Health Care Sharing Ministries
Understanding Health Care Sharing Ministries
Health Care Sharing Ministries (HCSMs) are faith-based organizations where members contribute monthly “shares” that are used to help pay each other’s medical expenses. While they can look similar to traditional insurance, they are not health insurance and are not regulated in the same way.
How They Work
- Member Contributions: Instead of paying premiums to an insurance company, members send a set monthly contribution that is used to share in other members’ qualified medical costs.
- Community-Based: HCSMs are built around shared religious or ethical beliefs, and participation often requires agreeing to a statement of faith or code of conduct.
- Eligible Expenses: The ministry decides what types of healthcare expenses are eligible to be shared—this may exclude preventive care, mental health, or pre-existing conditions.
Key Differences from Health Insurance
- Not Guaranteed: Unlike traditional insurance, there is no legal guarantee that your medical bills will be paid. Sharing is voluntary, though most ministries have strong track records of members helping one another.
- Limited Protections: HCSMs are not subject to state or federal insurance regulations, which means there are fewer consumer protections compared to health insurance.
- No Network Restrictions: Members can usually see any doctor or hospital they choose, since there are no provider networks.
- Potential Cost Savings: Monthly contributions are often lower than insurance premiums, making HCSMs appealing to those who are generally healthy and aligned with the ministry’s values.
Is an HCSM Right for You?
Health Care Sharing Ministries may be a fit for individuals or families who are comfortable with faith-based membership requirements, want lower monthly costs, and are willing to accept limitations on coverage. For those seeking guaranteed, regulated protection, traditional health insurance or Medicare-based options may be a better choice.