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.
High quality, affordable health care that aligns with Christian values
No annual caps, no lifetime caps
Convenient 24/7 telehealth access to board-certified physicians
Summary of Sharing
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A Convenience Based Alternative to Health Insurance. |
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Program Description |
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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 |
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Program Options |
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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 | ||
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Services that can be accessed prior to meeting program requirements (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.) |
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| 24/7 Access to TeleHealth with Board Certified Doctors |  |
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TeleBehavioral Health |
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Dental Discounts |
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| Provider Access | ||
| Provider Network | Large Network of Providers | |
| Notification Process | Providers notify when indicated | |
| Provider Costs |
Provider Fee (listed on Member ID card) |
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| Cost - Total |
Negotiated by Medi-Share on member's behalf |
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| Bill Submission Process |
Providers submit bill(s) |
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| Bill Discounts |
Eligible for in-network PPO discounts |
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| 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 |
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| Sharing Details | ||
| No Lifetime Or Annual Sharing Limits | |
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| 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 |
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| 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 |
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| 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) |
$50 Fee | |
| Hospitalizations | $50 Fee | |
| Surgery | $50 Fee | |
| Other Medical Conditions | $50 Fee | |
| Urgent Care | $50 Fee | |
| Emergency Room | $500 Fee | |
| Membership Includes | ||
| Preventative Care | |
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| Maternity Care* | |
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| Hospitalizations | |
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| Emergency Care | |
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| Surgery | |
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| 24/7 Access to TeleHealth |
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| Sharing in TeleBehavioral Health | |
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| Dental Discounts | |
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| Additional Prescriptions Discounts | |
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| Direct Primary Care | |
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| Adoption | |
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| Direct Bill Management | |
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| Referral Rewards | |
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| Healthcare Bluebook Fair Price* guidance | N/A | |
| Network Provider Search Tool | |
*Maternity exceptions or Reference guidelines.
**Annual Physicals for each member of the household are eligible for sharing for members who join or change AHP levels on or after September 1, 2020. Basic lab tests, limited to A1c test and lipid panel, are also eligible for sharing if recommended as part of the annual physical