Medi-Share Frequently Asked Questions FAQ
You are required to pay the following copayments for inpatient stays under Part A. There is a $1,676 deductible for each time you are admitted to a hospital during your benefit period. The benefit period begins the day you’re admitted as an inpatient to a hospital and ends when you have not received care for 60 days (or 100 days of care in a skilled nursing facility). If you go into a hospital after your benefit period ends, a new benefit period begins. Yes, Medi-Share members with a $12,000 Annual Household Portion (AHP) can use Direct Primary Care (DPC) providers and submit up to $1,800 of DPC fees for sharing. If the Annual Household Portion (AHP) has not been met, the Direct Primary Care fees will be applied directly to the AHP.
Additionally, expenses incurred before a member’s enrollment date or not directly related to eligible medical conditions are generally not covered. It’s essential for members to review the specific guidelines provided by Medi-Share to understand coverage limitations fully. In short, routine and preventive care aren’t typically shared because families can plan and budget for these expenses. Medi-Share focuses on helping with unexpected medical bills during tough times.
Medigap plans are not stand-alone policies and are therefore limited in the amount of coverage they can provide. Medicare Advantage plans offer similar benefits at a better price. Beneficiaries who filed less than $103,000 on their tax return may not have to pay any extra premiums for prescription coverage. The average is around $34/mo, but you could pay more or less depending on the plan you choose and the types of drugs you need. When it comes to Original Medicare, Part A premiums are usually free. Most people are only responsible for Medicare Part B premiums, which cost $174/month.
MediShare plans have options availble that will fit every family and budget. While some representatives were polite and helpful, others didn’t seem to have clear answers about the status of my claims. I had to make multiple calls to follow up, and it often felt like I was being passed around without getting any real help. This how much does medishare cost per month lack of communication made the process more stressful than it needed to be, especially when I was dealing with unpaid medical bills.
Once you meet your plan’s annual limit, you won’t have to pay for services covered by your plan for the rest of the year. You cannot buy Medigap with Medicare Part C to pay for your out-of-pocket costs. Medicare Advantage has an annual limit on what you’ll pay for Part A and Part B services. Medi-Share costs vary based on age, household size, Annual Household Portion (AHP), and membership type.
Health sharing is an alternative form of health protection, legal in the United States, that allows members of a specific community to share the cost of health expenses. Here’s a guide on Medicare Advantage plans by state and how to find coverage based on where you live. You’ll typically pay 20% of the cost for each Medicare-covered item or service after you’ve paid the Medicare Part B deductible.
However, it can range from as low as $1,000 to as high as $10,500. Medical alert systems such as Life Alert are not covered by Original Medicare (Parts A and B). You will only be responsible for paying this deductible once per year. Medicare Part B cost $185 per month in 2025, according to the U.S.
The Medi-Share Health Partner Program helps members address health risks through personalized coaching, goal setting, and resources such as meal plans and fitness challenges. Members pay a $99 monthly fee, which can be removed upon meeting health goals and graduating from the program, typically within 4-6 months. It’s designed to support a long, healthy lifestyle grounded in faith.
When a member gets medical care, they show their ID card to the provider. If the service provider is in the Preferred Provider Organization (PPO) network, they might lower the bill. I recommend you check your eligibility for state run savings programs to help pay for costs such as Medicare Part A and B, and prescription drug costs. Discover Medi-Share’s cost-saving perks, including access to telehealth, discounts on pharmacy needs, dental care, hearing aids, and diabetic supplies.
Remember, your monthly amount is flexible and can be adjusted to fit your needs as they evolve. Note that Medishare can cancel your membership if you perform any of the following actions. However, there are state-specific disclosures in Wisconsin, Illinois, Texas, Kentucky, Pennsylvania, Maryland, Kansas, Missouri, and Maine.
