Q&A With SHARERIGHT - Your Most Asked Questions Are Answered!

IS SHARERIGHT CONSIDERED INSURANCE?

No, ShareRight Health Sharing is distinct from insurance. ShareRight offers Healthcare Sharing, an alternative approach to health insurance. It involves a collaborative effort among individuals with similar values who share each other's medical expenses. Payments are directly exchanged between members via individual bank accounts, facilitated by distributed reserves.

HOW IS HEALTHCARE SHARING DIFFERENT FROM HEALTH INSURANCE?

Insurance represents a contractual agreement between a policyholder and a for-profit insurance company. Under this arrangement, individuals commit to paying costly insurance premiums in return for the insurer's commitment to cover their medical expenses. In contrast, Healthcare Sharing operates on a voluntary, not-for-profit basis, uniting millions of Americans through technology to collectively cover and settle medical bills. Unlike insurance, there's no formal contract, assurance, or guarantee of payment. Originating in the early 1980s, Healthcare Sharing emerged as a grassroots alternative to the escalating costs of insurance. Today, it has evolved into an industry facilitating the sharing of approximately $3 billion annually in medical expenses.

IS SHARERIGHT CONSIDERED A MEDISHARE PLAN?

ShareRight Health Sharing operates as a healthcare sharing initiative, often categorized as medical sharing or a MediShare plan. ShareRight provides an alternative to health insurance, enabling individuals with similar principles to collaborate in covering each other's medical expenses.

WHO IS ELIGIBLE FOR SHARERIGHT'S PROGRAM?

Our program comprises like-minded individuals, families, and small businesses who align with the Statement of Shared Beliefs & Ethics. There are no restrictions based on race, color, religion, or creed.

IS ENROLLMENT OPEN YEAR-ROUND, OR ARE THERE SPECIFIC ENROLLMENT PERIODS?

There are no constraints on when you can apply. You have the flexibility to select the month in which you'd like your membership to begin.

WHAT ARE THE COSTS?

We've got exciting news - ShareRight offers significantly more affordable options compared to health insurance. The monthly expenses depend on the age of the eldest individual in your household, the number of applicants, and your selected primary responsibility amount.

You'll notice substantial savings compared to ACA Plans (Obamacare) and superior value compared to other health-sharing programs. Prices begin at $73 per month for singles and $378 per month for families.

DO YOU WELCOME PEOPLE WITH PRE-EXISTING CONDITIONS?

Pre-Existing Medical Conditions are conditions in which known signs, symptoms, testing, diagnosis, treatment, or use of medication occurred within 36 months prior to membership (based on medical records).

A known sign is any abnormality indicative of disease discovered on examination/diagnostic testing before joining membership.

A symptom is any subjective evidence of disease. In contrast, a sign is objective. A Pre-Existing Medical Condition is eligible for sharing after the condition has gone 36 consecutive months without known signs, symptoms, testing, diagnosis, treatment, or medication (based on medical records).

If you have been diagnosed with cancer that is in complete remission and you are only undergoing testing for surveillance purposes, then bills related to those services will not be eligible for sharing for the first 36 months of membership. If after 36 months you are without signs, symptoms, testing (other than surveillance testing), diagnosis, or treatment (medication), medical expenses related to that cancer diagnosis will be eligible for sharing.

High blood pressure or high cholesterol that is controlled through medication will not be considered a Pre-Existing Medical Condition for purposes of determining eligibility for future vascular or cardiac events.

The Pre-Existing Medical Condition limitations do not apply to members 65 years old and older.

Treatment includes:

Care or services
Diagnostic measures
Prescribed drugs or medications
High blood pressure or high cholesterol controlled through medication will not be considered a pre-existing medical condition to determine eligibility for future vascular or cardiac events.

Members aged 65 years and older are exempt from preexisting medical condition limitations.

ARE THERE DEDUCTIBLES?

As ShareRight Health Sharing isn't insurance-based, there isn't a per-person deductible. Instead, there's a Primary Responsibility Amount (PRA) per household. The PRA represents the annual household sum that you're responsible for before your eligible medical bills become eligible for sharing. You have the flexibility to select from five options: $1,000 (exclusive to those aged 65 years and older), $2,500, $5,000, $7,500, and $10,000.

HOW DOES SHARERIGHT HANDLE PREVENTITIVE CARE?

ShareRight facilitates sharing for wellness visits and screening tests as outlined below:

One annual/well visit for members 6 years and older per membership year. Includes a $150 allowance for the following routine labs as ordered by the provider during the annual wellness visit.
Complete Blood Count with Differential and Platelets
Comprehensive Metabolic Panel
Lipid Profile with Lipoprotein Particle Assessment
Hemoglobin A1C
Vitamin D-25 OH
C-Reactive Protein
Fecal Occult Blood Test
Pap Smear
PSA

For members under the age of 6, one annual visit is provided. Additional visits are based on routine well-child guidelines.

Infants and children: ShareRight allows sharing for routine well-child care until the child reaches the age of six. Well-child care includes recommended routine check-ups and associated lab work, except for vaccinations and/or immunizations.

For women:

Pap smear test: Once every three years from age 21 to 65.
Mammogram: One every year for ages 45 to 54, and every two years starting at age 55.

For men:

PSA test: One every year, starting at age 45.

For all members:

Colonoscopy: One every 10 years starting at age 45 or one every five years for high-risk members.

Additionally, for both men and women, both the test and coordinated office visit related to eligible preventive care will be eligible for sharing.

How does ShareRight work with Medicare for individuals aged 65 or older?

ShareRight for Seniors makes the healthcare experience simple:

No Provider fees.
No Co-share.
No Preexisting limitations.

Here are some important points to consider:

Individuals aged 65 or older must have Medicare Parts A & B to enroll in Impact.
Impact always functions as secondary to Medicare Parts A & B. A notable advantage is that Impact members with Medicare do not face preexisting condition restrictions or provider fees.
Members can utilize their member card to access pass-through direct pricing on prescriptions. However, it's essential to note that for prescription costs to be eligible for sharing, members must also have Medicare Part D.
Medicare Advantage plans do not qualify for ShareRight.
Senior members will need to submit their electronic EOB's for sharing.

All sharing will be secondary to Medicare. Senior adults have access to only one PRA level, as indicated on the pricing calculator at https://www.shareright.org/pricing. This program is exclusively available for individual memberships.

For senior adults, the PRA is $1000 with no provider fees, no co-share, and no pre-existing limitations.

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AM I ABLE TO USE MY OWN DOCTOR?

At ShareRight, we do not operate within a Provider Network. This means you retain the flexibility to continue seeing your preferred doctors, hospitals, and specialists without any constraints. Your healthcare choices remain in your hands. Feel free to refer to our resources, including videos, for additional guidance on utilizing ShareRight Health Sharing with any healthcare provider.

For further questions, we encourage you to explore our Help Center or review our Membership Guidelines. These resources provide comprehensive information to address any remaining questions you may have.