Introduction

HealthSharing is a tried and tested healthcare solution that has a history of over 40 years. Here’s how it works:

  • Members Work Together
  • To keep costs down by shopping for the best value and making smart life choices to keep the costs down for the whole Community.

  • Every Member Contributes
  • A fixed monthly contribution to support the community.

  • Members are helped by the Community
  • When there is a large medical need like an ER visit, Hospitalization, Surgery, Cancer Care, etc.

Medical Cost Sharing for Businesses

The Sedera Medical Cost Sharing Community exists so members can help each other with large, unexpected medical expenses. The Sedera Membership experience is refreshing and empowering for businesses and their employees.

  • Effectively Control Healthcare Costs
  • Group Membership options keep your healthcare costs low while offering your team a refreshing alternative to healthcare.

  • Offer Your Employees Affordable Options
  • We believe that one size does not fit all when it comes to a solution to manage healthcare costs. Our options start as low as $117/mo.

  • Enjoy Flexibility and Transparency
  • Sedera Members build direct relationships with their medical providers. There are no networks, so no one is in the middle of your healthcare decision-making.

Zion Cheat Sheet

  • HealthSharing
  • A membership-based non-insurance arrangement established for the purposes of sharing legitimate healthcare expenses between members. Members contribute monthly which is used to pay large medical expenses for member needs.

  • Initial Un-shareable Amount (IUA)
  • The IUA for each member’s medical need is the responsibility of each member, based on your choice of IUA. This is the amount that you need to pay before the community is eligible to share in your medical expenses.

  • Need
  • A need is defined as all of the medical expenses related to a single accident or illness that exceeds your Initial Un-shareable Amount (IUA).

    A need comprises all expenses surrounding a new accident injury or illness. Once your IUA is met for a need, all medical expenses are shared by the community at 100% until the need is resolved. For example, you fall and end up fracturing your leg. From the initial doctor visits, any medical screening, x-rays, MRIs, specialists visits, surgeries, physical therapy, everything counts as one need.

  • Membership Guidelines
  • A document that lays out the rules and guidelines of how the HealthSharing Community functions. Every member must accept these to enroll and become a member of the community.

The Zion HealthSharing Members Enjoy

  • Low Monthly Cost
  • Monthly costs start as low as $90 for an individual member.

  • No Network Restrictions
  • We allow our members to work with any provider without network restrictions.

  • Member Advisors
  • Our expert advisors will help you navigate the complex world of medical care.

  • Price Transparency
  • Always know your out-of-pocket costs before you receive care.

  • Community Driven Approach
  • Need-related costs are capped after 3 medical needs in a 12-month period.


Includes

Bill Negotiations

Bill Negotiations

Member Rewards

Affordable Monthly Costs

Pre-existing conditions: Sharing Conditions

We do not decline anyone, although there are rules to be fair to all members for pre-existing conditions. Any person who has received any medical treatment, diagnosed with a disease, taken medication, or had any symptoms in the last 24 months since the membership joining date is considered a preexisting condition.

In the first year of membership, pre-existing conditions are not sharable with the Zion Health community. Pre-existing conditions become sharable on a limited basis after one year of continuous membership, with the limit increasing to a maximum of $125,000 per need in the fourth year of membership and onward.

PRE-EXISTING CONDITIONS LIMITATIONS

  • 1st Year of Membership
  • Waiting period of all pre-existing conditions

  • 2nd Year of Membership
  • Up to $25,000 of sharing per need for pre-existing conditions

  • 3rd Year of Membership
  • Up to $50,000 of sharing per need for pre-existing conditions

  • 4th Year of Membership and Beyond
  • Up to $125,000 of sharing per need for pre-existing conditions per year

For more information, see the section “Medical Conditions Existing Prior to Membership” in the Member Guidelines.

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