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Started By
Message
Has anyone shifted to Medishare or similar sharing plans?
Posted on 12/13/25 at 3:42 pm
Posted on 12/13/25 at 3:42 pm
My child and I have BCBSLA, and my work pays 80% of mine. My wife is looking at switching to medishare or a similar plan. We had all used medishare for about 3 months until I picked up insurance with a new job, but never went to the doctor with it. I’m just wondering if anyone has had problems with it.
Posted on 12/13/25 at 3:50 pm to Demonbengal
Absolutely not. That's playing with your financial future.
Posted on 12/13/25 at 4:11 pm to AUCE05
quote:
Absolutely not. That's playing with your financial future.
A combo of a solid asset-protection plan, HSA, maybe a cheap injury policy and medishare could make sense. I just haven’t looked into the medishare part in much detail so I dunno.
One year of our insurance is nearly $30k and it sucks.
But then again, one bypass surgery and….
Posted on 12/13/25 at 4:16 pm to Demonbengal
My experience is they make you pay up front then reimburse, but only after doing their best to classify whatever surgery you had as preexisting. Can skirt Obamacare rules on that because technically it’s not insurance. Nightmare stories out there about people being uncovered with cancer, left with hundreds of thousands in medical costs. BCBS not perfect but will pay and you have a measure of price protection to prevent gouging.
Posted on 12/13/25 at 4:21 pm to Demonbengal
I've been with Christian Healthcare Ministries for 10 years but never needed it.
I had a past job processing insurance remits and saw a check come in from Medishare for a claim.
I had a past job processing insurance remits and saw a check come in from Medishare for a claim.
Posted on 12/13/25 at 5:09 pm to Bestbank Tiger
Gotcha. I appreciate the info.
Posted on 12/13/25 at 5:40 pm to Demonbengal
Getting rid of your BCBS plan when you're employer pays 80% is a terrible idea.
Posted on 12/13/25 at 10:08 pm to andwesway
Im not getting off Bluecross. My wife is looking for other options for her. Her business does not cover insurance.
Posted on 12/13/25 at 10:18 pm to Demonbengal
My brother used to use it and didn’t much care for it said it took forever to get reimbursed and said it really wasn’t that much cheaper. If I didn’t have kids or dependents but I wouldn’t put my family on one
Posted on 12/13/25 at 10:33 pm to Demonbengal
I'm in almost the same situation as your family. If she's healthy consider putting $500- $1k a month into a HSA for potential emergencies and look into direct primary care memberships in your area. Works great for me.
At first it feels like a gamble but paying $1200+ a month for a plan that has a high deductible where you still always get a $75-$150 bill afterwards is a f*cking scam. I've negotiated cash pay for all my medical care this year and it's been a fraction of what they'd have charged insurance. If I have a million dollar medical emergency I'll haggle it down and finance it.
ETA: for perspective here's examples of what I paid for my healthcare recently vs what they'd have charged insurance
Complete labs: ~$70 vs $400
Mammogram: ~$120 vs $300
Trigger finger injection: ~$225 vs $900
My Primary care, OB/GYN, Eye dr visit are all $125 to $150 without insurance vs $250 to $400 they'd have charged insurance.
All the cash pay healthcare I've received combined this year cost less than the cost of one months premium for which I'd have received no healthcare in return. Again this only works for healthy people without expensive meds. Insurance is a scam for those in my situation
At first it feels like a gamble but paying $1200+ a month for a plan that has a high deductible where you still always get a $75-$150 bill afterwards is a f*cking scam. I've negotiated cash pay for all my medical care this year and it's been a fraction of what they'd have charged insurance. If I have a million dollar medical emergency I'll haggle it down and finance it.
ETA: for perspective here's examples of what I paid for my healthcare recently vs what they'd have charged insurance
Complete labs: ~$70 vs $400
Mammogram: ~$120 vs $300
Trigger finger injection: ~$225 vs $900
My Primary care, OB/GYN, Eye dr visit are all $125 to $150 without insurance vs $250 to $400 they'd have charged insurance.
All the cash pay healthcare I've received combined this year cost less than the cost of one months premium for which I'd have received no healthcare in return. Again this only works for healthy people without expensive meds. Insurance is a scam for those in my situation
This post was edited on 12/14/25 at 9:54 am
Posted on 12/14/25 at 12:01 am to Demonbengal
quote:
My wife is looking for other options for her. Her business does not cover insurance.
Why not just put her on your plan?
Posted on 12/14/25 at 12:32 am to Demonbengal
quote:
wife is looking at switching to medishare or a similar plan.
I have no experience with such companies and they may be perfectly legitimate programs. However, I would be scared to depend on them simply because they are not insurance and thus are not governed by your state’s insurance comission. As such, they are not regulated by federal and state laws covering coverage, not regulated as to how much profit they can make. There is also no recourse if they don’t pay when they are supposed to.
Posted on 12/14/25 at 7:47 am to Demonbengal
I’ve always been interested in those health shares, but I don’t like the fact that they aren’t supervised and regulated by the government.
Posted on 12/14/25 at 8:01 am to cbree88
I had them and used them for several years. They pay for shite they are supposed to. I have loved them. I am now on a short term medical plan: I am self employed so I am high deductible as I can be
Posted on 12/14/25 at 8:03 am to cbree88
I looked at it, but both of my kids have scoliosis. They said it was pre-existing condition and would t be covered. I couldn’t take the risk if it progressed and needed surgery.
This post was edited on 12/14/25 at 8:26 am
Posted on 12/14/25 at 8:08 am to Demonbengal
If my job is paying most of my insurance, absolutely not.
If I have to insure myself, I’d consider it
If I have to insure myself, I’d consider it
Posted on 12/14/25 at 8:11 am to Demonbengal
Personally, I’m not looking to have to come out of pocket $20k+ for a pretty routine healthcare procedure. Then call the Medishare number and engage in enough prayer to where they agree to write me a check for the claim.
This post was edited on 12/14/25 at 8:13 am
Posted on 12/14/25 at 8:24 am to Demonbengal
I pay $132 a month, but I guess this insurance is more for if you break your leg or have a major procedure. I’ve gone to an ENT twice and a regular check up doctors appointment this year. Every time I pay the $35 co-pay in office, but end up getting a bill in the mail for the full amount (as if I didn’t have insurance) $200-$300 every time. It makes me not want to go for sure unless it’s an emergency.
I can’t imagine going to the ER or an urgent care using medishare. My work doesn’t offer insurance so I guess this is better than nothing.
I can’t imagine going to the ER or an urgent care using medishare. My work doesn’t offer insurance so I guess this is better than nothing.
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