Program FAQ

Enrollment

What is Oshi Health?

Oshi Health is a virtual digestive clinic that provides comprehensive care to patients who are struggling with gastrointestinal (GI) conditions such as Inflammatory Bowel Disease (IBD), Irritable Bowel Syndrome (IBS), or other common digestive issues such as diarrhea, constipation, abdominal pain, bloating.

What happens after I sign up?

Oshi Health uses a team-based approach to personalize care to each individual’s needs. To do so, we start with an initial visit with a GI Provider where we focus on getting to know you, health history, and your goals for your care. From there, a personalized care plan is developed and other GI care team members may become involved to support your 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.

Can I choose to stop participating after I sign up?

While we’d love for you to continue to participate with Oshi Health, we fully understand that things come up that may prevent your ongoing engagement and/or you may choose to discontinue your care. In this case, you would notify your Oshi Health care coordination team via chat within the Oshi Health mobile app and we will process your request.

What is the minimum required age to join Oshi Health?

Oshi Health is currently only available to members who are 18 and over.

About the Program

Is Oshi Health right for me?

If you reside in the states of FL, ME, MA, OH, PA, TX and are experiencing any gastrointestinal (GI) symptoms or already have an established diagnosis from a GI provider, you may benefit from access to a GI provider care team who can help build a personalized care plan to help you take control of your digestive health.

What is included in my membership with Oshi Health?

After you sign up, you’ll have ongoing access to your personalized GI-specialized 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 care team members, including Gastroenterologists, GI Specialized Providers (including GI Nurse Practitioners and GI Physician Assistants), GI Registered Dietitians, GI Behavioral Health Providers, and GI Health Coaches, all working together to deliver integrated care aimed at helping you achieve symptom control. Additionally, you’ll be partnered with a Care Coordinator to help 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.

Insurance & Billing

Are Oshi Health services available to me?

As part of a partnership between Oshi Health and Aetna®, Oshi Health will provide digestive care for a range of GI conditions for Aetna members.

What services are covered by my insurance?

Visits with Oshi Health GI medical providers will be covered by Aetna and your standard in-network provider co–pays and deductibles will apply. For most members, unlimited visits with behavioral health providers and dietitians will be provided at no additional cost. Additionally, most Aetna members will have no-cost access to supplemental care services – including health coaching, chat messaging, care coordination and more.

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, prescriptions, etc. your standard co-pays and deductibles will apply.

Am I able to use my HSA or FSA?

Yes, co-pays, 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.

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 or deductibles will apply. Oshi Health’s care coordination team strives to find in-network, affordable partners for these external services.

How will I be billed for Oshi Health care services?

As part of your onboarding experience, Oshi Health will request your Aetna® health insurance information. Covered care services provided by Oshi Health will be billed through your insurance and your standard in-network co-pays and deductibles will apply.

About the Providers

What is a Gastroenterologist?

Gastroenterologists are board-certified physicians with dedicated specialty training in the management of diseases of the gastrointestinal tract and liver. Their training includes conditions such as colon polyps and cancer, hepatitis, gastroesophageal reflux (heartburn), peptic ulcer disease, colitis, gallbladder and biliary tract disease, nutritional problems, Irritable Bowel Syndrome (IBS), and pancreatitis. After medical school, Gastroenterologists complete a three-year residency in Internal Medicine, followed by an additional three-year fellowship (specialty training) in Gastroenterology. Gastroenterology fellowship is a highly competitive and rigorous program in which trainees learn directly from nationally recognized experts in the field. They learn to treat and diagnose a broad range of conditions and receive dedicated training in endoscopic procedures. Your Gastroenterologists have all completed their fellowship training in the United States and are board-certified from respected organizations.

What is a GI-Specialized Provider?

GI-Specialized Providers are licensed professionals with specialized training and significant experience in caring for patients with GI conditions. At Oshi Health, we have both GI Nurse Practitioners and GI Physician Assistants. Oshi Health GI-specialized providers complete an additional advanced degree followed by experiential training in Gastroenterology. All of your GI-specialized providers will be based in the U.S. and have undergone further extensive training at Oshi Health on how to incorporate nutrition, lifestyle, and health coaching into your management plan. They will work alongside the Gastroenterologist to provide high-quality care that is timely and personalized.

What is a GI Registered Dietitian (RD)?

GI Registered Dietitians (RD) are experts in nutritional care with extensive knowledge in GI and digestive health. Your GI Registered Dietitian will provide tailored dietary advice to help you identify foods that trigger your symptoms, and generally, help with finding the right foods that work for you. Registered Dietitians are US-licensed, 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 sub-specialized training in GI.

What is a GI Behavioral Health Provider?

Oshi Health GI Behavioral Health Providers are US-licensed and have a doctorate degree in psychology or hold advanced degrees in psychology, social work, and/or other behavioral health professions.

As the healthcare and GI community continue to learn more about gut health and the strong relationship between the gut and brain, there is a greater need for incorporating psychological intervention—including Cognitive Behavioral Therapy, Psychodynamic Therapy, hypnotherapy, mindfulness, and other therapeutic modalities—as part of the total GI care plan. You will be able to address core mental health concerns like stress and anxiety that might be contributing to heightened symptoms, as well as learn how to cope with psychological concerns that might be brought on by your GI condition.

What is a GI Health Coach?

GI Health Coaches are specialized members of your care team who have expertise in behavior change and can help you manage your condition to lead a happier and healthier life. GI Health Coaches work with your care team to help you set lifestyle and behavior goals to improve your GI symptoms (such as sleeping better or managing stress more effectively). Your coach will meet regularly with your GI Registered Dietitian, GI Behavioral Health Provider, and other GI care team members to understand what they recommend for your specific needs, and help you implement those recommendations.

What is a GI Care Coordinator?

GI Care Coordinators will help you manage the logistics of care, while also supporting our internal clinical staff to ensure fluid coordination between the various professionals working on your team. We know that sharing your medical history, scheduling appointments, filling out insurance forms, navigating benefits/coverage of your health plan, and finding local test sites can be challenging. To help with this process, your GI Care Coordinator will help facilitate these tasks for you. Oshi Health GI Care Coordinators work only with GI patients and therefore understand the unique circumstance of GI care including endoscopy, infusions, GI medications, and symptoms.

Medical Services

If I already have a Gastroenterologist I am working with, can I just work with a specific GI-specialized care team member at Oshi Health?

Yes, Oshi Health specializes in providing ongoing, personalized support to enhance the care you might already be receiving from a local GI clinic 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 to support ongoing care.

What if in-person care is recommended by my Oshi Health GI-Specialized care team?

For many patients, virtual care will be sufficient to handle their care needs. Through virtual visits, your providers can order medications, labs, imaging, or other diagnostic tests. There are some cases where in-person care is required for patient safety. In these cases, Oshi Health will help find you an in-network provider.

Is my Oshi Health GI-Provider able to prescribe medications and other lab tests?

Yes, your Oshi Health provider can prescribe medications, just like any other medical practice. Your provider can also order labs, radiological imaging studies, and other clinical tests, when necessary, at a local GI clinic.

Does Oshi Health offer urgent care?

Our providers can address a wide range of concerns. Because we offer next-day appointment availability, 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 emergent care, please dial 911 or your local emergency number immediately.

Still Have Questions?

Give us a call or text us at 646-876–8455.