Program FAQs

Enrollment

What is Oshi Health?

Oshi Health is a virtual digestive health clinic that provides specialized care to people living with gastrointestinal conditions – including Crohn’s disease, ulcerative colitis, irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD) – as well as common digestive symptoms, such as diarrhea, constipation, abdominal pain, and bloating.

Am I eligible to participate in Oshi Health?

As part of a partnership between Oshi Health and American Eagle Outfitters, Oshi Health will provide digestive care for a range of GI conditions. This program is currently open to American Eagle Outfitters employees and their adult dependents (18+) enrolled in a Cigna sponsored health plan, who reside in Pennsylvania or Ohio. Please continue to check back as we expand to additional states shortly.

What is the minimum required age to participate?

Oshi Health is currently available to people who are ages 18 and older.

What happens after I sign up?

Oshi Health uses a team-based approach to tailor care to each person’s needs. To do so, we start with an initial visit with a GI provider, where we focus on getting to know you, your health history, and your goals for your care. From there, we develop a personalized care plan, which may include meeting with other GI care team members to support achievement of your goals. Our priority is ensuring that you are connected to the right care team members with a focus on improving your quality of life and restoring control over your symptoms and digestive health.

What is the time commitment for using Oshi Health?

While the number of appointments you have will vary based on your individual needs and circumstances, Oshi Health GI care is designed to fit into your life. In addition to offering appointments during traditional business hours, we offer evening and weekend appointments so you can meet with your care team when it’s convenient for you, from the comfort of home or virtually anywhere.

About the Program

Is Oshi Health right for me?

If you’re looking to take control of your digestive health, Oshi Health may be right for you. Oshi Health delivers convenient, personalized, whole-person care to people living with GI conditions and symptoms. For information about eligibility, please refer to the Enrollment section above.

What conditions does Oshi Health treat?

We treat hundreds of GI conditions – including Crohn’s disease, ulcerative colitis, irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), small intestine bacterial overgrowth (SIBO), gastritis, and more – as well as chronic symptoms like diarrhea, constipation, abdominal pain, and bloating. Because we take an integrated, team-based approach, we are well equipped to provide care for complex cases. Whether or not you have a diagnosis, our GI care teams work to get to the root cause of your symptoms and create a personalized care plan focused on your goals.

What is included in my membership with Oshi Health?

After you sign up, you’ll get ongoing access to a full GI care team through the Oshi Health mobile app. Your GI provider care team will work with you to develop a care plan to help you take control of your digestive issues and get back to what’s most important in life. 

Your care team will include access to highly qualified GI-specialized providers, including GI Nurse Practitioners, GI Physician Assistants, GI Registered Dietitians, GI Behavioral Health Providers, and GI Health Coaches, all working together to deliver integrated care guided by our Gastroenterologists. Your membership also includes access to our dedicated GI Care Coordination team, who helps you navigate your health journey, including medical record retrieval, external referrals, and procedural needs. Additionally, if your care plan requires prescription medications or diagnostic tests, including labs, imaging and procedures, your team can provide access and referrals, as needed.

How does Oshi Health protect my medical information?

Your privacy is our top concern. Our HIPAA-compliant mobile app and systems are fully encrypted end-to-end to ensure your medical information stays protected. We engage in annual security checks  to ensure our practices are current and effective. We never share individual-level medical information with employers or third party companies.

Insurance and billing

How much does Oshi Health cost?

If you are enrolled in a Cigna Open Access Plus Plan or Cigna Open Access Plus HRA Plan, Oshi Health services are covered by your plan at no additional cost to you.

If you are enrolled in a Cigna Health Savings Account Plan or Cigna Economic Health Savings Account Plan (HDHP), you will be billed for provider visits at the following intervals if you have not yet met your deductible.

  • Establishing Your Care Plan:
    When you sign up, we take the time to get to know you, your symptoms, and your care needs. You will work with your GI provider over 1 or more visits to establish your care plan. For these visit(s), a total of $300 will be billed to your insurance.
  • Working towards Symptom Improvement and Control:
    To make progress towards your care plan, you will meet with your GI provider, registered dietitians, behavioral health providers, and have access to care coordinators and health coaches via chat. For these services, Oshi Health will bill your Cigna insurance up to $1,200, across three payments. Claims will be submitted to Cigna first for reimbursement, and any patient responsibility will be due afterwards.

To determine which health plan type you have, we recommend reviewing your member ID card.

Am I able to use my HSA or FSA?

Yes, copays, deductibles, and other costs related to visits or external care services are HSA or FSA eligible for most patients. We recommend checking with your FSA/HSA provider for more information and details as to how you can use these funds.

How will I be notified about a bill? How can I pay it?

If you are enrolled in a Cigna Open Access Plus Plan or Cigna Open Access Plus HRA Plan, Oshi Health services are covered at no additional cost to you. You will not receive a bill from Oshi Health for your services, but you may receive a zero-balance Explanation of Benefits from Cigna as part of your care.

If you are enrolled in a Cigna Health Savings Account Plan or Cigna Economic Health Savings Account Plan (HDHP), you will receive an email and paper statement to the address on-file when your billing statement(s) is available, which will include information about how to make a payment.

What is Integrated Digestive Partners? Why does that name appear on my bill?

Integrated Digestive Partners is the medical entity that employs Oshi Health providers. You may see the Integrated Digestive Partners name appear on several Oshi Health documents, including billing statements, order forms, and other medical documents.

Can I choose to stop participating in the program?

While we’d love to continue to provide you with support, we understand that you may choose to stop participating in the program. If you choose to discontinue, you must provide notice to Oshi Health 7 days in advance of your next billing cycle to avoid being charged for services within that period.

If I need in-person care services, in addition to my virtual care from Oshi Health, are they covered by my insurance?

If you receive care outside of Oshi Health, or if our care team refers you for necessary external services (such as lab tests, in-person physical exams, or medications from your pharmacy), your standard insurance copays and deductibles will apply. Oshi Health’s care coordination team strives to find in-network, affordable partners for external services. 

About the providers

What is a gastroenterologist?

Gastroenterologists are licensed, board-certified doctors with advanced training in the management of digestive disorders, such as Crohn’s disease, ulcerative colitis, irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), pancreatitis, and more.

After medical school, gastroenterologists complete a three-year residency in internal medicine, followed by an additional three-year fellowship with specialized training in gastroenterology. Oshi Health Gastroenterologists have all completed their fellowship training at a program certified by the Accreditation Council for Graduate Medical Education (ACGME).

What is a GI advanced practice provider?

GI advanced practice providers are licensed professionals with specialized training and experience in digestive conditions. At Oshi Health, our advanced practice providers include both GI Physician Assistants and GI Nurse Practitioners who provide high-quality, personalized care for our members under the guidance of a gastroenterologist.

What is a GI registered dietitian (RD)?

GI registered dietitians are licensed experts in nutritional care with extensive knowledge of gastrointestinal conditions and digestive health. At Oshi Health, our GI Registered Dietitians provide tailored dietary guidance to help members identify any foods that trigger symptoms, and find a sustainable dietary plan that works to keep symptoms under control. Registered dietitians hold nationally recognized certifications from the Academy of Nutrition and Dietetics and have completed accredited, supervised practice programs. The GI Registered Dietitians at Oshi Health take this training one step further by undergoing specialized training in gastroenterology.

What is a GI behavioral health provider?

GI behavioral health providers are licensed professionals who study the brain and behavior. Oshi Health GI Behavioral Health Providers have an advanced degree in psychology or other behavioral health specialities. Our providers understand the science behind the brain-gut connection and are trained in evidence-based therapies – such as cognitive behavioral therapy, gut-directed hypnotherapy, mindfulness-based stress reduction strategies, and more – that reduce digestive symptoms and enhance wellbeing.

What is a GI health coach?

At Oshi Health, GI Health Coaches are specialized members of our care teams with expertise in behavior change, who help members manage their symptoms through lifestyle, diet, and other adjustments (such as sleeping better or reducing stress). Our GI Health Coaches work closely with our GI Registered Dietitians, GI Behavioral Health Providers, and other GI providers to help members implement care plan recommendations with a coordinated, comprehensive approach.

What is a GI care coordinator?

Our GI Care Coordinators help members manage the logistics of care while also supporting our clinical providers to ensure coordination. We know that sharing medical history, scheduling appointments, filling out insurance forms, navigating health plan coverage and benefits, and finding local test sites (if needed) can be challenging – so our Care Coordinators help facilitate these tasks. Care Coordinators at Oshi Health also have advanced training to understand the complexities of GI traditional care, including endoscopies, infusions, and more.

Medical services

If I am already working with a gastroenterologist, can I still use Oshi Health?

Yes. Oshi Health provides ongoing, personalized support to enhance the care you might already be receiving from a local GI clinic. We can provide support between visits and offer additional GI-specialized care to help you identify your triggers and make progress towards relief. And to ensure your care experience is coordinated, we can share records with your existing GI clinician if you’d like, to support ongoing care and collaboration.

Is Oshi Health able to prescribe medications and other lab tests?

Yes, your Oshi Health GI provider can prescribe medications, sending orders to the pharmacy of your choice. Oshi Health GI providers can also order labs, imaging studies, and other clinical tests, when necessary, in partnership with a local lab or GI clinic.

What if I need in-person care care?

For most Oshi Health members, care is delivered through a fully virtual experience. Members meet with their GI providers through the Oshi Health mobile app to develop and make progress toward their individual care plan. If needed, our GI providers can also order medications virtually. There are some instances where in-person care – such as labs, imaging, or other diagnostic tests – is necessary. In that case, an Oshi Health GI Care Coordinator can help you find an in-network provider at a location convenient for you. For external services, standard copays and deductibles may apply as noted in your plan benefit details.

Does Oshi Health offer urgent care?

Our providers can address a wide range of concerns. Because we offer members appointments within two days, we are a great option for urgent needs. If you are experiencing new or worsening symptoms, you can always reach out to Oshi Health at (646) 876-8455. By navigating the options, you can connect with a medical provider who can provide advice and help guide your next step, which could include helping you determine if an expedited appointment might be needed. As always, if you feel you need emergency care, please dial 911 or your local emergency number immediately.

Questions?

Call or text (646) 876-8455 (9AM – 6PM EST)