Pre-Notification of Shareable Healthcare Services benefits the Membership by monitoring Healthcare Services to ensure appropriate and cost-effective care. Pre-Notification can eliminate unnecessary services, hospitalizations, and shorten Inpatient admissions, while improving quality of care and reducing expenses Shared among the Members.

To be eligible for Sharing, America’s HealthShare must be notified in advance (“Pre-Notification”), except in the case of emergencies, for the following:

• • Alternative or integrative treatments including but not limited to naturopathic treatments or allogeneic stem cell therapies
  • Home health care
  • Hospice care both inpatient and at home every thirty (30) days, as necessary
  • Imaging: MRIs and nuclear imaging (i.e. PET scans)
  • Inpatient services including hospital admission with room and board, dialysis, labs, imaging, medications, therapies, skilled nursing, and Inpatient medical rehabilitation. The Sharing Member, or the Member’s Provider or representative, must call America’s HealthShare at least seven (7) days prior to admission.
  • OB/GYN and fertility services including pregnancy, laparoscopy, dilation and curettage, and hysteroscopy
  • Ophthalmological services
  • Organ/tissue transplant services
  • Prosthetics
  • Sterilization reversals
  • Surgeries both inpatient and outpatient, but not including in-office surgeries