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Medi-Share - What Are the Differences Between the Different Medical Cost Sharing Plans?
There are several differences between medical cost sharing plans. The Gold option allows you to share the costs of pre-existing conditions. However, there is a tiered schedule that determines which pre-existing conditions can be shared. Most conditions are no longer considered pre-existing after the third year. Cancer is not considered pre-existing until the fifth year. You should understand the difference between the different medical cost sharing plans and find out what will be best for you.
Pre-existing conditions
Medi-Share, a government-sponsored health insurance program, does not deny membership because of pre-existing conditions. However, it does limit the amount of medical costs it will share for bills relating to pre-existing conditions. These pre-existing conditions include any signs, symptoms, or medications you may have had prior to joining the plan. If you're worried that Medi-Share will deny you coverage, there are a few things you can do.
If you're in the gold plan, you can share expenses for pre-existing conditions. Unlike other plans, CHM allows pre-existing conditions to be shared only under the Gold option. Moreover, there's a tiered schedule based on the length of the pre-existing condition's occurrence. Generally, pre-existing conditions are no longer considered pre-existing after the third year. In addition, cancer is considered a pre-existing condition after five years.
Efficacy
The ACA, and subsequent health reform plans, have largely failed to achieve their goals of reducing costs while tempering utilization. Consumers are reluctant to seek care, and cost sharing is a major contributor to the delay of care. Single-payer proposals typically include little to no cost sharing, but these policies may increase demand. In Canada, there are no hospital or primary care cost-sharing fees, while U.S. trends tend toward higher deductibles and patient anxiety over unexpected bills.
The cost-sharing rates for health services have increased since 2009, with the costs rising at a rate over the past decade. But these increases in health care costs haven't come without their fair share of criticism. In one study, a study by the RAND Health Insurance Experiment found that cost sharing reduced the use of costly and ineffective services. Even so, the ACA is far from perfect. Employers can still implement a cost-sharing program to meet the needs of their employees.
Regulatory issues
While the OIC has an important role to play in improving the regulatory environment, many of its actions have the potential to confuse and negatively impact medical cost sharing. The OIC should instead focus on a holistic approach to regulation, which increases consumer choice, promotes operational safety, and reduces the need for complicated regulatory systems. Specifically, the current rulemaking draft entrenches the 1999 law requirement to limit medical cost sharing to 80% of the patient's deductible.
Consumers' concerns with medical cost sharing are related to the potential to introduce a "moral hazard" by making unnecessary use of health care costs. Studies have shown that consumers tend to use more high-value services when they have to pay a smaller portion of the bill. Furthermore, the moral hazard of overconsumption of health care services is minimized if consumers are willing to share costs. In addition, the impact of medical cost sharing on moral hazard may be modest, if any at all.
Cost-sharing plans
In some health plans, costs are shared by enrollees. Too high costs can discourage people from seeking care and put them in financial distress. For example, a private health insurance plan with a high deductible might require enrollees to pay thousands of dollars in out-of-pocket expenses to meet its copayments, deductibles, and other restrictions. The costs of a private health insurance plan may make it unaffordable for some people.
A medical cost-sharing plan is not the same as health insurance, and it's important to make sure that you understand the differences between the two. These plans are meant to help religious-based members control their medical costs. In essence, they require members to pay a portion of the costs that they would otherwise have to pay for themselves, either monthly or annually. These amounts are required before members can share in eligible medical expenses. Medical cost-sharing plans are different from insurance, so they require a different approach for enrolling in one.
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