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 Complete Summary of Sharing

All Medi-Share Programs offer affordable, reliable health care that fits your needs. 

Medi-Share Programs

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

Blue Checkmark

High quality, affordable health care that aligns with Christian values

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No annual caps, no lifetime caps

Blue Checkmark

Convenient 24/7 telehealth access to board-certified physicians

Summary of Sharing

  Medi-Share Complete
 

Our most comprehensive program offering a seamless health care experience.

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 TeleHealth with Board Certified Doctors Checkmark

TeleBehavioral Health

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Dental & Vision Discounts

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Provider Access  
Provider Network 900K+ PHCS 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
Sharing in Unlimited 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
CoShare Options Checkmark
Referral Rewards Checkmark
Healthcare Bluebook Fair Price* guidance N/A
PHCS Search ToolProvider search tool within the PCHS network. Checkmark

*Maternity exceptions or Reference guidelines.

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