Can you go to any doctor with Medi-Share?
Asked by: Dax Rutherford | Last update: June 20, 2025Score: 5/5 (30 votes)
Can you go to any doctor with Medi-Share?
A: Medi-Share uses a Preferred Provider Organization (PPO) called PHCS. This means that members can choose from a network of over 4,400 hospitals, 79,000 ancillary care facilities, and 700,000 individual healthcare professionals nationwide.
What are the disadvantages of Medi-Share?
One of the major drawbacks of a health share plan is limited coverage. Unlike traditional health insurance, these plans may not cover chronic conditions, pre-existing conditions, or expensive treatments.
What is not covered by Medi-Share?
Preventative Procedures and Vaccinations
Screening Procedures – Colonoscopies, prostate exams, and mammograms are not shareable under Medi-Share. These are important screenings, but you should plan to pay for them with your own resources. Vaccinations and Immunizations – All costs related to immunizations are excluded.
What kind of insurance is Medi-Share?
Medi-Share is not insurance. Medi-Share is a healthcare sharing program where Christians share their financial resources to pay each other's medical expenses.
Medishare: How does it work when you have to go to the doctor?
What does Dave Ramsey say about Medi-Share?
After praising Christian healthcare sharing ministries in general, calling most of them "very reliable," Mr. Ramsey singles out Medi-Share's "great reputation." He then points out correctly that Christian health insurance alternatives are not insurance and don't face the same regulations as insurance companies.
What are the pros and cons of health share plans?
Sharing plans are not required to cover preexisting conditions or provide the minimum health benefits mandated by the Affordable Care Act. And unlike health insurance, sharing plans can place annual or lifetime caps on payments. A single catastrophic health event can easily exceed a sharing plan's limits.
Does Medi-Share cover emergency room visits?
In terms of practicalities, Medi-Share shares in doctor's office and emergency room visits as long as they are deemed eligible according to Medi-Share's member-voted guidelines. After an event, your provider submits your bills to Medi-Share.
Does Medi-Share pay for prescriptions?
Are prescriptions eligible for sharing? The cost of CMS or FDA approved testing, treatments, and up to six months of FDA approved prescription drugs per eligible condition will be considered for sharing.
How do you get rid of medical share of cost?
Option 1: Provide proof of extra health insurance premium costs. Extra health insurance premium costs can be used to lower your countable income and may help you get rid of your share of cost. Some examples of extra health insurance premium costs are dental and vision plans, or Medicare Part D prescription plans.
Is Medi-Share really worth it?
For most members, there is a substantial cost savings over health insurance. Most families can save $2,000 a year. They help cover adoption expenses (they sent us a check for $3,000 after our adoption!) They have been operating for 25 years.
Does Medi-Share cover pre-existing conditions?
Pre-Existing Conditions with Medi-Share
Here's how Medi-Share defines pre-existing conditions, which is a good guideline for other alternative plans: Medi-Share won't deny you for a pre-existing condition, but there may be a “phase-in” period before you'll get full coverage.
How many people use Medi-Share?
As a faith-based program, members pray for each other and have agreed to share in expenses that align with their Christian faith. Each month, more than 400,000 Medi- Share members across America share more than $50 million of one another's medical expenses, approximately $650 million in medical bills annually.
Can you join Medi-Share anytime?
Available All Year-Round. You don't have to wait for an annual open enrollment period. You can join a MediShare plan at any time.
Why do some doctors not accept Medi-Cal?
Why doctors say they don't see Medi-Cal patients. While low reimbursement rates are the most common reason California doctors say they limit the number of Medi-Cal patients they see, the program's administrative burden is also daunting. Source: California Health Care Foundation.
Is Medi-Share a hmo or ppo?
Doctor Network – Medi-Share has a Preferred Provider Organization (PPO) network of doctors.
Does Medi-Share pay for colonoscopy?
Medi-Share does not cover the following:
Dental, vision, and hearing: not eligible for sharing but can get exclusive discounts. Routine and preventive care: this includes physicals, immunizations, vaccines, mammograms, lab studies, and colonoscopies.
What is the income limit for Medi Cal share of cost?
How is the shared monthly cost calculated? If your countable income is higher than 138% of the federal poverty level for Medi-Cal, currently $1,732 for an individual or $2,352 for a couple as of April 1, 2024, you may owe a shared monthly cost.
How do prescriptions work with Medi-Share?
*Prescription medications, including maintenance medications are eligible for sharing for six months from the date of diagnosis, per each new condition that is not pre-existing. Sometimes, members' medical expenses are ineligible for sharing. In those instances, they need a little extra help.
How much does it cost to have a baby with Medi-Share?
How much does MediShare cover for a single pregnancy event? Sharing is limited to $125,000 for any single pregnancy event, including antepartum care, the cost of delivery and complications to the mother and/or child(ren), and postpartum care.
What is the difference between Medi-Share and Samaritan?
Medishare receives the bills direct from the provider, Samaritan members receive the bills themselves and send those on to Samaritan to be shared.
How does Healthshare work?
Q: How do healthshare plans work? A: With health sharing plans, members make a monthly contribution towards a shared “pool” of resources. When a member incurs a qualified medical expense, they can be reimbursed from this pool.
What are the pros and cons of shares?
- Pro: You can sell or buy at any time.
- Con: High risk – you could lose money.
- Pro: Choice over what you invest in.
- Con: Requires management and in-depth research.
- Pro: No limit on the amount you can invest.
- Con: Less diversified portfolio than super.
- Pro: You could get dividend payments.
Do health shares count as insurance?
HCSMs are not insurance and can't guarantee the payment of claims; i.e., while they may share funds with members who have health needs, they are not legally required to do so.