Altrua Health share is a “nationwide faith-based health sharing organization in which members share in each other’s medical needs.” Health-sharing is NOT insurance and it is NOT part of the Affordable Care Act, which means you can buy it at any time of the year. However, if you do purchase an Altrua plan, you do NOT have to pay the ACA penalty.
This is how Altrua works: members pay into an escrow on a monthly basis (your monthly premium) and when you receive medical care, the doctor submits a claim to Altrua and Altrua pays the bill. Not everything is covered, but most basic medical care is, such as doctor visits, childbirth, and prescriptions.
Gold and Silver Plans
Six office visits per person per calendar year are included in the membership. The $35.00 office visit/urgent care MRA must be submitted to the provider and applies to all eligible services received at the time of the visit. Up to $300.00 is shared by the membership for each visit. Any services contracted to other providers or facilities and visits for maternity needs are not included. Any amount that exceeds the maximum sharing limit of $300.00 is the responsibility of the member and will not be applied to the 1st or 2nd MRA. After 6 office visits, the member is responsible for 100% of all charges.
Six office visits per person per calendar year are allowed. Altrua HealthShare provides an Explanation of Sharing to the member stating the allowed charges members are responsible for. Up to $300.00 per visit is applied to the 1st then 2nd MRA. Any amount that exceeds $300.00 is not applied to the 1st or 2nd MRA. After six visits, the member is responsible for 100% of all charges. Any services contracted to other providers or facilities and visits for maternity needs are not included.
Altrua is not right for everyone, but it could be the best fit for:
A.) People who need it for basic medical service or only want to cover a catastrophic event.
B.) People who do not have any major pre-existing conditions
C.) People who agree to Altrua’s statement of standards
Understanding The Membership
First Member Responsibility Amount (1st MRA): The member’s first out of pocket amount before the membership shares in eligible needs (any amount not related to office visits, wellness visits, sick visits, check-ups, follow-up visits, etc.).
Second Member Responsibility Amount (2nd MRA): The percentage members are responsible for after the 1st MRA is met, and before the membership shares in eligible needs. The membership shares simultaneously in eligible needs as the member’s 2nd MRA is being met.
Things to Note
Members are sent monthly contribution requests based on age and household, which they submit to remain active in the membership.
Members whose weight exceeds the membership standard will have a share increase added to their monthly contribution.
To date, all eligible medical needs have been shared on behalf of members by Altrua HealthShare.