Faith Based Health Insurance In Wisconsin
Consumers are choosing faith based health plans over traditional insurance in growing numbers. Wisconsin is no exception. Wisconsin has seen more exponential growth in the volume of health care sharing plans than
any other state in the country.
Milwaukee, Wisconsin
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: Keep an eye out for health plan discounts for using fitness technology like Fitness Trackers. As technology makes data about the state of our health easily available, many insurers are starting to look at using tools like fitness trackers to minimize risk. Some insurance providers currently offer discounts or incentive plans that will save you money, or provide financial rewards.
Ask a broker about plans that give discounts using new fitness technologies, or plans with health incentives. One example is "UnitedHealthcare Motion" which offers financial reimbursement incentives of up $1,500 per year. These types of plans provide good opportunities for savings. Also, make sure to inquire about the possibilities every year, since these types of programs will become more common over time.
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 Wisconsin
will be used to pay for medical costs that arise within the state of Wisconsin.
Good to know: Just because your doctor writes you a prescription doesn't mean you can fill it. Expensive medications for treatment of certain cancers, diabetes, liver disease, and a host of other maladies can cost patients tens to hundreds of thousands of dollars if the insurer does not cover the drugs. But even if the drugs are covered, insurers have been known to try to stall, just to see if the patient will come up with the money to pay for the drugs rather than wait on the insurer's approval. What can we say? It happens.
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.
The mechanics.
In Wisconsin, 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.
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Aurora St Luke's Medical Center
2900 W Oklahoma Ave
Milwaukee, WI 53215
Telephone: (414) 649-6000
Plus Code: X2RX+6H Milwaukee, Wisconsin
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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.
Interesting Fact: The United States spends over $8,250 per capita on health care every year - that's over 22% higher than the next highest country in the world and over 170% higher than the average of the highest-spending 50 countries in the world. In 1960, the per capita cost of health care was $147 per person in America; adjusted for inflation, it would be $1,082 today; that means our current per capita cost has grown over 660% above and beyond normal inflation. As a portion of the gross domestic product (GDP), health care spending accounts for 17.7 percent. The U.S. is second in the world and first among developed nations for the highest health care spending as a percentage of GDP. The total amount of money spent on health care each year in the United States is $2.6 trillion, and it is expected to continue rising. By 2021, spending on health care each year is expected to be $4.8 trillion. It is estimated that 30% (about $750 billion) of health care spending each year is wasted.
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:
Explaining the Growth of HealthCare Sharing Plans.
5 Strategies For Reducing Medical Bills.
Resources