By Bill Rusteberg
Health share plans are growing in popularity these days. Cost is significantly lower than insurance plans as you will see by clicking the link below. However beware these plans are not insurance and there is no guarantee claims will be paid/covered.
Every health share plan I’ve looked at employs Reference Based Pricing in lieu of managed care (PPO) networks. They also limit their Rx formulary by eliminating many high cost drugs.
I’m not sure how these plans determine rates but I have to assume (being eternally hopeful) it’s experience rated and adjusted as needed without any sort of rate guarantee.