still use a provider network. In this case, your health plan uses the PHCS network of providers. Fair-priced healthcare & care coordination The majority of Planstin-managed health plans use an innovative healthcare pricing strategy called fair-priced healthcare. This strategy does not require the use of a provider network, and instead relies on a care coordination team to help you work with your provider, make appointments, and locate providers that work well with your benefits. To learn more about fair-priced healthcare, click here . To learn more about care coordination click here .
January 29, 2025
Preventive Core is a health plan that focuses on preventive care. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive Core health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive Core health plan, click here and select your specific plan name.
Planstin Help Center logo.
January 24, 2025
All Planstin-managed health plans now feature care coordination services as a part of a fair-price healthcare strategy. The Planstin Care Coordination team will help match members with providers that work best with their plan.
Show More
Share by: