What does “zero-cost” care mean?
Your employer waives out-of-pocket costs when you receive care directly from an
AMPLIFY provider.

If you are enrolled in a High Deductible Health Plan (HDHP) with HSA eligibility, please
review the deductible considerations below.
Important: Some care may begin with an AMPLIFY provider, but additional services may be
delivered by other providers or facilities that are not part of the AMPLIFY network.

Services performed by non-AMPLIFY providers or facilities are processed through your
primary insurance plan, and out-of-pocket costs may apply based on your plan’s
coverage guidelines.

If you are unsure whether your planned care will be fully or partially delivered within the
AMPLIFY network, contact SolarteHealth Patient Advocacy before care is scheduled.

Patient Advocate: 1-800-890-4017

If you are enrolled in an HDHP with HSA eligibility, IRS regulations require that your
deductible be satisfied before non-preventive services can be covered at $0 cost.

This FAQ is intended for informational purposes only and
does not replace your employer’s Summary Plan
Description (SPD) or governing plan documents.

• If your deductible has not been met and you receive AMPLIFY services,
SolarteHealth (not the medical provider) may invoice you for your deductible
responsibility
• Preventive services, as defined by your employer’s health plan, are not subject
to the deductible
• An Explanation of Benefits (EOB) will be provided prior to any such invoice

When you arrive for an appointment with an AMPLIFY provider, please let the provider’s
office know that you are a SolarteHealth AMPLIFY member.

You may also let the front desk know that:
• Your visit should be billed through SolarteHealth
• The claim should be submitted using your primary insurance plan’s group number
and member ID
This helps ensure:
• Your visit is billed correctly through SolarteHealth
• Claims are processed correctly through the SolarteHealth AMPLIFY program.
• Your AMPLIFY benefits are applied as intended
If the front desk has questions, they can contact SolarteHealth Patient Advocacy for
assistance.

Even when you see an AMPLIFY provider, some components of your care may involve other
providers or entities that are not part of the AMPLIFY network.

Common examples include:
• Laboratory services
This FAQ is intended for informational purposes only and
does not replace your employer’s Summary Plan
Description (SPD) or governing plan documents.
• Imaging (MRI, CT, X-ray, pathology)
• Facility or hospital fees
• Anesthesia services
• Services not covered under your employer’s health plan

If these services are not performed by an AMPLIFY-contracted provider or facility, they
may:
• Be billed separately
• Process through your underlying health plan
• Result in a bill to you

This does not mean AMPLIFY failed—it reflects how healthcare services are often delivered
and billed by multiple parties.

1. Do not ignore it
2. Do not immediately pay it
3. Contact SolarteHealth Member Support

We will:
• Review the bill
• Determine whether it should have been processed through AMPLIFY
• Work with the provider and your health plan to resolve issues when possible

In some cases, an AMPLIFY provider may mistakenly submit a claim to your primary
insurance carrier instead of SolarteHealth. When this occurs, a member-responsibility
amount may appear, and you may receive a bill.

This FAQ is intended for informational purposes only and
does not replace your employer’s Summary Plan
Description (SPD) or governing plan documents.

If you believe this has happened:
• Do not pay the bill
• Call SolarteHealth Patient Advocacy at 1-800-890-4017
• Explain the situation
If confirmed, SolarteHealth will work directly with the provider to correct the claim, and the
bill can be disregarded.

If a provider recommends a procedure or surgery, it is critical to ask the right questions
before scheduling.

Always ask the provider:
• Is the facility where this procedure will take place part of AMPLIFY?
• Are anesthesia, imaging, and lab services included, or billed separately?
• Are there AMPLIFY alternatives available?

Always call SolarteHealth before scheduling
Our team can:
• Confirm whether the facility is part of AMPLIFY
• Help identify lower-cost or zero-cost alternatives
• Flag potential non-AMPLIFY or non-covered services in advance

Reminder: A surgery performed by an AMPLIFY surgeon at a non-AMPLIFY facility may
result in unexpected bills—even if the surgeon is part of the AMPLIFY network.

The best way to protect yourself:
• Use AMPLIFY providers whenever possible (see www.solartehealth.com)
This FAQ is intended for informational purposes only and
does not replace your employer’s Summary Plan
Description (SPD) or governing plan documents.
• Call SolarteHealth before major services or procedures
• Ask questions early—especially about facilities and anesthesia
• If your provider recommends changes to your care plan involving additional
providers, check back with Patient Advocacy
• Involve us before care, not after
We are here to advocate for you.

AMPLIFY offers a zero-cost care pathway when care is delivered within the AMPLIFY
network
• Zero-cost depends on who performs the service, not the service itself
• Preventive services are defined by your employer’s health plan
• HSA deductibles must be satisfied before zero-cost care begins for non-preventive
services
• Secondary services (facilities, labs, imaging, anesthesia) may occur outside the
AMPLIFY network and result in out-of-pocket costs
• Always ask questions—and always call SolarteHealth before scheduling surgery or
procedures