Understanding Your Medi-Share Options

As the most trusted name in Health Care Sharing, Medi-Share is the affordable health care solution that provides you with Membership choice.

Medi-Share
Summary of Sharing

As the Most Trusted Name in Health Care Sharing, Medi-Share is the affordable health care solution that provides you with membership choice.

Blue Checkmark

High quality, affordable health care that aligns with Christian values

Blue Checkmark

No annual caps, no lifetime caps

Blue Checkmark

Convenient 24/7 telehealth access to board-certified physicians

Summary of Sharing

  Medi-Share Complete  
 

A Convenience Based Alternative to Health Insurance.

 

Program Description

   
 

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. per family
per year

 

Program Options

   

 

AHPThe 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. Options  
  $3,000  
  $6,000  
  $9,000  
  $12,000  

Services that can be accessed prior to meeting program requirements (AHPThe 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. or IMRThe dollar amount either “per day” or “per stay,” that is each Member is responsible for before sharing takes place.)

   
24/7 Access to TeleHealth with Board Certified Doctors Checkmark  

TeleBehavioral Health

Checkmark  

Dental & Vision Discounts

Checkmark  
Provider Access    
Provider Network Large Network of Providers  
Notification Process Providers notify when indicated  
Provider Costs

Provider Fee ($35 in-office visit/$200 ER)

 
Cost - Total

Negotiated by Medi-Share on member's behalf

Bill Submission Process

Providers submit bill(s)

 
Bill Discounts

Eligible for in-network PPO discounts

 
Out of Network

Sharing limited to usual and customary charges. For non-PPO hospital or other facility, Member has an additional responsibility of 20% of total charges

 
Sharing Details    
No Lifetime Or Annual Sharing Limits Checkmark  
Eligible Medical BillsAn 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. 100% of Eligible Medical BillsAn 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. shared once AHPThe 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. is met.
*Conditions Apply
 
First Month Sharing Eligibility Up to $50,000 of Eligible Medical BillsAn 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. and incurred medical bill that meets the criteria for sharing as established in the Guidelines. shared during first month of membership.   
Pre-Existing Conditions
  • Up to $100,000 per Member per year (based on effective date) after 36 consecutive months of faithful sharing. 
  • Up to $500,000 per Member per year (based on effective date) after 60 consecutive months of faithful sharing. 
 
Maternity Care Married pregnant Members with an AHPThe 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. of $3,000 or higher who have maintained membership and are in good standing from the month of conception to month of delivery are eligible for maternity sharing. Sharing is limited to $125,000 for any single pregnancy event.  
Routine Child Care Visits Sharing for routine well-child care is eligible until the child reaches the age of six.   
Prescriptions Eligible for sharingAny testing, treatment, procedure or service that meets the criteria for sharing as established in the Guidelines. for six months per each new condition that is no pre-existing. *Exceptions Apply  
Adoption Up to $4,100  
Burial Expenses Up to $5,000  
Out-of-Pocket Costs *Once program requirements are met    
Preventative Care
(Annual Visits/physicals with limited labs)
$35 Fee  
Hospitalizations $35 Fee  
Surgery $35 Fee  
Other Medical Conditions $35 Fee  
Urgent Care $35 Fee  
Emergency Room $200 Fee  
Membership Includes    
Preventative Care Checkmark  
Maternity Care* Checkmark  
Hospitalizations Checkmark  
Emergency Care Checkmark  
Surgery Checkmark  
24/7 Access to TeleHealth
Checkmark  
Sharing in TeleBehavioral Health Checkmark  
Dental and Vision Discounts Checkmark  
Additional Prescriptions Discounts Checkmark  
Direct Primary Care Checkmark  
Adoption Checkmark  
Direct Bill Management Checkmark  
Referral Rewards Checkmark  
Healthcare Bluebook Fair Price* guidance N/A  
Network Provider Search Tool Checkmark  

*Maternity exceptions or Reference guidelines.

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