Once signed in, you will see a few commonly searched procedures on the home screen. These are shortcuts you can click on to quickly view price and quality results for nearby providers.

If you would like to search for a procedure not listed on the shortcuts, type your procedure name into the search bar. As you type, suggested options will appear. Continue to type until you see your procedure, then select it.

Note: if you do not see your procedure and have tried typing other keywords, please let us know via the Chat function on the bottom right corner of the screen or email us at info@getwinstonhealth.com. Over 500 procedures are available on Winston Health and we will continue to build out our list based on your needs.

After selecting a procedure, from the home screen you will be taken to the next page where you can select your provider. 

• If you have a current provider: type their first name, last name, or practice name into the search bar and scroll to locate your provider. Click on their name to move to the ahead to view locations where the provider can perform the procedure.
• If you do not have a provider: Click "See all options" and you will be taken to a screen where you can view nearby providers within a 35 mile radius. You will see helpful information to assist with your decision such as Name, Specialty, Practice Name, Cost (if enabled), and Quality.

To filter the list, you can select a number of options below the search bar: distance, cost, and quality. To sort the list, click on the column headers above the search results.

After selecting a provider, you will be taken to the next page where you can view the facilities affiliated with your provider. These are the specific hospitals and surgeries that your doctor has approved privileges to perform the procedure. This information is constantly changing, and we do our best to keep our data as up to date as we can. Double check with your provider during the scheduling process to confirm your options, and let us know of any discrepancies.

You will see a list of nearby facilities within a 35 mile radius, sorted by proximity to your home zip code. In each tile, a wealth of information is available to you:

• Name and address of the provider
• Distance from your preferred zip code
• Total cost billed to your employer's health plan for the procedure (if enabled)
• Cash reward, if applicable
• Quality star rating

To filter the list, you can select a number of options below the search bar: distance, reward, total cost, and quality. To sort the list, click on the column headers above the search results.

*Only applies to accounts with procedure costs enabled.* In the facility search results list, each tile contains a wealth of information available to you. Let's dive into understanding procedures costs further.

The amount shown is the total estimated cost billed to your employer's health plan for the procedure. This amount is before any deductible, coinsurance or copay is applied by the insurance company processing the claim. Refer to your Summary of Benefits and Coverage to calculate the amount you will owe the provider.

Click on the tile to view more detailed information about the procedure. A new module will appear showing an itemized list of commonly billed services and applicable medical billing codes.

Note: Each procedure may consist of several services, tests, etc. performed during the course of the procedure. The itemized list of services shown include details on billing code, description, quantity and cost. It is important to understand that your care needs may be different than what is being shown. Billed amounts may vary from the estimated prices based on the actual services rendered. To ensure the estimated price will match the bill from your healthcare provider, contact your healthcare provider to get a list of the services they plan to render and notify us of any discrepancies when you select the procedure.

In the event of a discrepancy between the estimated price and the billed amount, we recommend that you submit your Explanation of Benefits or bill for verification under the "Procedures" section. Our team at Winston Health will review the information and either adjust your reward accordingly or provide necessary information to dispute the bill.

In the provider and facility search results list, each tile contains a wealth of information available to you. Let's dive into understanding quality ratings further.

On the right side of the tile you will see 0-5 stars, 5 being the highest. If the provider or facility has no rating shown, they may be too new to have a quality rating or may not participate in the CMS's quality program. Click on the stars to view more information.

A new browser tab will open with detailed information about what goes into each quality rating. Quality information is sourced from the Center for Medicare and Medicaid Services and is based on important factors such as mortality rates, readmissions, proper patient follow up, patient satisfaction and more.

As an employee, you have the power to make a difference in not only your own healthcare costs, but those of your entire company. And with the cost of a single service differing by 200% or more at different locations, our comparison tool helps you make informed decisions and choose the best option.

You'll be incentivized to select high-quality, low-cost providers with a cash reward from your company. Rewards are based on price variation within your 35 mile zip code radius, as well as providers with a 4 or 5 star quality rating. The greater the price difference the greater the reward. Look for the reward amount highlighted in green on the provider tile. This is an estimated amount that will be awarded to you once Winston Health verifies the procedure was received at the selected location.

Note: Rewards are subject to income tax like any other compensation.

After reviewing options for your procedure on Winston Health, it's time to schedule your procedure. Click on the tile for the facility you would like to use, a module will appear summarizing the information. Click on "Go Here" and you will be taken to a new page to assist with next steps.

Contact the provider directly to schedule your procedure and enter the date under the "Procedures" section of the Winston Health website to let us know you've scheduled the procedure.

Note: Entering a date into Winston Health does NOT schedule a procedure. You must contact the provider directly to schedule.

Once you have received an Explanation of Benefits document from the insurance carrier, it's time to submit your documentation to earn your reward!

Navigate to the "Procedures" area on the left panel menu and locate your recent procedure. Click on the Upload button under "Action" and attach your picture, screenshot or PDF document. Winston Health will review and respond with any questions within 1 business day. If there are no discrepancies between the estimated price and the billed price, the reward will be approved the same business day and a bank transfer initiated.

Note: Explanation of Benefit documents typically are made available within 10 business days of the date of service. You can access these documents from your insurance carrier's online portal, or via US mail depending on your communication settings. Dependent documentation is often addressed and accessible online for the primary contract holder - the employee.

In the event of a discrepancy between the estimated price and the billed amount, we recommend that you submit your Explanation of Benefits or bill for verification. Our team at Winston Health will review the information and either adjust your reward accordingly or provide necessary information to dispute the bill.

When your procedure verification has been completed, you will receive a notification from Winston Health via email. You can also view approved rewards in the "Rewards" area on the left panel menu when logged in.

Note: If your procedure is not yet approved, we will let you know if additional documentation is required, the reason for denial, etc. 

Winston Health shows the total estimated cost your insurance plan will pay the provider. To calculate your personal out-of-pocket costs, request that your provider submits a request to your insurance carrier for a "predetermination of benefits."

Alternatively, you can refer to your Summary of Benefits and Coverage document to estimate this yourself. There are a few questions to consider as you dive in:

• Have you met your deductible this plan year?
• Have you met your total maximum out of pocket limit this plan year?
• What service category does your procedure fall under: Imaging, Inpatient, Outpatient, etc.?
• What type of cost sharing applies to that service category: deductible, coinsurance, or copay?

Once you have answered these questions you can estimate your out-of-pocket costs.

Rewards are subject to income tax just like any other employer-sponsored compensation. Your employer will include the reward amount you've earned on your next paycheck so that taxes can be allocated accordingly.

After checking your eligibility, select the hospital system where you received your procedure or plan to receive your procedure.

The next page will display the policy, application, and eligibility criteria. You have the option to apply for financial assistance directly through your provider, or follow the instructions in the section below so that Winston Health can be your advocate throughout the process.

1. Download the application and complete it digitally or by printing and neatly hand writing. Once completed, signed and dated, upload the application into the first section. Pay close attention on the application, as it may require you to upload additional documentation such as an unemployment award letter, child or spousal support, cash assistance/SNAP award letter, etc.
2. Upload your most recently filed federal tax return with all schedules. If you did not file please provide a letter stating the reason, sign and date the letter.
3. Upload 30 days of pay stubs for each adult listed on your most recently filed federal tax return. If you had a recent life change that isn't reflected on the tax return (i.e. marriage, death) include supporting  documentation. Include formal and informal paychecks, social security, unemployment, disability payments, alimony or child support, and any other kind of income. This information is required for proof of income.
4. Upload 30 days of bank & investment statements. This includes checking, savings, money market, non-tax penalty investment accounts, loans, etc. Generally retirement accounts, residences, automobiles, life insurance and other non-liquid assets are not counted. This is required for proof of liquid assets. If you do not use banks please provide a letter stating the reason, sign and date the letter.

After uploading your documentation, click "Submit Completed Application." A Winston Health team member will be in touch shortly to confirm receipt and advise if any additional information is needed.

Once logged in, navigate to "Employees" section on the left side of the page. You will see a number of options:

• Add users: Click the "+ Employee" button and enter the employee's information. When you are finished, click the "Create and Invite" button to trigger an email to the employee. If you'd like to hold off on inviting the employee, just click "Create".
• Delete users: Click the Delete button next to the existing employee in the user list. Add a termination date for the employee and click Save when you are done. The employee will no longer have access to Winston Health after the termination date.

The Winston Health monthly fees are invoiced on the first of the month through an email from QuickBooks. Automatic payments can be setup by following the payment link in the email via ACH. To edit the bank information on file, contact us at info@getwinstonhealth.com and we will be in touch to obtain your payment information securely.