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Faith-Based Health Insurance In Oregon


Consumers are choosing faith based health plans over traditional insurance in growing numbers.  Oregon is no exception.  Oregon has seen more exponential growth in the volume of health care sharing plans than any other state in the country.

Portland, Oregon
Portland, Oregon
So, what is faith based insurance?

Faith-based health insurance refers to a method consumers from all walks of life are utilizing to handle the risk of unexpected medical bills.  And it's actually a misnomer.  in actuality, faith-based health insurance is not insurance at all - at least not in the legal sense of the word.  Faith-based health plans, (also known as healthcare sharing plans, alternative health plans, or healthcare sharing ministries), are actually health plans that are designed to meet the same needs as traditional health insurance.  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 different than a traditional ACA plan.

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:  Running to the emergency room every time you need after-hours care is a good way to thow away a lot of money.  The ER should be for, you know, emergencies.  Consider more affordable options like urgent care clinics or even telemedicine.  You may want to research a bit beforehand.  Prices can vary between similar facilities.  For example, choosing a stand-alone radiology and surgery center, could save you thousands.  Your physician may also work at multiple hospitals or surgery centers, so ask for their assistance in locking down the best price.

The advent of faith-based / health care sharing plans.

Health care 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 faith-based plans work?

To put it simply, healthcare sharing is about like-minded people voluntarily coming together to share the burden of medical expenses.  Healthcare sharing plans are typically faith-based, meaning the core concepts are based upon religious beliefs.  However, 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 Oregon will be used to pay for medical costs that arise within the state of Oregon.

Good to know:  Be up front about finances.  Are you short on cash?  Do you have a high insurance deductible?  Don't be embarrassed to tell your doctor or dentist.  He may be able to suggest less costly treatment options or even agree to lower fees.  "Try to negotiate the fee you pay before or at the time you make your appointment and/or offer to pay cash," suggests Ruth Linden of Tree of Life Health Advocates.  "Some physicians will agree to accept a reduced rate, if you inform them you are experiencing difficult financial circumstances." In fact, a Wall Street Journal/Harris Interactive poll found that three out of five people who negotiated with their doctors received discounts.
courtesy of Parents.com
Faith-based plans, (also known as health care sharing plans, alternative health plans, or health care sharing ministries), 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.

OHSU Doernbecher Children's Hospital - faith based health plans
OHSU Doernbecher Children's Hospital
700 SW Campus Dr
Portland, OR 97239
Telephone: (503) 346-0640
Plus Code: F8X7+2M Portland, Oregon




The mechanics.

In Oregon, the workings of faith-based health 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 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.

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 in America 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 health care sharing plans.

Good to know:  High-deductible plans come at a cost: You'll pay less each month in terms of premiums, but if you do have to use any medical services, you'll pay out of pocket for longer thanks to that high deductible.  Still, if you're looking to lower your monthly costs and you're someone who doesn't frequent the doctor often, high-deductible plans are a valid option.
Disadvantages

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

There are also lifetime maximum benefit limitations with most any faith-based health plan.  ACA plans have no such limitation.

For these reasons, faith based healthcare sharing plans are not the perfect alternative healthcare plan solution for everyone.  Whether or not a cost sharing plan makes good sense, depends upon your medical and financial circumstance.  Be certain to understand benefits and limitations thoroughly, before purchasing any faith-based , or traditional health insurance plan.

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



Other articles:
Alternatives To Obamacare Health Insurance.
5 Strategies For Reducing Medical Bills.
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