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9 sections match “Preferred providers”

Both programs Medi-Share Complete Medi-Share 65+
All topics About the Guidelines Membership & Eligibility Program Options & Costs Providers & Care How Sharing Works Maternity & Adoption Accidents & Third-Party Expenses Appeals & Disputes Glossary of Terms
  1. Medi-Share CompleteProviders & Care V. Preferred Providers Explains why Members should use preferred (network) providers, how to find them and present your Medi-Share ID card, and what extra amounts become your responsibility when you use a non-preferred provider, including when and how those out-of-network amounts can be waived.
  2. Medi-Share CompleteHow Sharing Works VI. Details of Sharing Explains how Medi-Share Complete determines which medical bills are eligible for sharing: approved providers and facilities, first-month sharing limits, lifestyle requirements, Members 65 and older, pre-existing conditions, pre-eligibility review, services with limited sharing, ineligible services, conflicts of interest, Extra Blessings and Program Blessings.
  3. Medi-Share CompleteMaternity & Adoption VII. Maternity Governs when maternity bills are eligible for sharing in Medi-Share Complete: marriage and AHP requirements, the $125,000 per pregnancy event limit, approved delivery providers, complications, multiple births, adding a newborn within 30 days, well-child care to age six, and unwed pregnancies.
  4. Medi-Share CompleteMembership & Eligibility III. The Member's Role This section explains what Members are responsible for: Medi-Share is not insurance, sharing runs through individual financial institution accounts, Monthly Share notices and late contributions, required pre-notification for certain treatments, Sharing Assistance during hardship, cancellation and withdrawal rules, and reapplying after cancellation.
  5. Medi-Share CompleteProgram Options & Costs IV. Medi-Share Complete Program Options Explains the Annual Household Portion (AHP) levels for Medi-Share Complete, including the legacy co-share option, the DPC option, and how to change AHP levels. Also covers maximum sharing limits, the Health Incentive, and the provider fee paid at each visit.
  6. Medi-Share CompleteAppeals & Disputes XII. Appeals Explains how a Member can appeal a sharing decision on a medical bill, including the 90-day window, the review by CCM and a Seven Member Appeal Panel, and the biblically-based mediation and arbitration process for remaining disputes.
  7. Medi-Share CompleteGlossary of Terms Glossary of Terms Defines the key terms used throughout the Medi-Share Complete Guidelines, including Annual Household Portion (AHP), Monthly Share, Eligible Medical Bill, Provider Fee, Co-Share Responsibility, Effective Date, Member Household, Pre-existing, and Explanation of Sharing (EOS).
  8. Medi-Share 65+Appeals & Disputes VIII. Appeals Explains how a Medi-Share 65+ Member can appeal a bill-sharing decision within 90 days, request a Seven Member Appeal Panel review, and resolve any remaining dispute through biblically-based mediation and binding arbitration instead of a lawsuit.
  9. Medi-Share 65+Glossary of Terms Glossary of Terms Defines the terms used throughout the Medi-Share 65+ Guidelines, including Annual Household Portion, Monthly Share, Eligible Medical Bill, Pre-existing, Member Household and Effective Date, and lists ministry contact information and documents available to Members on request.