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Healthcare Sharing Ministries In Washington State


Consumers are choosing faith based, healthcare sharing plans over traditional insurance in ever-increasing numbers.  Why?  In most cases, it boils down to flexibility, transparency and price.

So, what are healthcare sharing ministries?

Healthcare sharing ministries are non-insurance company entities that consumers from all walks of life are utilizing to manage the risk of unexpected medical bills.  The plans offered by these companies are designed to work very much like a traditional health insurance plan.  The difference is, these plans are not governed by the ACA (Affordable Care Act) rules and regulations.  This distinction makes it possible for faith-based health plans to be structured in ways that are distinctly different than traditional ACA plans.

There are several advantages (and a few disadvantages) that are inherent within this distinction.  This article will address both.

Want to see faith-based / healthcare sharing plans and rates now?  Click here.

Good to know:  Ask for samples.  Your doctor's cupboards are full of free drug samples, courtesy of the pharmaceutical industry.  If your child is getting shots, ask for a trial size pain reliever in case he needs it later.  If you're trying a new antibiotic or rash cream, your physician may even have enough samples to cover your course of treatment.  Also, check out the drug company's Web site, which sometimes offers coupons or free samples.
courtesy of Parents.com
The advent of faith-based / healthcare sharing ministries.

Healthcare sharing / faith based ministries have grown exponentially beyond what anyone could have possibly invisioned, when such ministries were exempted from the Affordable Care Act health plan requirements.  At the time, the exemption was a way to sooth objections from conservative leaning congressmen who had reservations on the passage of the ACA.  This exempted niche, is now a fast growing segment of the health plan industry.  From all appearances, this trend will continue well into the foreseeable future.  What was once a fringe idea, limited to devout Evangelicals and rural churches, has found acceptance with a wide swath of the American populous.

How do healthcare sharing ministries work?

To put it simply, healthcare sharing ministries are about like-minded people voluntarily coming together to share the burden of medical expenses.  These entities are typically faith-based - meaning the core concepts are based upon religious beliefs.  What most are unaware of however, is that in most cases, consumers do not need to be affiliated with any religious group, or be religious at all, in order to purchase a faith-based health plan.

Usually, funds to pay medical bills are dispersed within the same community that the members reside.  in other words, membership dues collected from plan members living in the Washington region will be used to pay for medical costs that arise within the very same Washington region.

Healthcare sharing are designed to accomplish the same fundamental goals as traditional health insurance:
  • Help people maintain good health by offsetting the costs of health care access.
  • Assist people with the cost of medical bills.
  • Protect people from catastrophic financial loss due to major medical expenses.

The mechanics.

In Washington State, the workings of healthcare sharing plans offered by various entities are quite similar.  Each month, all the members pay a set contribution or "share" amount.  This contribution is based on the health plan style they have purchased.  Other factors that may contribute to what the contribution amount will be, are age, gender, and health history.  Contributions are placed into a pool and managed by the healthcare sharing company.  The funds are shared with members who have immediate medical bills, according to their chosen plan and company guidelines.

Good to know:  Just because a hospital or office is "in-network" doesn't mean all its doctors are.  Think you're covered because you took the time to make sure your hospital or doctor's office was approved as being in your network?  Think again.  It's just not that simple. Individual providers, labs, tests, specialists, and others that work within the facility may still be out of network.  Yes, exasperating, but true.  It's tedious but important to, when possible, ask everyone involved in your treatment if they are an "in network" provider.
Advantages of Faith-Based / Healthcare Sharing Plans.

Because Faith based health plans do not fall under Affordable Care Act regulations, there is enormous flexibility in plan structure.  This is one of the factors that contribute to a lower monthly premium, when compared to a traditional health insurance plan with similar benefits.  Another contributing factor to lower premiums is the comparative lack of bureaucracy within entities that offer faith-based health plans.  Insurance companies have had over a century to build up a virtual mountain of bureaucracy.  This stifling excess is invariably passed on to the consumer, in the form of high plan premiums.

Also, the lack of bureaucracy, translates into your physician, medical facility, or hospital being paid much more quickly for services provided.  Consequently, medical providers generally like healthcare sharing plans.

Disadvantages

One big advantage of an ACA backed plan is you cannot be declined ACA coverage due to a health issue.  Health care sharing companies can choose to decline coverage to any individual due to medical issues or history.  Also, certain ACA plan benefits are mandated by law.  Some benefits, like maternity, for example, may be very important to you.  Your faith-based plan may not offer it.

For more information on Faith-Based / health care sharing ministries, please contact us directly.

Interesting Fact:  As of 2018, the most expensive drug in America is Horizon Pharma's Actimmune, which treats a rare genetic disorder called chronic granulomatous disease as well as a rare bone-hardening condition called malignant osteoporosis.  Actimmune costs $52,321.80 per month, or a stunning $671,861.60 per year, according to CBS News.



Other articles:
Explaining the Growth of HealthCare Sharing Plans.
5 Strategies For Reducing Medical Bills.
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