Faith-Based Health Insurance In Modesto, CA
Consumers are choosing faith based health plans over traditional insurance in ever increasing numbers. Modesto, CA is no exception. In fact, California has seen more exponential growth in the volume of health care sharing plans than
any other state in the country.
About Modesto
Modesto is located in the Central Valley of California. It's central location is 90 miles north of Fresno, 92 miles east of San Francisco, and 68 miles south of Sacramento. Modesto has been honored as a Tree City USA, numerous times. It is surrounded
by rich farmland. Stanislaus County ranks sixth among California counties in farm production.
Filmmaker George Lucas, who was born in Modesto, and attended Modesto Junior College, immortalized the city in his award-winning 1973 film American Graffiti. Although it was not actually shot in Modesto, the film portrayed the spirit of cruising and friendship on Modesto's 10th and 11th Streets
in 1962, and inspired a revival of interest in 1950s pop culture, including the TV show Happy Days and its spin-offs.
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
in actuality, it's not insurance at all - at least not in the legal sense of the word. Faith-based health plans, (also known as health care sharing plans, alternative health plans, or health care 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 a manner that is uniquely 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.
The advent of faith-based / health care sharing plans.
Health care sharing ministries have grown exponentially beyond what anyone could have possibly imagined, 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.
Good to know: Before purchasing a health plan, ask questions. Call the member services department of the health plan you're considering and ask: Which doctors, hospitals, clinics or pharmacies participate in the plan? How much does it cost to go out of network? Am I covered during a travel emergency? What is the premium and out-of-pocket costs? What is the most I'll have to pay out of my own pocket to cover expenses? Exactly what benefits are covered by the plan and what isn't covered? How are disputes about a bill or service handled? Then verify the information you were given by comparing it to the plan's benefit details.
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 the Modesto, CA region
will be used to pay for medical costs that arise within the very same Modesto, CA region.
Faith-based plans (also known as healthcare sharing plans) 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.
The mechanics.
In California, 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.
Good to know: Stick with in-network providers. "The lowest charges are for doctors and hospitals who participate in your insurance network," says Adria Goldman Gross of MedWise Insurance Advocacy in Monroe, New York. "Check to make sure that the doctors who are treating your children are on your insurance plan. It's also best to be confident that the doctors are affiliated with hospitals that are covered on your insurance policy."
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Memorial Medical Center
1700 Coffee Rd
Modesto, CA 95355
Telephone: (209) 526-4500
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Advantages of Faith-Based Health Care 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.
Disadvantages
First and foremost, you cannot be declined ACA coverage due to a health issue. This is a major difference, as faith-based health plan companies can choose to decline coverage to any individual due
to medical issues or history. Also, certain ACA plan benefits are mandated by law. Some benefits, like maternity, for example, may be very important to you. Your faith-based plan may not offer it.
For more information on Faith-Based health plans, please contact us directly.
Other articles:
Explaining the Growth of HealthCare Sharing Plans.
5 Strategies For Reducing Medical Bills.
Resources