The single most important fact about health sharing ministries is one they state themselves, in their own paperwork: they are not insurance, and sharing your bill is not a guarantee.
Health sharing
Member cooperatives that share medical costs, usually with a statement of faith.
What works
Monthly contributions are often low
A real sense of community, which members consistently value
Many members report bills being shared promptly and without friction
What does not
Not insurance — no legal obligation to pay, and no state guaranty fund behind it
Not regulated by your state insurance department, so no regulator to appeal to
Pre-existing conditions are commonly excluded or phased in over years
Lifestyle and statement-of-faith requirements apply and can affect eligibility
Private PPO
Best Value
A regulated insurance contract from a nationally recognized carrier.
What works
Underwritten rates — a healthy applicant often pays far less
Broad nationwide PPO networks instead of a narrow local HMO
Deductibles as low as $0, and low or $0 copays on routine visits
Apply any day of the year, not just during a six-week window
A legal contract — a covered claim is an obligation, not a request
State insurance department oversight and a real appeals process
What does not
Higher monthly cost than most sharing contributions
Underwritten rather than open to anyone who signs the statement
The Verdict
So which one should you actually pick?
Plenty of sharing members are happy, and we are not going to pretend otherwise. But you should choose it knowing exactly what you are choosing: a voluntary arrangement rather than an enforceable contract. If a $200,000 claim being shared voluntarily rather than owed contractually would keep you up at night, you want insurance.
When the other option wins
Health sharing can suit healthy members who share the community's values, have no pre-existing conditions, and can absorb the risk of a bill not being shared.
Not sure which side you are on? One licensed advisor will tell you plainly, including when the alternative is the better fit.
Health sharing ministries pool members' contributions to pay medical bills, but they are not insurance and are not required to pay any particular claim.
For some families that trade-off is worth it. For anyone who needs a guarantee that a large bill will be covered, an insured PPO is the safer footing.
Read the sharing guidelines, not the brochure
Check how pre-existing conditions are handled
Ask what happens when a bill is not shared
Member Stories
What the call usually sounds like.
5.0
“I was paying $690 a month for a plan with a $7,000 deductible. The advisor found a PPO my cardiologist already takes, and I stopped dreading the renewal letter.”
Self-employed contractor, 47 · Texas
5.0
“COBRA wanted $1,180 a month for the two of us. The call took twenty minutes and I understood my options for the first time in years.”
Recently laid off, 52 · Ohio
5.0
“He told me my income meant a subsidized Marketplace plan would beat anything he could sell me. I did not expect that from a phone call about insurance.”
Part-time seasonal worker, 34 · Oregon
5.0
“I was paying $690 a month for a plan with a $7,000 deductible. The advisor found a PPO my cardiologist already takes, and I stopped dreading the renewal letter.”
Self-employed contractor, 47 · Texas
5.0
“COBRA wanted $1,180 a month for the two of us. The call took twenty minutes and I understood my options for the first time in years.”
Recently laid off, 52 · Ohio
5.0
“He told me my income meant a subsidized Marketplace plan would beat anything he could sell me. I did not expect that from a phone call about insurance.”
Part-time seasonal worker, 34 · Oregon
5.0
“Three states in eighteen months on travel contracts. The thing I needed was a network that did not end at the county line, and that is what we talked about.”
Travel nurse, 31 · Arizona
5.0
“I run a four-person shop. We went through what a group plan would cost versus individual coverage, and he was straight that the group route made no sense at our size.”
Small business owner, 44 · North Carolina
5.0
“Retired at 61 and the gap to Medicare looked like the most expensive four years of my life. It is still not cheap, but it is roughly half what I had budgeted.”
Early retiree, 61 · Florida
5.0
“Nobody asked for my Social Security number or my income. Four questions, then a real person called. That alone put me at ease.”
Rideshare driver, 29 · Nevada
5.0
“My wife has a thyroid condition, so I assumed underwritten meant declined. The advisor explained what carriers actually do with that, and we went in with our eyes open.”
Owner-operator, 50 · Tennessee
5.0
“I called in March after leaving my job. I had no idea you could start coverage outside open enrollment until somebody said it plainly.”
Marketing consultant, 38 · Illinois
5.0
“Two kids, and our old plan meant $50 every time one of them had an ear infection. Low copays were the whole point for us.”
Family of four, 41 · Georgia
5.0
“He walked me through the out-of-pocket maximum line by line. That number was the one I had never understood, and it is the one that actually matters.”
Restaurant manager, 36 · Colorado
5.0
“I said I wanted to think about it. There was no second call, no email campaign, nothing. I rang them back a fortnight later myself.”
Framing contractor, 45 · Idaho
5.0
“I was paying $690 a month for a plan with a $7,000 deductible. The advisor found a PPO my cardiologist already takes, and I stopped dreading the renewal letter.”
Self-employed contractor, 47 · Texas
5.0
“COBRA wanted $1,180 a month for the two of us. The call took twenty minutes and I understood my options for the first time in years.”
Recently laid off, 52 · Ohio
5.0
“He told me my income meant a subsidized Marketplace plan would beat anything he could sell me. I did not expect that from a phone call about insurance.”
Part-time seasonal worker, 34 · Oregon
5.0
“Three states in eighteen months on travel contracts. The thing I needed was a network that did not end at the county line, and that is what we talked about.”
Travel nurse, 31 · Arizona
5.0
“I run a four-person shop. We went through what a group plan would cost versus individual coverage, and he was straight that the group route made no sense at our size.”
Small business owner, 44 · North Carolina
5.0
“Retired at 61 and the gap to Medicare looked like the most expensive four years of my life. It is still not cheap, but it is roughly half what I had budgeted.”
Early retiree, 61 · Florida
5.0
“Nobody asked for my Social Security number or my income. Four questions, then a real person called. That alone put me at ease.”
Rideshare driver, 29 · Nevada
5.0
“My wife has a thyroid condition, so I assumed underwritten meant declined. The advisor explained what carriers actually do with that, and we went in with our eyes open.”
Owner-operator, 50 · Tennessee
5.0
“I called in March after leaving my job. I had no idea you could start coverage outside open enrollment until somebody said it plainly.”
Marketing consultant, 38 · Illinois
5.0
“Two kids, and our old plan meant $50 every time one of them had an ear infection. Low copays were the whole point for us.”
Family of four, 41 · Georgia
5.0
“He walked me through the out-of-pocket maximum line by line. That number was the one I had never understood, and it is the one that actually matters.”
Restaurant manager, 36 · Colorado
5.0
“I said I wanted to think about it. There was no second call, no email campaign, nothing. I rang them back a fortnight later myself.”
Framing contractor, 45 · Idaho
How It Works
Three steps, and you are in control of all three.
01
02
03
Step one · about 30 seconds
Four quick answers. No SSN, no date of birth.
State only, never your ZIP. Your details go to one licensed advisor and nobody else.
Your free review
Household
1234+
Pre-existing conditions
YesNo
When
Now30 daysComparing
Your Move
Find out which side of this you actually fall on.
Four questions, then one licensed advisor calls you back. If the alternative on this page is the better fit for your household, they will tell you that.
