What is a Primary Responsibility Amount (PRA)?

Primary Responsibility Amount (PRA) is the dollar amount a Household must pay toward their own Eligible Medical Bills during a 12-month period before their Eligible Medical Bills can be published and shared by the Membership.

Primary Responsibility Amount (PRA) is the dollar amount a Household must pay toward their own Eligible Medical Bills during a 12-month period before their Eligible Medical Bills can be published and shared by the Membership.

 

All eligible medical bills will be applied to your PRA. This would include anything that has been determined to be eligible based upon the guidelines like: office visits, diagnostic testing, diagnostic labs, and hospital charges. Please refer to the Guidelines for a complete list.  Some things that will never be applied to your PRA are your co-pays, routine or preventative care not listed in Section D of the guidelines, or anything else that is ineligible for sharing. 

The PRA 12-month period begins on the Membership Date.

  • The PRA resets on the anniversary of your Membership Date.  Your Membership Date is the date that your membership in the Impact Sharing Plan started.
  • A Member can change their PRA amount on the anniversary of their Membership Date.