Make the most of your Summit membership
Pairing a High Deductible Health Plan (HDHP) or a Health cost sharing plan(details on what this is below) with Direct Primary Care (DPC) can be a great way to maximize access to care while keeping costs to a minimum. A HDHP is defined as a deductible not less than $1500 for individuals and $3000 for families with an annual out of pocket that does not exceed $7500 for individuals or $15000 for families. Read more about HDHP HSA plans here.
It is important to note that this combo may not be for everyone, but if done right, can be very beneficial for some. Below are some resources for information purposes. We cannot and do not endorse any of below and we are not fully qualified to provide specific counseling on these matters. We recommend that you speak with your HR rep or contact the below groups to find out more.
What are Health cost sharing plans?
Health or medical cost-sharing plans are not run by insurance companies; they are run by nonprofit organizations. Most health cost sharing plans are faith based, however, there are a few secular or non-faith based options. Members pay a set amount into a group fund every month. When a member gets a large medical bill, the fund pays some or all of that bill. Plan guidelines spell out which expenses are shareable.
Before the plan pays out, though, the member must cover some of the cost first. This amount, called the member’s “personal responsibility” or “annual household portion,” works just like a deductible does for health insurance.
There are many Health cost sharing plans around now: Sedera, Zion, Medi-Share & Samaritan Ministries just to name a few. See below for more info.
Information & resources for health insurance or health cost sharing groups to pair with Direct Primary Care:
Pairing a healthcare sharing plan with direct primary care
List of Healthcare Cost Sharing Groups / Plans:
Sedera Health Cost Sharing Group
Zion Health Cost Sharing Group
Christian Healthcare Ministries
Resources to help with optimizing your HSA:
True Medicine - company that assist with using pretax money in your HSA to pay for health food and exercise.
Great video explaining how to maximize your HSA funds.
Additional information & resources:
Savvos - marketplace of affordable cash prices for shoppable medical care, including imaging, outpatient surgery, labs, and more.