At this time, the following two states are not able to participate in our HealthShare plans: Washington and Vermont

Join PMBMed anytime.  Sign up by the 20th of the month to begin on the first day of the following month.

No. Disenroll from an PMBMed Healthy PPO Plan by the 20th to be effective for the following month.

The Preferred Provider Organization (PPO) is accessible through First Health Aetna which is used for the preventive, provider facility copays as well as lab portion of this plan.

To locate a provider visit https://providerlocator.firsthealth.com/LocateProvider/SelectNetworkType

Select “First Health” as the network and then select provider type and enter zip code.

Health Share protects members in emergency, surgery, hospitalization, and large out of pocket medical expenses. Millions of Americans have chosen Health Share membership for healthcare freedom, savings, and a safety net for the unexpected in life.

Our Advocacy team works with members to negotiate and attain fair pricing for medical services. As direct and self-pay patients, our members experience lower medical bills by leveraging our resources.

The Healthy PPO Plan includes insurance benefits which are compliant with Part A of the Affordable Care Act.

Yes.  You can find a full list of preventive services covered by your plan at healthcare.gov/coverage/preventive-care-benefits

Some Pre-existing conditions have a waiting or phase in period. See plan details for more information.

*Once copay limits have been reached, additional costs may qualify for Health Share after UA has been met. Pre-existing condition limitations may apply.

Note: When using Health Share, you can choose any doctor or provider you prefer.

Unlimited Virtual Urgent Care, 24/7/365 with Licensed, Board- Certified Physicians at $0 copay.

Yes, in fact many of our members will spend a fraction of what is typically owed for those using traditional methods to cover their care. Our maternity program includes prenatal, delivery, postnatal, homebirth, midwives, and doulas. Members who keep the cost down for the Health Share community may be eligible to have part of their UA responsibility waived. Members are able to use a wide variety of prenatal and postnatal services that are not often covered by traditional plans. *Those who are pregnant or who become pregnant within the first 30 days of joining are not eligible to share the maternity expenses.

These costs can be shared, regardless of where they occur, as long as the Sharing Request is eligible based on the Member Guidelines.

Members have access to their program both thru a secure online member portal with dashboard as well as the ability to download a mobile app with accordion plan features including ID card.

Utilize the member ID card with third party administrator and PPO network accessible thru Health Wallet mobile app for the following services:

• ACA Preventive Services
• Virtual Telehealth
• Provider Office Visits
• Urgent Care
• Pharmacy
• Lab & Imaging

• Major medical (Emergency, Hospital and Surgery)
• Out-of-pocket costs after beyond PPO & UA

When anticipating or experiencing a medical out-of-pocket expense beyond the PPO benefits and after the UA, members should immediately establish self-pay for best cash discount and then whenever possible, coordinate with ShareWELL and the Care Coordinator for approval and pre-pay in accordance with member guidelines.

Members have help desk, direct phone contact and mobile app with access to unlimited care coordination, advocacy and program navigation.

Similar to a deductible, the Unshared Amount, or UA, is the amount a member must contribute as their member responsibility before expenses related to a Sharing Request become eligible with the Health Share. We offer 3 UA options: $1,500, $3,000, and $6,000. After the member pays the UA, additional eligible medical expenses are shared with the Health Share. There is no annual or lifetime limit on eligible expenses.