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Cost Sharing Insurance

Are there national regulations being drafted that could affect cost sharing participants?

The Affordable Care Act and Healthcare Cost Sharing Plans

Health Care Sharing Ministry: Health Care Sharing Plans
The search for alternatives to conventional health insurance due to rising premiums and other out of pocket costs has begun to drive many to consider joint one of the nations many health care Sharing Plans. These do not have any premiums or deductibles although there may be other associated fees. At the end of the day many families are finding out that they can save a rather significant percentage of their healthcare costs annually by switching to a healthcare Sharing plan from a conventional Heath insurance plan. Let’s take a quick look at what these plans are, some of the history of these plans and any legislation that is relevant to the administration of these types of plans for you and your family.

What are Health Care Sharing Plans?

Health Care Sharing Plans or otherwise known as Heakth Care Sharing Minitries are a type of health coverage option that is faith based. Members of these plans contribute monthly and they are able to get eligible medical procedures and services covered under the plan. They have been growing in popularity for a number of reasons. They are a faith based alternative to conventional insurance that rejects the pursuit of profit over the pursuit of patient outcome. Many like the level of attention they feel they receive from these types of plans when compared to conventional insurance. Many have also found that they can lower their overall family medical cost by trying one of these plans out.

How Do Health Care Sharing Plans Keep Costs Lower?

These plans keep costs lower by eliminating a lot of the administrative waste associate with the profit obsessed traditional health insurance industry. By making themselves non profit organizations and only covering eligible procedures they are able to lower the total costs for all members.

What is Conventional Health Insurance?

Conventional medical insurance is paid for through monthly payments called premiums. The average family of four can spend over ten thousand dollars a year on these expenses. They will also carry deductibles. These are limits which you must meet before the plan will actually pay out anything for you. They will have hospitals and doctors that are in network and others that are out of network. These can sometimes get quite confusing so make sure to read your policy details before making any serious medical decisions.

Health Care Sharing Plans as Compared to Conventional Health Insurance Plans

The primary benefit that health insurance has over health care Sharing Plans would be the spread of their coverage. There are some medical procedures that it can be difficult to find plans that will cover them but you can almost always find an insurance policy that will. There are also restrictions on where you can use your health care Sharing plan. Now the are where healthcare Sharing Plans come out on top every single time would be Cost. The healthcare Sharing Plans almost have a lower monthly cost as well as lower total out of pocket cost. If you are looking for a low cost alternative to conventional health insurance then these could be a great fit for you and your family.

History of Health Care Sharing Plans

The concept of sharing health care costs appears to have been around since over one hundred years ago. There are records of Amish communities who ch instituted early forms of these types of systems. They are risen up around communities that share common beliefs and have banded together to help share healthcare costs among all of the individuals. The majority of these institutions today are of the Christian faith but there are other healthcare Sharing plans which are more secular in nature. In the late 2000s there were several states that attempted to file lawsuits against organizations that offered these plans on the grounds that these were unauthorized insurance services. Today thanks to provisions of the affordable care act or ACA these types of plans enjoy special recognitions and status protection under the eyes of the law. After the repeal of Obamacare the future was uncertain for these plans but recent reviews have seemed to indicate that people will continue to use them and they could even continue to increase in popularity as a way to maintain coverage while cutting costs over conventional health insurance coverage.

Membership Data of Healthcare Sharing Plans

At the time that the affordable care act was passed in 2010 there were one hundred thousand people who were covered by these health care Sharing Plans. The number grew by sixty thousand over the next four years to one hundred and sixty thousand. The popularity then really began to take off. Today there are though to be more than one million people who have decided to get coverage by purchasing health care Sharing plan. These people are all enjoying the cost savings that millions are looking for still

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Cost Sharing Insurance

Understanding The Differences Between Cost Sharing And Insurance More Thoroughly

Healthcare Cost Sharing Plans versus Conventional Health Insurance

Understanding the Difference Between Insurance and Cost Sharing Plans
Healthcare is both a confusing and important subject at the same time. Especially when you take into context how confusing your healthcare coverage options can be with the existing healthcare marketplace. There are many people who are afraid of getting needed medical help solely due to fear of cost or loss of income. Now many people are looking for alternatives to traditional health insurance as for many even that has become unaffordable. Healthcare Cost Sharing Plans offer a great alternative to traditional insurance as a low-cost way to guarantee that you can receive quality care when you need it the most. Now you may not know much about healthcare Cost Sharing Plans yet but we are going to go ahead and break them down for you.a

What are Healthcare cost Sharing Plans?

Healthcare Cost Sharing Plans differ from traditional health insurance in a few ways.

First off these are faith based programs. These programs are designed to split up costs among members of the plan and share the cost for eligible medical experiences. Perhaps the single biggest reason most people first become interested in these programs would cost. Compared to unsubsidized coverage which can cost over 1500$ a month for the average family of four in America these plans can save over 1000$ a month while still providing much-neeeded access to healthcare. On top of the lower monthly cost they also typically have lower limits for their out of pocket expenses as well. Overall it should be easy to see why these programs have been growing in popularity especially with people who do not have access to employer provided health care coverage.

How Does Health Insurance Compare?

The terminology differs so technically there are no deductibles or copayment but you will still have monthly and out of pocket expenses with these plans. Now the good news is these expenses are for the most part much lower. Most individuals end up saving money on both their monthly and out of pocket healthcare costs by switching to a health care Cost Sharing plan. Sometimes they can save over 1000$ a month. The biggest limitation for these plans is the comparative lack of coverage when viewed st next to other conventional health care insurance plans. While the majority of medically necessary procedures will be required the faith based nature of these Cost Sharing Plans sets some natural limitations to just how many things can be covered by the Plans. Anything that has been deemed as unbiblical will not be covered by most health care Cost charting plans even though they may be covered by traditional health insurance.

It is important to note that lower costs are great however the coverage available under these plans could potentially be a little less wide than regular insurance. Most medical procedures can be covered under these plans but due to the faith based nature of them oftentimes unbiblical procedures will be denied.

What are the Benefits of a Cost Sharing Plan?

The largest benefit would be the peace of mind you can have knowing that you are covered in case of a medical emergency while also not stretching your budget too far. The low monthly expense could leave you with more room in your budget for other necessities or simply to pad the save mags account. The lower out of pocket costs can help give you peace of mind knowing that even in the worst case scenario you do not have to add a financial catastrophe on top of a medical emergency.

Are there Deductibles in Cost Sharing Plans?

No there are no deductibles involved with health care Cost Sharing Plans. There are however other out of pocket expenses. The terms for these in Cost Sharing Plans are a little different. Instead, there are referred to as personal responsibility, the annual household portion (AHP), or Annual Unshared Amount.

Other terms you should be aware of:

  • Premium = monthly “share”
  • Claim = eligible event, incident, or illness
  • Explanation of Benefits (EoB) = Explanation of Sharing

Out of Pocket Cost Comparison

The costs that you will pay with a health care Sharing plan typically will differ depending on your provider so be sure to take a close look at your explanation of sharing benefits page. This will let you know all of the costs you can expect to pay with your plan. Typically you will have a monthly payment that you pay to maintain your coverage and any individuals on the plan with you. In addition to this monthly payment, you will also most likely have some type of out of pocket cost you must pay before your sharing benefits will kick in. Both of these amounts should be lower than comparable conventional health insurance would be in most cases. These plans are great for people who are struggling to pay for healthcare with conventional coverage but still need to maintain their coverage for health reasons.

Coverage Availability Comparison

The biggest constraint when it comes to recommending a healthcare Cost Sharing plan it would be the coverage options. While there are many plan providers so availability and options may differ in general there are fewer procedures covered and fewer hospitals and doctors in-network. Now, this does not mean you will struggle to find help with medical treatment. In fact, for the most part, major procedures would be covered equally with health care Cost Sharing Plans and conventional insurance. The main exclusion would be procedures that conflict with the nature of these faith based Cost Sharing Plans and are thus considered in biblical.

Things to keep an Eye Out For

Pre existing conditions generally are covered but some exclusions apply so make sure to read the plan print on any plan before pulling the procedure. Any time you are plan shopping and have a particular medical procedure in mind before deciding on a plan make sure to double check that the plan you chose will cover this procedure as an eligible expense. There is no bigger waste of money than if you get the coverage that you cannot even use for what you need it for.

The Bottom Line

There are a lot of reasons someone might be interested in the potential benefits of a health care Cost Sharing plan over that of conventional insurance plan providers. The idea that you could lower the burden of your monthly insurance premiums yet still maintain the ability to go to a doctor when you need is a novel concept for many people. The bottom line is simple if you are in need of finding a low cost alternative to conventional health insurance these plans might be a good fit for you. It would be wise to take a little time and do some more research on particular plan options that are available to you and chart a course to make an informed decision. A decision that will benefit you and your family by allowing you to live healthy lives without being overburdened by the cost of health care.

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COVID-19 Health & Fitness

For The Skeptics: How Is Medical Cost Sharing Not Modeled On Socialized Medicine?

One Life Cares: How they are differentiated in the current market

Life is something that is full of variables, making it exceptionally unpredictable and surprising at times. Accidents happen and it seems like it was random or unwarranted. Nevertheless, there is a good reason for each occurrence, and God has a plan for all those who are suffering in the world, and has promised it to not be in vain. Still, the temporal world requires money and time to make things happen. God is in control of this seemingly out of control world, but we must work within the framework given. Seeking out the right type of health insurance will largely play out as one of the tools given to combat the illnesses and ailments that afflict us all. One Life Cares is an empathetic group of like minded individuals with the capacity for empathy and understanding.

Their organization is non-profit and provides insurance to individuals through effective cost sharing. This revolutionary way of implementing a steep discount for the much needed services provided by normal insurance providers, is proving to be a much-needed alternative for many individuals. There are many people who are seeking a middle ground in finding effective solutions for their insurance needs. One Life Cares has years of experience managing the sick and suffering people that are in need of medical care. They have a vast network of thousands of doctors who are available to diagnose and treat you. The good news is that for a steep discounted price you can get needed surgeries, and dental work done that wouldn’t normally be included in a cheaper plan. They believe in not compromising in their care or showing disrespect to their clients by sending much of the premiums to their pockets.

Instead, cost sharing companies like them will give most of the money on investing in new and innovative solutions. Also, the customer will get reimbursed, making it a much fairer system. This concept of equity is something that they hold near and dear to the heart. Companies like them strive to provide services that are both physically and spiritually encouraging. They seek to free the minds of those who are under the influence of mainstream insurance companies. This is not an easy task because advertising has a great influence on society, and many are tricked into thinking they need a particular plan. Transparency is held in high esteem with One Life Cares, and they are on the front lines of the industry, trying to be informative and respectful to all parties. They are concerned with the truth, and that is not always easy to get in this corrupt world.

Being a beacon of truth can prove to be a difficult task, but they are always rising up to the challenge to ensure that quality care is given to those who deserve it for an affordable price, all with no profit. You see, the normal societal for profit organizations have a certain way of looking at things. Unfortunately, this leaves things cold and calculated, rendering most customers a mere number. They make the decisions based on your health, and tend to not be as transparent as non-profit organizations. One Life Cares give you accurate and speedy access to reliable and trusted doctors that are licensed and trained to help you diagnose and treat various illnesses. They consist of a Nationwide network that are willing and able to work together to meet all of your health needs.

There are many possibilities and risks in the medical industry, but they are reliable and have your best interest in mind. The spiritual component in the care you receive can be felt, as this type of insurance company is a blessing from God. It’s hard to find someone to trust with your money or time these days. One Life Cares is a breath of fresh air in a smoggy world of greed that the big industry companies profit off of. When you’re healthy, they are making money, and they want to pressure you to stay healthy at all costs, and when you get sick, they tend to put you under scrutiny and sometimes will even assert that it was your fault for the illness. They want to get out of paying whatever they can, and this is more common than it should be.

This is why companies like One Life Cares including Medishare, Sedera, and Samaritan Ministries, are working together with the same ambitions to get people off of that healthcare, and educate them on the benefits of getting coverage from a reliable and empathetic company. There is nothing more serious than illness and death, and it takes a concerning ear to address these issues. When it comes to your life, it’s important to entrust the logistics to those who truly care for your well being instead of your wallet. There is a fundamental flaw in business, and that is people can lose sight of what really matters from a heart to heart perspective. Doing unto others includes providing fair services that implement insurance alternatives for the well-being of all.

This is an especially convenient option for those who are seeking to have a much more affordable yet effective choice. Too often, people are lacking in the services they need, and One Life Cares really lives up to their name by treating all as equals, providing equal opportunities and care. Their plans are affordable and commendable simultaneously. As many of the policies in healthcare evolve over time, nothing remains the exact same forever. Things change, and it would seem that more people are searching for alternatives to the mainstream health care providers. It’s important to understand who is really in your corner, and the non-profits are mostly a Christian group of individuals. Their main tenant is to treat others as yourself, and this reflects in their business model. It’s rare to find such a synergistic group of individuals who are truly giving you an opportunity to change your life. One Life Cares also provides many additional services to their overall coverage that give any customer an extra sense of security and peace. They are all about giving you twenty four hour access to medical professionals and quality care.

The discounted rates on general care is one of the highlighting points of their business model. They believe in affordable care that everyone can utilize to their advantage. Cost sharing will grow and become more popular over the coming years as various laws change, so it’s an important business to keep an eye on. One Life Cares are actively treating and managing the sick and suffering throughout their entire organization. There are many testimonies to their reliability in the field, and can be trusted with even the most serious medical conditions. Life can dish out some pretty upsetting situations, and it’s important to put it in the hands of God and support each other down here as best as we can. Carrying each other’s burdens is something that is so important and can be lost on the for profit companies.

It’s a trait of a non-profit that distinguishes them from the pack, making them a more effective alternative for some people. They will weigh the possible plans with you to make sure that you make an informed decision on the matter. There is nothing hidden and everything is out in the open, giving the client more control over the experience. This is especially important, and they always treat their customers with respect and dignity. This mentality is pure and untainted by the greedy profit.

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Health & Fitness Healthy Food

How Does A Cost Sharing Service Remain Flexible, Solvent, And Trustworthy?

Medsharing: A survival plan for today's medical costs!

The cost of medical insurance is skyrocketing. Often, plans change to adapt to increases and the further development of plans within plans! As an example, there are different plans which offer basic needs, and leave out dental and vision. Now, how can that be basic? Don’t we all need to see and have our teeth take care of? There are supplements, add-ons, and the costs start to climb. What does one do to survive the escalating cost of medical care? The answer is to obtain a cost-sharing membership. You will not be disappointed. Now, you must be pondering about the idea of a health care alternative to those high premiums? Can there truly be something out there that can substitute and not strangle you with co-pays, premiums, and out of pocket costs? Well, it is here. It is called medical cost-sharing, and it works!

Just what is medical sharing, anyway?

Medical sharing has its roots in bible scripture. It is a system that appears to work very well and is not only resourceful but economic. It is organized by a ministry or group of people who hold similar religious beliefs. It is truly a godsend for those who cannot afford the high premiums of privately controlled companies. It is completely legal and in compliance with medical alternative coverage. One can quickly contact a live agent to go over the availability of this new type of coverage!

Tell me more!

Yes! Medical sharing although not an insurance plan is a substitute plan run by a religious, charitable non-profit entity. They are registered non-profits that can be there when you truly need them. However, Medical sharing plans do not guarantee payments for services rendered by contracts, as health insurance plans do. The charitable Medical sharing entity collects funds from its members. Now, when a member asks for help, they are asking for the entity to share the cost of the bills. This can work well in catastrophic medical bills for unexpected calamities or accidents, and even diseases such as cancer. This can be much more beneficial than dealing with insurance companies who often pay by a schedule, and not a penny more! Often too, insurance companies rush one out of the hospital rather quickly, before a patient has recovered! Isn’t that the truth!

Now, the terminology can be quite different

If you are seeking Medical Sharing be sure to familiarize yourself with the terminology. They might not use words such as a deductible. There might be alternative words used such as share amount or even family share amount. Study your Medical Share plan first!

What are the advantages of medical sharing?

  • Negotiation is available! Listen up! Medical sharing allows the client to negotiate the cost of medical services up-front before the procedure is done. That is simply unheard of with insurance companies. The key is that you are paying cash, and cash is king! Paying cash might mean you will obtain a discount. That is remarkable.
  • Another great advantage to Medical Sharing is that you are never restricted to a medial network. Often with insurance networks, you might not be able to get the doctor you prefer. Also, there have been cases where a doctor is in a network, but in another variant of the plan, and still not accessible! It can be tricky! You absolutely can choose to receive your medical care where you want to go.
  • It is noteworthy to mention that through Medical Sharing you can access the state or even the country where you want to receive health care. Your ministry organization will have more information about this incredible access to personal choice!

Can I read more about this alternative solution to medical care?

Many ministries are offering this alternate benefit. Read up on the testimonials of actual people who have benefited by becoming members of such a group. Use electronic resources to compare the different memberships and ministries.

Levels of Membership
If the ministry is a Christian one, the members share the cost of medical bills, and that means thousands of Christians are chipping in. That is an incredible plus. In many non-profit entities, there are three levels of health care membership, gold, silver, and bronze. There is another additional one, which is often named something like the title, My Brother’s Keeper. My Brother’s Keeper is a leveled membership that would be a guardian or protectorate against catastrophic medical debt. Something to think about!

How do these medical sharing programs stay afloat?

Now that is a key question, considering there are no restrictions on age, weight, or any demographic statistic? Could it be Biblical principles work? Perhaps. It is based on Galatians 6:2 and Acts 2 and 4. Lastly, these plans are run by non-profit organizations and do not have a lot of the burdensome costs associated with insurance companies which are for-profit entities. Remember, their mission is one of accountability not just to their members, but to God. That is a solvency humans can learn from! God is abundant. We celebrate the fact that the source of goodness is not ourselves, but God. Everything good comes from Him. (James 1:17)

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Burning Topics COVID-19

Preventing the Coronavirus: What You Should Know

Recent outbreaks of the Coronavirus (COVID-19) have created fear and confusion for many people. In an effort to keep Members of the Sedera Medical Cost Sharing Community as healthy as possible during a concerning virus season, here are a few tips that will help reduce the spread of COVID-19 and other common active respiratory viruses. Sedera acknowledges that there is a lot we do not know at this time. Information is moving quickly. Situations are constantly evolving. We will do our best to update these resources as we receive information.

Fact or Fiction?

Before you read our helpful tips, take a minute to test your knowledge of COVID-19

Simple Actions, Big Protection

Coronavirus is spread through respiratory droplets. These are produced and released when someone sneezes or coughs. Here are a few practical steps you can take to help minimize the spread of respiratory viruses:

  • Stop shaking hands with people, even if everyone is healthy. Need an alternative? We are trying out a respectful bow in the Sedera office.
  • Do not share food or drinks, even with people in your immediate family.
  • Wash your hands frequently for a minimum of 20 seconds with soap and water. Say the alphabet or sing the Happy Birthday song while you wash to make sure you are doing it long enough. In between hand-washing, use an alcohol-based hand sanitizer.
  • Try to stop touching your face with your hands. Did you know that people touch their faces an average of 200 times per day?
  • If you have cold or flu symptoms, do not risk exposing other people to a virus. Work from home and postpone social engagements.
  • Based on current reports, “contact” can be considered 6 feet or closer, so try to stay more than six feet from anyone who is ill and certainly if you are ill. Also, disinfect surfaces you touch.
  • If Coronavirus comes to your community, help protect your older and sicker relatives and friends by keeping in-person visits to a minimum. Instead, consider connecting with video and telephone communication.
  • Lysol should work as a disinfectant. Use it often to clean bathrooms, sinks, door handles, and common surfaces in and around your home and office.
  • Get your flu shot! This will decrease your likelihood of confusing flu symptoms with Coronavirus.
  • Overall, this new virus provides a good reminder to care for your health: sleep well, moderate your stress, eat healthy foods (lots of plants if you can), and exercise regularly.

If You Have Symptoms

  • Call First:If you are ill and you know Coronavirus is in your city, or if you have reason to suspect you might have Coronavirus, call your medical provider to let them know. They will work with health authorities to guide you through what steps to take. If you are very ill and your doctor does not call you back, you may need to seekemergency care.
  • Stay home unless seeking medical help. This is the easiest way to prevent the spread of the Coronavirus. Telemedicine is a great resource to use to discuss alleviating symptoms.
  • Stay informed. The CDC is the best resource to stay up-to-date. For more information, see CDC guidance on “What to do when sick with COVID-19?”

Bear in mind: healthy children seem to have mild symptoms from this Coronavirus. The people most at risk are the elderly, those with chronic lung and heart disease, and those with diabetes. It makes sense to do our best to protect them.

Spread Common Sense, Not Germs 

There are a lot of simple things you can do to prevent spreading the disease and incorrect information about it. We recommend checking the CDC website for up-to-date data and guidance.