MediShare – Is MediShare Right For You?
Medishare, a type of health insurance that allows members to create their own sharing accounts with ACCU (the financial sponsor of Medishare). Each month, members deposit their share amount into these accounts. There are additional fees such as a $2 annual membership fee and $2 per month administrative fee. A $1 statement fee is also required. For more information on Medishare, click here. It will be a great decision that you made!
Pre-existing conditions aren’t covered by Medi-Share
You may worry about being denied coverage if you have a pre-existing health condition. Medi-Share does not deny coverage for pre-existing medical conditions. However, it has certain rules and a phase-in period before coverage becomes full. For example, you cannot join Medi-Share if you’re pregnant or have high blood pressure or cholesterol. You must have been a member of Medi-Share for at least 36 consecutive months to be eligible.
Unlike insurance, Medi-Share does not cover primary care services. Exempt are well-child visits up to 6 years of age and an annual physical for each family member. You’ll also need to pay out of pocket for most preventive services, such as flu shots, if you have them. You’re also expected to use a PPO network of physicians, but you’ll still need to pay out of pocket. Medi-Share offers telehealth services for its members.
Unlike most traditional health insurance, Medi-Share doesn’t deny coverage for pre-existing conditions. Although it does not exclude pre-existing medical conditions, Medi-Share limits the amount you can share depending on when your membership was established. You can share up to $100,000 per person per year for pre-existing conditions if you’ve had no symptoms for at least three years. Congenital conditions, such as cancer, are exempt from sharing. However, you must wait at least 36 or 60 months before getting covered under Medi-Share.
Medi-Share offers many coverage options. This is an excellent way to obtain health coverage without having to pay high-cost health insurance. The benefits are generous and Medi-Share can be used by people who have pre-existing conditions. Before signing up, make sure you read all the details. Medi-Share might not work for you if you cannot afford to have insurance.
Because Medi-Share is a faith-based health insurance program, it’s also a good option for Christians. The program will not cover abortion, drunk driving accidents, tobacco use, or other unbiblical lifestyle choices. Medi-Share covers adoption and pregnancy if you comply with their guidelines. The program is an excellent way to protect your financial future and to have peace of mind if you’re ever in need of health care.
Medi-Share covers preventive care
Certain preventive services are not covered by traditional health insurance. Medi-Share does not charge a fee for preventive services, even though they are a very common service. Medi-Share doesn’t cover immunizations or lab work. Medi-Share offers several different plans. These are the main differences in the plans, and the ways they provide preventative care. The difference between these plans is most pronounced when comparing preventive care costs.
Medi-Share does not cover primary care services. Well-child visits up to the age of six and one annual physical are the only exceptions to this rule. Medi-Share encourages its members to use doctors in its PPO network, which includes more than 900,000 providers nationwide. Your deductible does not include preventive care, so make sure you plan ahead. To avoid unexpected costs, make sure you include preventive care in your monthly budget.
Medi-Share doesn’t cover services for behavioral health, including counseling and treatment of learning disabilities. Medi-Share does not cover routine health screenings or vision and dental care. Medi-Share might pay for certain tests based upon symptoms. You should consult your plan’s guidelines for additional information. There is no co-pay for preventive care services, so expect to pay less than you would with traditional health insurance.
While Medi-Share may not be the right financial option for everyone, it is an alternative for those who do not have employer-sponsored insurance or aren’t covered by the ACA. Medi-Share offers a health coaching program for members, which costs extra, and helps them make lifestyle changes that will improve their health. Unfortunately, Medi-Share does not accept members who are older than 65 years of age. Medi-Share covers Medicare Parts A or B. Legal non-citizens and adults with dependent children can both be members.
Medi-Share also contains a section on biblical living. Participants must be believers and practice an active Christian lifestyle. The clause states that members will not abuse alcohol or drugs. Members must also abstain from smoking and illegal drugs. Luckily, Medi-Share does cover pregnancy and adoption. Pregnancy and adoption are covered as long as members make monthly contributions. If the member lives in a Christian home and follows the guidelines of the church, their costs are covered by Medi-Share.
Pregnancy expenses aren’t eligible for sharing
If you’re wondering whether you can use Medishare for your pregnancy expenses, you’re not alone. The guidelines for the program changed in 2013 and the ministry no longer disallows pre-existing conditions as a barrier to membership. While the ministry no longer disallows a woman from sharing pregnancy expenses, you can use Medishare for your prenatal care and delivery costs, which can add up to thousands of dollars.
You should choose the health care sharing plan that best suits your needs. Medi-Share requires members to follow biblical principles. That means no abortions or drunk driving accidents. Other restrictions include abstinence from tobacco and illegal drugs. Pregnancy and adoption costs are not covered. Medi-Share is available to you as long as your monthly contribution are made. It is important to know that you’ll only be eligible for maternity benefits after you’ve been a member for at least 36 months.
If you’re pregnant and are covered under Medi-Share, you will pay an in-network provider fee for in-person doctor visits. If you have to visit an emergency room, an additional $35 fee will be charged. If you are unable to find a doctor in your area, you may use telemedicine. If you’re married, pregnancy expenses are eligible for Medishare sharing. However, you may need to pay a copayment if you plan to use out-of-network providers.
While the guidelines for CHM coverage include most expenses associated with pregnancy, they do not cover the whole maternity episode. They include routine office visits and lab tests as well prescriptions and immunizations. You must have been married for 60 or more months if you are pregnant. If you switch to Gold and fall outside of these guidelines, the entire maternity episode will be ineligible for Medishare sharing.
Adoptions and funerals are eligible for Medi-Share
For thousands of years, Christians shared the healthcare burdens. MediShare was introduced in 1993. This formalized the approach. Since its inception, the program has helped over 400,000 members share four billion dollars in medical bills. The MediShare plan for believers under 65 covers medical expenses as well as funeral and adoption expenses. The MediShare plan is not an insurance policy, but a charity organization. The plan aims at providing Christian families with the resources they need for health and care.
To apply, a person must meet certain requirements and must have an AHP of three thousand dollars or more. MediShare also covers routine well-child and mental health counseling. MediShare members are eligible for one annual physical. The counselling calls last no more than 30 minutes. These will include basic tests such as hemoglobin A1C or a Lipid panel. Your monthly MediShare payment will decrease if you are eligible.
Moreover, MediShare members are exempt from the individual mandate clause of the Affordable Care Act (ACA) and will not be penalized for not carrying insurance. In addition, members can’t be denied MediShare coverage due to a medical condition, and the plan never imposes lifetime or annual limits. The organization also covers funeral and adoption expenses, which are often unaffordable. For Christian families, MediShare is a beautiful example of sharing and supporting one another. MediShare members can use it to bless other people.
In addition to these two expenses, MediShare members can contribute to qualified adoption or funeral expenses. The organization negotiates with providers to get the best prices. MediShare covers the costs and pays the bills for members who’ve met their AHP. The $35 fee covers the cost of providing medical care and members are expected to refrain from any sinful behavior. MediShare reimburses members’ costs when their household meets the AHP requirement.