Can you tell me more about CHM?
Hi DC Jennifer, Now that I'm on my computer, I can write more...someone was giving me a hard time about recommending Christian Healthcare Ministries so I want to make sure you do your due diligence and don't just take what I tell you. I'll give you an overview of what we learned but then please go to the website and call them if you have questions.
CHM is not insurance. It is a member based medical bill sharing non profit that has been around since 1981 (I think there are four such groups in the US). They had an issue with integrity and fraud some years ago and have put in place many safeguards - keeping the duties of receiving/distributing/depositing money all separate. They have over 300,000 members.
How it works is you go to the doctor, tell them you are a cash paying customer, they will probably make you pay a deposit and then when you get the bill, you ask for a cash discount. There are certain CHM rules to follow but let's say you go to the emergency room. You get the bill, call and ask for a cash discount (30-40%) and then submit the bill to CHM who then sends you a check. No deductible, no in network/out of network issues.
We signed up in December as our insurance was outrageous. We signed up for the highest coverage which is $150 per unit (each parent is a unit and then the children are one unit). The highest coverage shares bills for all incidents that exceed $500 as long as all the guidelines are met. You can receive up to $125,000 per incident which becomes unlimited if you sign up for the additional plan called Brother's Keeper which is $25 per month. An incident is considered all costs related to an illness - say you go to the doctor three times because your stomach hurts and then end up having your appendix out...all those costs are one incident. Once you get the bills for your appendix, you ask for cash discounts. If you get more than $500 in cash discounts, your responsibility for the first $500 is met. The incident costs you nothing.
In general CHM does not cover pre-existing conditions (with exceptions at the $150 level - see below). In one of my prior posts, I wrote that I bet they will pay for pre-existing conditions. I wrote "I bet" because I don't know if all pre-existing conditions get paid for but I think most do. Bills for pre-existing conditions are shared in a newsletter on the Prayer Pages. Members can donate tax deductible donations to help others with their pre-existing condition bills.
Also, if you join at the Gold level (the $150 level), CHM pays for $50k total of bills for pre-existing conditions the first three years and then after that, the condition is no longer considered pre-existing. If you have more than $50k of bills in the first three years, those bills can be put on the Prayer Page.
Here is why we joined. I was on a Facebook page and a gal wrote that her husband had to go to the ER. The bill was $4100. The discount brought it down to $2500. CHM sent them a check for $2500.
Another story about a pre-existing condition - a boy had a congenital defect where his sternum fused and he found it hard to breath. He had to have his sternum broken and repaired. The cost after discounts was $69,000. Since it was a pre-existing condition, it wasn't covered. Donations from the prayer page covered the whole cost.
CHM does not cover maintenance medications. They do have a prescription discount program that you can use to get cash discounts. They do not cover unwed mothers and probably won't cover care for drug abuse. They want people to live a Christian life.
Because of the minimum $500 per incident, regular doctor's visits and physicals are not covered. But again, you ask for a cash discount and it may not be much more than if you had insurance. Our insurance was going to cost us $105 per specialist visit (three max before they were subject to the deductible). Our dermatologist charges $55-90 cash. Less than what our insurance was going to make us pay.
There are three levels of membership. We choose the highest level with the most benefits.
Anyways, the website if chministries.org. I think you should check it out. Let me know if you have questions.