The Gold Level provides hospitalization and out-patient surgery benefits, along with other benefits through a healthshare plan.
The individual may choose any hospital through a healthshare plan, which pays up to $75,000 for a hospital stay or out-patient surgery. The member responsibility portion is $5,000 (like a deductible), to the provider. By utilizing the included Patient Advocacy program, which works with the provider to obtain special reduced pricing, the $75,000 benefit amount will be stretched even further. Can’t pay the $5,000 up front? Most every provider will work out a payment schedule over time.
Rather than paying for massive coverage, thus making it unaffordable, this program provides an avenue to give some coverage, in the event of a catastrophic event.
Medical bills are the number one reason for bankruptcies. The $75,000 in coverage provided, will typically be enough to cover the average hospital stay or surgery, according to debt.org.
(NOTE: Hospital and surgical costs may be much higher).
Pre-existing conditions apply for a 12-month look-back. In other words, a pre-existing condition is any condition for which the individual has received medical advice or treatment, or for which symptoms were present and a prudent person would have sought treatment within the past 12 months prior to enrollment in a new insurance plan. Any condition deemed to be pre-existing will be excluded from coverage for 12 months after the coverage effective date. Normal childbirth will be included 10 months after effective date.
Smart Choice Plan™ pays up to $50,000, or $75,000 per year, per covered person, with a $500,000 or $750,000 lifetime maximum respectively.
A large part of the appeal of healthcare sharing programs is that they are much less expensive than traditional health insurance.
The healthcare sharing program offered is a medical cost sharing program that helps individuals and families address the challenges of escalating health care costs and soaring insurance premiums. It is not insurance, but an alternative where members share in each other’s medical needs. The healthshare company collects the member monthly contribution amounts and pays the providers directly, minus any applicable Member Responsibility Amounts (MRA). The MRA is applicable for each medical event per year. Members voluntarily submit contributions to the program on a monthly basis in order to maintain eligibility for sharing of medical needs and to help share in the needs of others.