Welcome!
GETTING STARTED CHECKLIST
Welcome to Impact Health Sharing. We are glad you are here. As a new member, we want to make sure you know ALL about Impact Health Sharing. Impact is a robust program, so take some time to get acquainted with all of the info you will find on this page. And, let's get started with a few things.
Schedule a Welcome Aboard Call, where our Member Services Reps will guide you through navigating your new membership.
During this call, you'll learn more about the benefits of your membership, how to use our online Member Center, and what your next steps should be.
The Member Center is your hub for all of your sharing details and the key place to manage your membership.
- See who shared your bills
- Send a note of encouragement
- Complete your MDLIVE health profile
- Search prescription costs
Print your member cards today from the Member Center. You'll get a printed copy, but you can always access your digital card online.
Cards will be mailed within 2 weeks of your start date. Please allow sufficient processing time to receive your cards. For any issues, errors, or additional cards, click here to request a new card.
WHAT TO DO WHEN YOU NEED CARE
If your provider is unsure or unwilling to accept Impact, please fill out the form and we will reach out to them.
Available only after an appointment is scheduled.
Read MoreTHE FOUR P'S OF YOUR IMPACT MEMBERSHIP
- PRA
- Pre-X
- Pre-Eligibility
- Preventive Care
Understanding your Primary Responsibility Amount
Do I Pay my PRA upfront?
Yes and No...The PRA is the annual amount a household is responsible for before medical bills will be approved for sharing. So yes, the PRA has to be paid in advance of sharing but depending on the bills incurred, you may not owe it all at one time. Read More.
What is the co-share?
A co-share is the percentage of an eligible medical bill paid by the member after the Primary Responsibility Amount (PRA) has been met. As an Impact member, after your PRA has been met, you pay 10% of all eligible medical bills. The remaining 90% is published for sharing to the Impact membership. There is a co-share limit of $5,000 per year per household annually. Watch it Explained
Understanding Pre-existing Conditions
Pre-Existing Medical Conditions are conditions in which known signs, symptoms, testing, diagnosis, treatment, or use of medication occurred within 36 months prior to membership (based on medical records).
Understanding when you need to request a pre-eligibility review
Pre-eligibility is required for any of the following treatments to be eligible for sharing:
• Cancer Treatment
• Elective Cardiac Procedures
• Non-emergency inpatient/outpatient surgery
• Organ/Tissue Transplant Services
• Maternity
• Imaging: MRIs and Nuclear Imaging (i.e. PET scans)
3-5 business day notice required, expedited review on a case-by-case basis. Medical records are required to determine pre-eligibility, and failure to provide requested records for review will result in the bill being ineligible for sharing.
*Does not apply to the Senior Program
Providers may request pre-eligibility by calling (855) 378-6777 or online.
Understanding Preventive vs Wellness Care
Preventive Screening
Preventive screening as outlined below is subject to PRA and co-share before bills will be shared for the following:
- Women: Pap test
- Mammogram
- Men: PSA test
- All: Colonoscopy
Impact follows the American Cancer Society's recommendations when it comes to sharing in Preventive Care.
Wellness Visits Are NOT subject to the PRA and Co-share. These will be shared at 100%.
One wellness visit is eligible for sharing for members 6 years and older per membership year. This includes a $150 allowance for some routine labs as ordered by the provider during that visit.
Experience the benefits of Impact's Exclusive Lab Savings Program. This partnership offers significant discounts on top-tier lab services, merging quality with affordability. Discover all the advantages and get started!
THE IMPACT BLOG
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A FEW REMINDERS
This Welcome Guide is intended to be an easy-to-read introduction to Impact and in no way replaces, supplements, or overrides the Impact Health Sharing Guidelines. The current guidelines govern, not the guidelines in effect when you joined.
Impact Health Sharing is Secondary to Other Sources
If a member has insurance or is eligible/ qualified for any insurance benefits or other health or welfare benefits, such as an employment-related health or welfare plan, workers’ compensation insurance, homeowner’s insurance, or fraternal benefits, the member is expected to take all reasonable steps in order to qualify for such payments and to exhaust the benefits available under those resources before submitting a request for sharing.
During the first 60 days of membership, sharing of eligible medical bills is limited to $50,000 (excluding pre-existing conditions). Discounts for prescriptions and Urgent Care Telemedicine visits with a $0 provider fee start the first month of membership.
Motorized Vehicle Accidents
Treatment related to injuries received while in motor vehicles is eligible for sharing, provided all legally required and industry-recommended safety equipment was in use. Treatment related to motorcycle accidents is limited to $100,000 per incident. Sharing will be secondary to automobile insurance. Treatment resulting from the abuse of alcohol, legal drugs or federally- classified illegal drugs, is not considered medically eligible and will not be shared.