Program Change Form

Changing from Legacy Premier to Solidarity ONE

If you are on Legacy Premier and would like to change to Solidarity ONE, you can do so at the beginning of any month. There is no restriction on when you can do so during your Membership year.

  • Your Membership year will be reset
  • The date of the change will be the new effective date for your Membership year
  • Your AUA will reset to the new full amount of the program you have selected (i.e. $6000 for Solidarity 6000)

Changing to a Program with a Higher AUA

You are able to raise your AUA once within your Membership year. 

  • Any amount that has already been applied to your AUA would still apply
  • You can only go up once throughout the year, so you will not be able to change your program again until the end of your Membership year

Changing to a Program with a Lower AUA

If you would like to change your sharing program to a program with a lower AUA, you are only able to do so at your yearly renewal. Make sure you fill out the Program Change Form a month in advance of your yearly renewal so that we can process the change and update your program.

 

Please use this form to notify Solidarity HealthShare that you would like to change your Membership Program: Program Change Form

Before starting, be sure to have the following available:

  • Your Member ID card
  • Your current Membership information
  • The name of the Solidarity ONE program you would like to select

Important: All program change requests require that notification is received by the first (1st) day of the month prior to the month in which the Member intends the program change to take effect. Program changes cannot be applied to a retroactive date.

Was this article helpful?
1 out of 1 found this helpful