Going to the Doctor
Steps to Care
Impact Health Sharing is not a new concept, but it is a new blend of a lot of the things that work RIGHT in healthcare. And, getting the care you need is easy with a few simple steps.
1. Choose a Provider
Impact supports your choice to see any provider you choose.
If you would like help locating a provider, contact Impact Health Sharing and ask to speak with a Care Navigator.
2. Show Your Member Card
At every appointment, show your member card with Impact’s billing information. If the provider isn’t familiar with Impact or asks you to self-pay, don’t worry. Both situations occur, and neither prevents using your Impact membership or seeing your chosen provider.
3. Pay Your Provider Fee
You’ll have a small provider fee to pay at each visit. This fee is part of your agreement with Impact and is not part of the costs that are shared.
The provider fee is $0 for Urgent Care Telemedicine, $50 for each primary care visit, $75 per specialist or urgent care visit or $150 for an emergency room visit or hospitalization.
Steps to Sharing
When you get medical care with Impact Health Sharing, your doctor may bill Impact directly or ask you to self-pay.
Whether you submit your bills for sharing directly to Impact or your provider submits them to us, you are still saving with Impact and seeing the provider you choose.
- OPTION A: DIRECT ELECTRONIC BILLING
Some doctors bill Impact directly. They handle the billing, and Impact coordinates the healthcare costs with them. Your bills must be eligible for sharing, and your PRA must be met before any costs can be shared. The exception here is your annual physical and a $150 lab allowance, which are shared fully, even if you haven’t met your PRA.
- OPTION B: SELF-PAY
If your healthcare provider requests payment in advance, proceed with the payment and then submit your receipt and bill to Impact using the Medical Expense Form. When you pay cash, ensure you obtain a HCFA, UB, or at the very least, an itemized bill. Don’t forget to ask for a ‘cash pay’ discount or ‘self-pay’ discount, as these can significantly reduce your out-of-pocket expenses.
Eligible medical bills will either be applied towards your Personal Responsibility Amount (PRA) and co-share or, if your PRA has already been met, they will be published for sharing and subsequently reimbursed.
If these costs are from your annual physical or $150 lab allowance, you will be reimbursed once the bill is processed. No need to meet your PRA first.
In the end, whether your doctor bills Impact directly, or you pay first, your medical needs can be shared through Impact Health Sharing, as long as your costs are eligible for sharing and your PRA is met. Both methods are just different ways to handle payment.
Impact Health Sharing Provider Education
Provider Outreach Request
If your provider is unsure or unwilling to accept Impact, please fill out the form below and we will reach out to them.
To ensure that our team can contact your provider, please make sure you have a scheduled appointment that is at least 72 hours after the submission of this form.
*Not applicable to participants of the Senior Program.
