{"id":3718,"date":"2021-09-29T09:00:28","date_gmt":"2021-09-29T09:00:28","guid":{"rendered":"https:\/\/healthdrum.com\/blog\/?p=3718"},"modified":"2021-10-12T18:57:03","modified_gmt":"2021-10-12T18:57:03","slug":"medical-cost-sharing-plans","status":"publish","type":"post","link":"https:\/\/healthdrum.com\/blog\/medical-cost-sharing-plans\/","title":{"rendered":"Medical Cost Sharing Plans"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Ordinarily, insurances are designed for the risk mitigation of non-routine and costly events. However, the health insurance industry has discovered that they can make bucket-loads of money at your expense by \u201ccovering\u201d affordable routine office-based and outpatient care but have you paying for it with copays and deductibles.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medical savings plans are an alternative to traditional pricey and rule-based health insurance plans. They allow members to protect themselves against large or unexpected medical costs.\u00a0<\/span><\/p>\n<p><b>Medical cost sharing or healthcare sharing plans<br \/>\n<\/b><span style=\"font-weight: 400;\">While not technically an insurance, medical cost sharing plans have a framework similar to the way the health insurance industry operates. Although commonly religious-based to varying degrees, most are open to new members.<\/span><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They are often significantly cheaper than traditional health insurance plans.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Monthly \u201cshared\u201d costs &#8211; like an insurance premium &#8211; can depend on plan details and can range from under $100 to $300-$500 for families (employers now spend on average about $20,000.00 to cover a family of five &#8211; often on junk health plans).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unshared amount &#8211; like a deductible &#8211; is the amount you have to pay before the health sharing plan kicks in. Typically the unshared amount\/deductible is significantly less than that for traditional health insurance plans. A few hundred for an individual, about $1000 for a couple and a few hundred to a few thousand dollars for a family, depending on plan details.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Members&#8217; monthly payments (shares or premiums) are distributed to\/shared with the members who have medical expenses (similar to risk -pooling for insurances).\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enroll anytime &#8211; no special enrollment periods.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You can choose any provider although some sharing plans may have physicians with pre-negotiated rates.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No narrow \u201cin-network\u201d issues &#8211; see any doctor.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">No referral or authorizations needed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You provide your health sharing card as coverage. Try to get that established before seeing a doctor as well as their cash pay rates. Members may need to pay then submit the bill to the sharing plan and receive reimbursement some weeks later.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health sharing plans may not cover pre-existing conditions, wellness exams, mental health counseling, drug and alcohol related injuries, STDs, abortions, injuries from hazardous activities, expensive drugs and ambulance transportation.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Membership is not affected by state of residence or employment status.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Qualified adoption and funeral expenses may be covered.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There may be limits beyond which cost sharing plans will not reimburse &#8211; health insurance plans often have similar rules.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Health sharing plans are not binding contractual agreements and payments are not tax deductible.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medical cost sharing plans cannot be used with HSAs (Health Savings Accounts or HRAs (Health Reimbursement Arrangements).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">There are no guarantees of payment and no reserve funds.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">These healthcare sharing ministries can be audited to ensure financial stability.<\/span><\/li>\n<\/ul>\n<p><b>Healthcare sharing vs health insurance plans<br \/>\n<\/b><span style=\"font-weight: 400;\">Overtime, health insurance plans have created endless barriers to both the access and delivery of healthcare &#8211; simply for profiteering. In the process, they have failed to deliver significant improvement in overall health.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because 50 percent of the healthcare public consumes only 2 percent of healthcare\u00a0 dollars, not only are the odds of a catastrophic event low but many people are over insured and overpay.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medical cost sharing programs can be an option for the uninsured, independent workers, part-time workers or gig workers &#8211; or, anyone wanting to lower healthcare\u00a0 costs. The goal here is to pay for your office-based care and only have a plan to cover costly or catastrophic healthcare events. This way you keep costs down and stay in control. There are several healthcare sharing\/medical cost organizations in operation &#8211; search for them and check their details.<\/span><\/p>\n<p><b>Read more<\/b><\/p>\n<p><a href=\"https:\/\/healthdrum.com\/blog\/do-you-really-need-health-insurance-for-your-care\/\"><span style=\"font-weight: 400;\">https:\/\/healthdrum.com\/blog\/do-you-really-need-health-insurance-for-your-care\/<\/span><\/a><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\">Written by HEALTHdrum<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ordinarily, insurances are designed for the risk mitigation of non-routine and costly events. However, the health insurance industry has discovered that they can make bucket-loads of money at your expense by \u201ccovering\u201d affordable routine office-based and outpatient care but have you paying for it with copays and deductibles.\u00a0 Medical savings plans are an alternative to [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":3730,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Medical Cost Sharing Plans | HEALTHdrum<\/title>\n<meta name=\"description\" content=\"Find Medical Cost Sharing Plans: An 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. After retiring and leaving colleagues to continue the urology practice, he became founder and CEO of a healthcare platform that connects buyers and sellers of routine, cash pay healthcare services - www.HEALTHdrum.com\/ Through this platform he also enables colleagues to reclaim their profession from health industry exploitation. Partial bibliography https:\/\/ascopost.com\/issues\/june-10-2016\/prostate-cancer-opinions-vary-on-gleason-scores-and-surgery\/ https:\/\/ascopost.com\/issues\/november-25-2020\/a-urologic-surgeon-assesses-the-current-state-of-prostate-cancer\/ https:\/\/www.medscape.com\/viewarticle\/945928 https:\/\/urologyweb.com\/robotic-deception-prostate-cancer-hoax-p-5\/ https:\/\/bvorstman.medium.com\/prostate-cancer-treatment-deception-and-lies-30e23f17b749 https:\/\/healthdrum.com\/blog\/the-gleason-6-prostate-cancer\/"}]}},"_links":{"self":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3718"}],"collection":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/comments?post=3718"}],"version-history":[{"count":5,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3718\/revisions"}],"predecessor-version":[{"id":3778,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3718\/revisions\/3778"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/media\/3730"}],"wp:attachment":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/media?parent=3718"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/categories?post=3718"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/tags?post=3718"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}