Annual Household Portion (AHP) – The dollar amount a Member Household must pay toward their Eligible Medical Bills during a 12-month period before their Eligible Medical Bills will be approved for sharing. The AHP 12-month period begins with the Effective Date.
Biblical Christian Marriage – A marriage which is a union of one man and one woman. (Genesis 2:22-24, Matthew 19:5, Ephesians 5:22-32)
Bill Approved for Sharing – An Eligible Medical Bill that meets the criteria for sharing in the Guidelines and meets the other conditions for sharing, including whether the Member’s AHP has been met and if other sharing limits have not been exceeded.
Cancellation Date – The month and day membership ends due to the Member’s withdrawal, for reasons including not following the Guidelines or for nonpayment of monthly shares.
CMS – The Centers for Medicare & Medicaid Services is nationally recognized and provides listings for providers, services, procedures and facilities to ensure they meet specific criteria to ensure the safety of the beneficiaries receiving these services.
Effective Date – The month and day membership begins or the month and day of the most recent Annual Household Portion (AHP) change. Effective Date is used to determine when the 12-month period begins and ends for the purpose of the Annual Household Portion.
Eligible for Sharing – Any testing, treatment, procedure or service that meets the criteria for sharing as established in the Guidelines.
Eligible Medical Bill – An incurred medical bill that meets the criteria for sharing as established in the Guidelines. The Eligible Medical Bill will be reduced by any discounts, fees or other sources of payment.
Explanation of Sharing (EOS) – A statement for Members and providers that reflects how medical bills are processed. The EOS reports how much of the bill was shared, how much was discounted through the PPO network, and the amount of the Member’s responsibility, if any.
FDA – The Food and Drug Administration is responsible for protecting the public health by assuring the safety, efficacy and security of human and veterinary drugs, biological products, medical devices, our nation’s food supply, cosmetics, and products that emit radiation.
Illegal Drugs – Drugs which are classified as Schedule 1 in Title 21 United States Code Controlled Substances Act.
Incident – The occurrence of an illness or an injury of a Member, requiring a diagnosis of symptoms and treatment of a specific condition.
Medigap Open Enrollment Period – The 6-month period that starts the month a senior 65 or older enrolls in Medicare Part B.
Member – Any Member of Medi-Share, including each family member participating in a Member Household.
Member Household – Every Member who participates in Medi-Share with his or her immediate family under the same monthly share and AHP. A single Member is also considered a Member Household.
Monthly Share – The dollar amount that a Member faithfully contributes each month as his or her Monthly Sharing Portion and Monthly Administrative Portion. The Monthly Share is subject to change without notice.
- Monthly Sharing Portion – The dollar amount of a Monthly Share that pays all or part of one or more of another Member’s Eligible Medical Bills.
- Monthly Administrative Portion – The dollar amount of a Monthly Share that is transferred to CCM for the payment of its administrative expenses.
Notification of Sharing – The act of notifying the membership of an Eligible Medical Bill that is approved for sharing.
Pre-existing – A sign, symptom, diagnosis, testing (including labs and/or radiology studies), medication or treatment of a condition that a Member has had or experienced in the six-month period before the start of membership.
Prosthesis – A device, either external or implanted, that substitutes for or supplements a missing or defective part of the body.
- External prosthetic devices include: Artificial limbs and facial structures; externally worn breast prostheses following mastectomy
- Implanted prosthetic devices include: artificial joints, artificial heart valves, artificial eyes/lenses, cochlear implants, surgically implanted breast implants following mastectomy.
Sign – An objective observation or finding.
Specialty Pharmacy – A high cost medication used to treat complex conditions. These may be oral, injected or infused. These may be self-administered in the home, administered with the support of a home health care professional, in a doctor’s office or a hospital clinic. Some conditions that may be managed by specialty pharmacies include but are not limited to oncology/cancer, multiple sclerosis, rheumatoid arthritis, Crohn diseases, liver disease, organ transplant, hemophilia/bleeding disorders, cystic fibrosis, neurologic disorders, immune system disorders and growth hormone disorders, among others.
Standard of Care – Treatment that is accepted by medical experts as a proper treatment for a certain type of disease and that is widely used by healthcare professionals.
Symptom – A subjective experience, observation or finding.
800-PSALM-23 (800-772-5623)
At Your Request
The contact information for the following groups and organizations associated with the Medi-Share program is available to Members upon request:
- BOARD OF DIRECTORS
- BANK REFERENCES
- CERTIFIED PUBLIC ACCOUNTANTS
- MINISTRY ATTORNEYS
- REFERENCES
Upon request and with notice, the following information can be provided to an inquirer or member:
- ANNUAL BALLOT RESULTS
- ANNUAL AUDITED FINANCIAL STATEMENTS
- 501(C)(3) DETERMINATION LETTER
Effective 03/01/2023