Healthcare has been frustrating for everyone—patients, providers, and policymakers alike, but in 2025, Sheer health is making it easier. This year, our members saved $5.7 million. From out-of-network reimbursements to prescription savings, we helped families keep more money where it belongs—in their wallets. And that’s not all. We also corrected thousands of claims where in-network benefits were mistakenly processed. These aren’t just stats—they’re real wins for real people.
Take, for example, out-of-network labor and delivery claims. We made the frustrating process easy, ensuring new parents could focus on sleepless nights and first smiles—not confusing medical bills or getting lower reimbursements that they were supposed to. When health insurance dropped the ball, Sheer Health was there to catch it.
But it’s not just money we’re saving—it’s time. This year, we gave back over 14,000+ hours to our members by handling claim submissions, bill reviews, appeals, benefits checks and more. On average, members saved three hours per claim when using Sheer Health. That’s three hours to spend on what matters most: family, work, or maybe just enjoying a little downtime.
At Sheer Health, we’re not just navigating healthcare—we’re transforming it. And this year, we couldn’t have done it without you.
We’re Not In It for the Likes
Our members don’t just use Sheer—they shape it. They are parents juggling pediatric care, individuals navigating mental health support, families on fertility journeys, and people reclaiming their time and money from a system that often feels stacked against them.
For instance, members dedicated to rehabilitative therapy led the charge, underscoring the importance of recovery and ongoing care. Members with fertility and pregnancy care showcased the urgency of their healthcare journeys by responding to Sheer Cases at lightning speed, while members receiving mental health care saved the most money—over $1,603,000 in 2024 alone. These insights not only highlight our members needs, but also guide our efforts to serve them better.
Whether it’s disputing denied claims, unlocking out-of-network reimbursements, or finding the best plan for your needs, we’re here to make sure you’re never stuck figuring it out alone:
Rehabilitative therapy led the pack in case activity, highlighting the importance of recovery and ongoing care for both adults and children.
Pediatric care followed closely behind—parents, we see you, and we’re here for you. Parenting is hard enough without navigating the trickiest parts of the healthcare system—including out-of-network claims.
Fertility and pregnancy related questions and issues increased across our members, underscoring the complexities of navigating specialized care.
Mental health received over $1,603,000 in reimbursements in 2024, largely because most providers are out-of-network.
Innovation That Makes a Difference
Visiting the doctor, knowing what’s covered and how much care will cost should be easier, so we spent 2024 building tools to help. From a streamlined registration process to member ID cards and a new provider portal, we introduced updates that make healthcare navigation seamless. These tools aren’t just about convenience—they are about empowering our members to take control of their healthcare with confidence.
What We Do
We Dig Through the Fine Print: You don’t need to spend hours trying to understand insurance jargon. We’ll analyze your options and break down what each plan actually covers.
Maximize Your Benefits: Whether it’s saving on prescriptions or getting the most out of preventative care, we’ll help you pick a plan that works for you.
Avoid Sneaky Costs: No one likes surprise bills. We catch incorrectly processed claims before you get a bill, and if a bill does arrive, we check it to ensure you’re not being overcharged.
Think of it like having a health insurance cheat sheet. With Sheer Health’s Plan Analysis, you’ll finally feel confident about the plan you choose. Solid advice to get the most bang for your buck.
How We Help
Everything in One Place: Your Sheer Health card consolidates the info you actually need, so there’s no more fumbling around or second-guessing at the front desk.
Digital and Ready Anytime: Forgot your wallet? No problem. It’s always accessible in the app, because let’s face it—your phone is never far away.
Clear Coverage Info: The card is linked to your benefits, so providers can quickly confirm what’s covered and what’s not. (Yes, we’re making it that easy.)
It’s small but smart and will automatically update if vital information changes. It’s all about making your healthcare experience just a little less chaotic. You’ll never misplace it because your Sheer Health Member ID Card is always where you need it to be.
Introducing: The Provider Portal
Benefits Without the Mystery: Providers can pull up real-time benefits information so patients know what’s covered and what’s not, without anyone playing phone tag with the insurance company.
Claims That Don’t Drive You Nuts: Submitting claims? It’s now fast, easy, and less error-prone. No more denials for tiny mistakes that waste everyone’s time.
Patient Conversations That Actually Make Sense: Armed with accurate info, providers can guide patients through their options, making sure they’re not blindsided by unexpected bills.
Freedom for Out-Of-Network: By removing the need for out-of-network providers to ever deal with insurance again, we’re addressing the exact reason they chose to go OON in the first place.
What’s Next: 2025 and Beyond
Holistic Health: The days of piecemeal care are over. People want healthcare that treats the whole person—mind, body, and everything in between. We’re all-in on maximizing benefits that make you feel human again.
Preventative Care: Catching problems early keeps the medical bills at bay. From using our Plan Analysis tool to maximize your benefits and lower your out-of-pocket costs, to leveraging our “Find a Doctor” tool for less expensive visits with quality providers, we’re helping you stay ahead.
Digital Wellness: Tech isn’t just for tracking your steps anymore. From virtual consultations to seamless claims management, healthcare is getting a digital glow-up, and we’re here to make sure our members know how to maximize those benefits.
Mental Health Investments: Mental health is no longer the forgotten corner of healthcare. By simplifying out-of-network claims we’re making sure members can get the care they need—without jumping through hoops.
Affordable Care Solutions: Healthcare costs aren’t magically going away, but we’re fighting back. From maximizing out-of-network reimbursements to unlocking hidden benefits, we’re focused on putting more money back in your pocket.
