Choice of $1000, $2000, or $5000.
The Initial Unshared Amount is the out of pocket amount the member has prior to cost sharing for the NEED.
All qualified medical expenses after IUA is met are shareable at 100% and without an annual or lifetime limit.
The IUA is met one time for the Need and not does not reset annually. It remains open with all medical expenses related to the Need being shared until symptom free for 12 months.
Members usually benefit with an IUA vs a yearly deductible.
Members have two options to access care outside of the DPC office:
A "Need is the ALL of the medical expenses surrounding a new illness, accident or diagnosis.
Once the total expenses for any new need exceed the Initial Unshared Amount, the member no longer contributes to the need and further medical expenses are shared by the community.
Any member household that experiences 3 IUA's within a membership year may have any further medical expense fully shared after only reaching a $500 threshold to further protect the member.
Have you opened a new location, redesigned your shop, or added a new product or service? Don't keep it to yourself, let folks know.
Pre-Existing Conditions - 24-month look-back:
Exceptions for High Blood Pressure, High Cholesterol & Diabetes as long as there has not been a hospitalization for the condition in the past 12 months and able to control through medication or diet.
$50 monthly surcharge per household.
Furthermore, there is a sharing limit for smokers age 50 or more of $50,000 for Heart Conditions, Cancer, COPD & Stroke.
No yearly or life time limits
For times that your DPC Provider is not available, you have a secondary service that coordinates and reports to your DPC
Prescriptions that are related to a qualified Need are also considered sharable when they are part of treatment or are curative.
Maintenance medications are not shareable.
For more expensive medications we have resources who can get medications overseas to our members at a better cost. For example, high cost maintenance meds such as insulin, medicated creams, & asthma inhalers.
MPB.Health also helps members to access to all Manufacturer Savings Programs, Patient Assistance Programs and other savings and discounts offered by pharmaceutical manufacturers.
No pre-authorizations are needed, there are no claims to file and members will receive discounts directly to their email
The online portal is easy to access, connecting members to a discounted network of vetted alternative medicine practitioners, lifestyle products, and other products such as massage, acupuncture, chiropractic, etc.
Secure and accessible emergency profile and personal health records. Members can grant access to their Electronic Medical Records to practitioners, providers, facilities, etc. providing continuity of care.
24/7 Emergency Assistance with your Personal Life Code allows medical professionals instant access with a 5-digit Life Code ID
Members fill out an online health risk assessment which assesses diet, exercise, and lifestyle habits. The results give members tips, tools, guidance and education to help them become and stay healthy.
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