Here's why we did that:
- Our premium costs were increasing rapidly, even though we had a high-deductible plan and HSA (health savings account).
- We're not big fans of the new health-care legislation, because it doesn't allow insurance companies to manage their risks, which will make costs much, much higher down the road. Plus it's too much big government for our comfort.
- Our maternity deductible became separated from our regular deductible, so we had to pay quite a bit extra per month in our premium plus another deductible before any maternity benefits kicked in. Not cool.
So, after quite a bit of time in prayer and research, we took the plunge and switched to Samaritan Ministries. It cut our monthly premium in half, plus the maternity benefit went right along with it, no separate charges.
Basically, Samaritan Ministries is a Biblical, non-insurance approach to health care needs. You can see more details about how the medical sharing process works on their website, but basically it comes down to us paying a certain month's share for another family's medical needs. This is our "premium" and it is sent directly to the family, just as other families share our needs by sending their "premium" to us once our need is published (shared with the members).
There are certain medical conditions that are not covered or have limited coverage. I'd encourage you to closely read the guidelines.
Here are some things we really like about our experience with Samaritan Ministries so far:
There are certain medical conditions that are not covered or have limited coverage. I'd encourage you to closely read the guidelines.
Here are some things we really like about our experience with Samaritan Ministries so far:
- Our medical needs are shared among Christians. Those who sign up for SM are held to a high level of accountability.
- Precautions are taken to make sure that each family sends their monthly shares in a timely manner to the family to whom they are assigned.
- Needs that are not covered are still processed as "special prayer needs". Each month, we have a suggested special prayer need in addition to the monthly share we pay. We can give money towards that need if desired, as can a number of other families. We've done that each month (the suggested amount is $20) and it can really help someone who would not otherwise be able to publish their need.
- The monthly share cost (aka the premium) is very manageable for our family. We are at the highest tier and pay $355 per month, but it does not increase after this, no matter how many more children we add to our family. If the needs are becoming greater than the shares for more than 2 months in a row, the members may be asked to vote on whether to increase the monthly share across the board.
- We pay the first $300 for each medical expense that is over that amount, for up to 3 medical expenses per year. Beginning with the fourth $300+ medical expense, it is covered in full. (This means that if your child is in the ER for croup and then has a related second exam and the grand total is $700, those two visits are processed under the same need and you would only pay the first $300.)
- We like knowing that people are praying for us and for our family's needs and the notes we've received with the shares paid to us so far have been very encouraging.
- We like knowing how we can pray for others!
Now, here are the slight downsides that we've discovered about this type of medical sharing ministry. I don't want to come across sounding negative, but it's something to keep in mind.
- Each medical need under $300 must be paid for in full by us. So, if you're used to only paying a $20 co-pay at the doctor's office each time, be aware that you'll need to pay for those things yourself. (Remember, though, you're paying for that $20 "convenience" through your high premiums with traditional insurance anyway.) This would include such needs as checkups, well-child exams, dental or eye exams that are non-injury related. With our previous high-deductible plan, we paid out of pocket for these types of visits anyway, so it didn't affect us. On the plus side, it makes you think before running out to the doctor unnecessarily.
- Doctor's offices may be less willing to give discounts for non-covered patients. If you join Samaritan Ministries, you will be considered self-pay, which means you may have to pay the full cost of services, verses the discount that some insurance providers negotiate with hospitals. In our area we only have one large hospital within a 90 mile radius and so they don't have to negotiate with self-pay patients because there is no competition. Therefore, we have to pay in full for most appointments and were only able to negotiate a 10 percent discount for our current maternity expenses. Which brings me to my biggest negative...
However, upon receipt of our letter in May, we found out our need had been prorated along with the other members that submitted needs for this month. This happens when the amount of needs exceeds the amount of share money available. Needless to say, I wasn't pleased. We were aware that this could happen, but were disappointed that it happened so quickly and for such a large need (for both of the needs we submitted, actually!). This left us with a large amount of money still missing from our savings account, because we had taken it out in good faith that it would be paid back.
The way they handle this is to process the rest of your need the next month, but they weren't sure they would be able to do that this time. When my husband called, they also mentioned that they've never seen a publishable need go unfulfilled, but until I see that money, it's not something I just take their word for.
I don't want this to sound spiteful or angry, because it's not the way we feel. We know God can most definitely provide for our needs, exceedingly and abundantly beyond what we ask or think (Eph. 3:20-21), but it is frustrating, being that part of the reason we became members of Samaritan Ministries was to see God meet our needs in this type of manner as we pursued a biblical alternative to traditional insurance.
That's where we're at right now. We are going to stay with them, because we believe in the mission and purpose of Samaritan Ministries and are still convinced it is the best route to take as far as providing for medical needs. It's just important to be aware of all the pros and cons of a non-traditional approach such as this! I'll keep you updated as to how this turns out!
Do you belong to Samaritan Ministries or another medical sharing group? If any of you have any personal experiences to share, I'd welcome them in the comments!
Please ask any questions you have as well, if you're thinking about changing the way you take care of your family's medical costs.
photo: freedigitalphotos.net/Vichaya Kiatying-Angsulee, freedigitalphotos.net/tungphoto














































