Health Sharing is NOT health insurance. OneShare Health, LLC is not an insurance company but a religious Health Care Sharing Ministry.  For full disclosures, see https://www.onesharehealth.com/legal-notices 

Start Date

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1. The Basics

2. Household

Primary Member (oldest person - Monthly Contribution will be based on this date of birth.)
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Member #2
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Member #3
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Member #4
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Member #5
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Member #6
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Member #7
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Member #8
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3. Statement of Beliefs

Health Sharing plans were originally created as a religious carve out from the ACA (Affordable Care Act) law.  OneShare has the most flexible requirements with a simple agreement to a Statement of Beliefs (below)

With our origins in the Anabaptist faith

We Believe in the authority of Scripture and the sanctity and dignity of every human life created by God with special meaning and purpose.
II Timothy 3:16; Psalm 139:13-14

We Believe that every individual has the constitutional and religious right and duty to worship God in freedom.
II Corinthians 3:17; U.S. Const. amend. I

We Believe and agree in the biblical and ethical principle of sharing with those who are less fortunate and who experience medical needs.
Galatians 6:2

We Believe and agree that it is our responsibility to God and our fellow members to engage in accountable, healthy living, and to avoid habits and behaviors which are harmful to the body.
I Corinthians 6:19-20

We Believe in the power of prayer to save lives, to heal lives, and to unite our members in common purpose and community, and we believe that prayer should be a fundamental practice of daily life.
I John 5:14; Philippians 4:6 7

ONESHARE HEALTH, LLC (ONESHARE) IS NOT AN INSURANCE COMPANY BUT A RELIGIOUS HEALTH
CARE SHARING MINISTRY (HCSM) THAT FACILITATES THE SHARING OF MEDICAL EXPENSES AMONG
MEMBERS. As with all HCSMs under 26 USC § 5000A(d)(2)(B)(ii), OneShare’s members are exempt from the
ACA individual mandate. OneShare does not assume any legal risk or obligation for payment of member
medical expenses. Neither OneShare nor its members guarantee or promise that medical bills will be paid or
shared by the membership. Available nationwide, but please check www.onesharehealth.com/legal-notices for the most up to date state availability listing.

4. Tell Us About Yourself

Please answer the questions for yourself and for all family members who are enrolling.
All fields are required.
At OneShare Health we believe that it is our responsibility to God an our fellow Members to engage in accountable, healthy living, and to avoid habits and behaviors which are harmful to the body. Membership is not available to individuals who have engaged in certain harmful behaviors in the 12 months prior to application.

5. Medical Questions

Please answer the questions for yourself and for all family members who are enrolling.
All fields are required.
Please be aware that pre-existing condition limitations and waiting periods may apply.
Warning:

Please be aware that Waiting Periods and Pre-Existing Condition Limitations apply. If you are currently hospitalized, this hospitalization is Not Eligible for Sharing.

Please be aware that if Cancer was diagnosed, or treatment was received, for Cancer within 5 years of your Effective Date, Cancer expenses are Not Eligible for Sharing.

 

Please be aware that If you were diagnosed, or treatment was received, for Cancer more than 5 years prior to your Effective Date, that Member will be eligible for sharing in newly diagnosed Cancer expenses, after the 90 Day Waiting Period, according to the Membership Guidelines. Recurring Cancer is Not Eligible for Sharing.

Maternity may not be eligible for sharing, depending on the Program you have selected. For a Member whose Program is effective prior to conception, the medical needs for the mother’s care pertaining to prenatal delivery and related hospital expenses are eligible for sharing according to the Membership Guidelines.

If medical records indicate you have presented inaccurate data regarding your age, tobacco use, or any medical condition, we reserve the right to terminate your Membership.

6. Plan Selection

Access OneShare rates here
Brochures:  CatastrophicClassic.
You can also quote Covered Ca plans here.  Tax credits are available to many enrollees
Medical

7. Almost Complete!

There is a 180-Day Waiting Period for Preventive Services. Unless stated otherwise in the Eligible Sharing Descriptions and Limits, there is a 90-Day Waiting Period for any medical expenses except for

  • Accidents
  • Injuries
  • Acute Illnesses
  • Immunizations(if eligible)

Pre-Existing Condition Limitations and Program guidelines will apply. Visit Fees continue to apply after the ISA is met. 

 

For specific information on limitations for each Program, click “Program details” under the Program description.

An annual Administration Fee of $45.00 is due from each Primary Member upon their Program year anniversary.

This form should be used for the authorization to use or disclose protected health information. Authorization is required by the Health Insurance Portability and Accountability Act (HIPAA), 45 C.F.R. Parts160 and 164.

E-Signature * 🛈
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What to Expect:
 
Email request for confirmation - Usually received within 24 hours (business hours 9am-5pm Monday-Friday) of completed application with plan, rate, and effective date.
 
Your welcome packet by email and/or mail within 5 days
 
1st Payment will be processed via credit card info below.  There is a one-time application fee of $125  
 
IMPORTANT:  You can cancel in 30 day blocks via this form.  

8. Payment Information

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Payment Authorization

I request and authorize OneShare to initiate a credit/debit card transaction for the monthly payment due.  The initial monthly payment will be processed at the completion of eligibility review. If I have selected the automatic monthly payment option above, I also authorize automatic monthly payments to be made. I understand that my monthly payment may vary as a result of change(s) I make once enrolled, such as, but not limited to, adding and deleting dependents, moving my residence, changing coverage and/or changes made by the carrier of which I am notified according to my plan/policy. This authority is to remain in effect until revoked by me by providing my carrier a 30-day written notice. I understand that should any credit/debit card transaction not be honored, I will automatically be removed from automatic monthly payments and will be billed by mail. I understand I may incur a service charge for any credit/debit card transaction not honored. Please print a copy of this authorization for your records.

An emailed confirmation will be sent to the email on file.

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