Medi-Share FAQs

You Have Questions,
We Have Answers.

Medi-Share Complete FAQs

You Have Questions,
We Have Answers.


Is maternity eligible for sharing?

Married Members with an Annual Household Portion of $3,000 or higher who have faithfully shared from the month of conception through the month of delivery are eligible for maternity sharing. Sharing is limited to $125,000 for any single pregnancy event. This includes antepartum care, the cost of delivery and complications to the mother and/or child(ren), and postpartum care. To be eligible, delivery must be performed by one of the following:

  • Medical Doctor
  • Doctor of Osteopathy
  • Midwife who is properly licensed, certified, and/or registered in the state of delivery as required by state law

Review Medi-share Complete Guideline Section VII for additional details.

Is adoption eligible for sharing?

Yes, adoption cost are eligible for sharing (up to two adoption events can be shared per Member Household). The adoption of multiple children at the same time is considered one event. Review Medi-share Complete Guideline Section VIII for additional details.

Is routine care eligible for sharing?

Routine care is not eligible for sharing; however, if your provider is with PHCS you should present your ID card and have them bill Medi-Share to receive discounts on your routine services. There are exceptions for well-baby care (See Section VII. F.) and one annual physical with limited labs for each member at one of the new program levels, which will be eligible for sharing once the AHP is met or can be applied toward the AHP.

Please note: Well-child care is not shared for members who select the DPC program option, as members who utilize a DPC provider will have access to well-child care through their DPC arrangement.

For a short video tutorial on routine/preventative services, click here.

Are prescriptions eligible for sharing?

The cost of CMS or FDA approved testing, treatments, and up to six months of FDA approved prescription drugs per eligible condition will be considered for sharing. Section VI. A. As a Medi-Share Complete member, you can save on most prescriptions by presenting your Medi-Share ID, with the Navitus Pharmacy Solutions information on the front of the card, at participating pharmacies.

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