MEMBERSHIP GUIDELINES AND FAQ'S

CURRENT GUIDELINES

 

You can view our most current member guidelines by downloading the PDF below.

 

DOWNLOAD MEMBER GUIDELINES

FAQ'S

IS YOUR DOCTOR IS ON OUR PREFERRED LIST?

SEARCH FOR YOUR DOCTOR

DO I HAVE TO WAIT ON AN "OPEN ENROLLMENT" PERIOD TO APPLY FOR COVERAGE?

 

No. You can apply at any time. Coverage will typically be effective on the 1st day of the month following your application date (if you               apply by the 15th of the month).

IS ALTRUA HEALTHSHARE INSURANCE?

No, Altrua HealthShare is not insurance. Altrua HealthShare is a health care sharing ministry. It is an organization that facilitates sharing of health care costs. This publication or membership is not issued by an insurance company, nor is it offered through an insurance company.

IS ALTRUA HEALTHSHARE LEGAL UNDER THE AFFORDABLE CARE ACT?

Altrua HealthShare is a recognized Health Care Sharing Ministry and members are exempt from the “penalties” assessed to those who do not have insurance.

WHAT MEDICAL NEEDS ARE ELIGIBLE FOR SHARING?

Members tell us the medical needs eligible to be shared by Altrua HealthShare members compare favorably to their prior medical coverage. Eligible medical needs are listed in the membership guidelines. View Membership Guidelines.

IS MATERNITY INCLUDED?

Yes! Once you have been in a combined membership (two or more members in the household) for 10 consecutive months prior to conception. Altrua HealthShare will share up to $4,000 per pregnancy (whether a single or multiple birth). Needs for maternity ending in a delivery by cesarean section that is either medically necessary because of complications that arise at the time of delivery or due to medical necessity for previous cesarean section delivery are limited to $6,000 instead of $4,000 with no MRA applicable.

HOW DO I BECOME A MEMBER?

Becoming a member is simple; you can complete the online application.

HOW MUCH WILL ALTRUA HEALTHSHARE COST?

Your monthly contribution will vary based on your age, the number of members in your family and the type of membership you desire. View Plan Options for more information.

DO MONTHLY CONTRIBUTIONS FLUCTUATE EACH MONTH?

No. The monthly contributions do not fluctuate from month-to- month. However contributions are subject to review by the Board of Directors on an annual basis. Adjustments may be made periodically, usually on an annual basis, to meet the needs of the membership.

ARE THERE RELIGIOUS RESTRICTIONS FOR MEMBERSHIP IN ALTRUA HEALTHSHARE?

Altrua HealthShare welcomes members of all faiths who can honor the Statement of Standards which the Altrua HealthShare program operates by along with the concept of caring for one another. 

 

Religious Conviction and Standards:

The person must have a religious conviction of helping others and/or maintaining a healthy lifestyle as outlined in the Statement of Standards contained in the membership application. If at any time during participation in the membership a violation of the Statement of Standards is found, the individual not honoring this standard may be subject to removal from participation in the membership.

           Statement of Standards

           I agree to live a clean and healthy lifestyle and I share the following ethical or religious beliefs:

           I believe in caring for one another.    

           I believe in keeping my body clean and healthy with proper nutrition.

           I believe that excessive alcohol consumption, as well as the use of tobacco or illicit drugs, is harmful to the body and soul.

           I believe that sexual relations outside the bond of marriage is morally wrong, and that marriage is a bond between a man and woman only.

           I believe abortion is wrong, except in a life-threatening situation for the mother.

           I believe it is my obligation to care for my family, and that physical, mental, or emotional abuse of any kind to a family member, or to anyone                 else, is morally wrong.

WHAT ABOUT PRE-EXISTING CONDITIONS?

Any illness or accident for which a person has been diagnosed, received medical treatment, been examined, taken medication, or had symptoms within 24 months prior to the application date. Symptoms include but are not limited to the following: abnormal discharge or bleeding; abnormal growth; break; cut or tear; discoloration; deformity; full or partial loss of use; obvious damage, illness or abnormality; impaired breathing; impaired motion; inflammation or swelling; itching; numbness; pain that interferes with normal use; unexplained or unplanned weight gain or loss exceeding 25% of the total body weight occurring within a six-month period; fainting, loss of consciousness, or seizure; abnormal results from a test administered by a medical practitioner.

IS THIS A CONTRACT OR CAN I QUIT ANYTIME?

It is NOT a contract. You can choose to quit the membership at any time. All new members pay a $100 application fee and a $25 fee that goes to Altrua Ministries that is not refundable if you chose to quit after being accepted to the membership. Altrua HealthShare does request that proper notification be given if a member chooses to quit for any reason, please see Member Guidelines.

WHAT GUARANTEES DO I HAVE THAT MY CONTRIBUTIONS WILL BE USED CORRECTLY?

Financial integrity and accountability of Altrua HealthShare is very important. What we do is done according to biblical standards for operating and maintaining the highest level of accountability through our auditing procedures and board of directors. Trust from our members is very important to us and there are several ways in which we maintain our trust from all members.

IS THERE A HEALTH SCREENING REQUIRED FOR MEMBERSHIP APPROVAL?

The person must meet the criteria to be qualified for a membership on his/her application date, based on the criteria set forth in the Member Guidelines.

If, at any time, it is discovered that a member did not submit a complete and accurate medical history on the membership application, the criteria set forth in the Membership Eligibility Manual on his/her application date will be applied, and could result in either a retroactive membership limitation or a retroactive denial to his/her effective date of membership.

WHAT HAPPENS IF MY MONTHLY CONTRIBUTION IS LATE?

Monthly contributions are requested to be received by the 1st of each month. If the monthly contribution is not received by the 15th of each month, an administrative fee will be assessed to track, receive and post the monthly contribution. If the monthly contribution is not received by the end of the month, a membership will become inactive as of the last day of the preceding month in which a monthly contribution was received.

Annual membership contributions and donations are due on the 1st day of January of each calendar year. Annual membership fees are not prorated. If the annual membership contribution is not submitted by January 31st of each calendar year, your membership will become inactive.

WHAT DO I SAY TO MY MEDICAL PROVIDER WHEN I NEED MEDICAL CARE?

Members explain to any medical provider that they are a member of a recognized Health Care Sharing Ministry. Show them your membership ID card and explain that your bills should be sent either electronically or by mail as directed on your Membership ID card.

HOW DOES MY DOCTOR OR HOSPITAL GET PAID?

Once your medical provider has properly processed your medical claim to be share by the membership, the medical need is adjudicated and payment is issued through the members escrow account.

WHAT HAPPENS IF I HAVE A DISCREPANCY WITH A NON-ELIGIBLE MEDICAL NEED?

If a need is denied as not eligible, and there is a dispute, the aggrieved member or any other aggrieved party may seek reconsideration only through the appeal procedure described in the Member Guidelines.

CAN I BE A MEMBER OF ALTRUA HEALTHSHARE AND HAVE MEDICAL INSURANCE?

Yes, a member can have health insurance through work or another source. Members can utilize the membership to share in the portion that the health insurance plan does not cover. Altrua HealthShare always remains the last resort in sharing medical needs.

DO I HAVE TO SEND CHECKS TO OTHER MEMBERS OR WAIT TO RECEIVE CHECKS FROM OTHER MEMBERS?

No, members share in each other’s medical needs through the members escrow account.

WILL MY DOCTOR ACCEPT ALTRUA HEALTHSHARE?

Yes, Altrua HealthShare is a recognized Health Care Sharing Ministry and is a part of multi plan which is a network that most medical providers participate in. If a medical provider is not a part of the multi plan network, they should still accept Altrua HealthShare as your medical sharing plan of choice.

BECOMING A MEMBER OF ALTRUA HEALTHSHARE IS THE RIGHT CHOICE

UNDERSTANDING THE AFFORDABLE CARE ACT

 

HEALTH CARE SHARING IS EXEMPT FROM OBAMACARE.

Members of a recognized Health Care Sharing Ministry are exempt from the requirement of maintaining health insurance and are also exempt from the penalty that is now required of those that do not have Health Insurance.

PPACA: The new health care reform legislation is called The Patient Protection and Affordable Care Act (ACA). Better known as “ObamaCare”.

INDIVIDUAL MANDATE: The ACA legislation contains many provisions that are complex and detailed about our nation’s health care. Among these provisions is the ‘individual mandate’, the requirement that every American purchase health insurance. Under the law, you must purchase health insurance by March 31, 2014, be exempt from the law, or face a penalty imposed and collected by the IRS.

BE EXEMPT: Members of a recognized Health Care Sharing Ministry are exempt from the mandate to purchase health insurance by 2014 or face financial penalties. Enrollment with a recognized Health Care Sharing Ministry REMOVES your requirement under the healthcare mandate to purchase health insurance and also removes the penalty.

RECOGNITION: In 2014 Altrua Ministries, dba Altrua HealthShare received its recognition as a Health Care Sharing Ministry recognized by the Centers for Medicare & Medicaid Services (CMS). As a result, the members of Altrua HealthShare have the security of being members of a recognized Health Care Sharing Ministry. Altrua HealthShare is a Health Care Sharing Ministry that is a 501(c)(3) non-profit organization that facilitates the sharing of eligible medical needs between members.

Altrua Ministries, dba Altrua HealthShare received its recognition letter from CMS on December 19, 2014. For a copy of the recognition letter, click here.

EXEMPTION ACTION POINT: 2014 TAXES: The IRS has prepared tax forms for the 2014 tax year, which allow taxpayers to claim exemption as a member of a Health Care Sharing Ministry.  These forms are simple to fill out and fairly easy to understand.

Form 8965 simply asks for the Code under which members are exempt. Members of a Health Care Sharing Ministry utilize a Code “D” exemption. The 2014 tax forms do not ask for the name of the exempt Health Care Sharing Ministry. On Form 8965, leave Parts I and II blank, and in Part III, members simply write in the letter “D” in the column titled “Exemption Type.”

In the event an accountant or tax preparer asks for the name of the recognized HCSM through which members share medical needs, the recognition name of our Health Care Sharing Ministry is: “Altrua Ministries” the program name is Altrua HealthShare.

PRINT APPLICATION: You have the option of completing a paper application. If you choose this option, please download, print, and complete the PDF application . Upon completion, mail directly to Altrua HealthShare at the address listed on the application.