Christian Care Ministry Reviews (%countItem)
Christian Care Ministry Rating
Address: 4150 W Eau Gallie Blvd, Melbourne, Florida, United States, 32934-7202
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+1 (321) 308-7779 +1 (321) 722-0689 +1 (321) 722-5136 +1 (321) 722-5138 |
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MediShare Christian Care Ministry was my health care coverage company and did not cover my bills as described.
I had a health care plan with Christian Care Ministry, where I paid for health care coverage with a $10,000 deductible. In 2018 I had back surgery for a herniated disc. Where I met and paid my $10,000 deductible, and received a letter from Christian Care Ministry that they surgery would be eligible to be paid. The medical bills have not all been paid, as they said they would, now are ruining my credit and may be sent to collection agencies. I met and paid my $10,000 deductible and even some additional cost. Almost 2 years later and the bills are still not paid. I feel that Christian Care Ministry has not complied and upheld their agreement per the letter I received from them. I just want them to pay the medical bills, so that my credit isn't ruined. It is not right that they did not uphold their agreement. This is poor business and taking advantage of a consumer, and breech of contract.
I would like for Christian Care Ministry to pay the bills they agreed to cover per the letter I received.
We contacted you by e-mail and scheduled a phone call for later this week. Along with our email to you, we drafted a resolution sheet of the bills received during your membership. This sheet provides an overview of your medical needs and a breakdown by each bill for needs that were eligible for sharing and applied to your Annual Household Portion (AHP), bills that were discounted by providers, and which bills were not eligible according to member-voted guidelines--along with the reason, and the total amount shared once your AHP was met. We can also discuss when checks were sent to providers and when the providers cashed them. We pray this resolution sheet will clear up any confusion and frustration. We look forward to working through this concern with you and answering your questions.
Medi-share is refusing to share medical bills from my daughter's birth.
I have been a member of Medi-share for over 5 years. I have sent in nearly $50,000 to cover other member's bills over that time and never once needed one of my medical bills shared. Last year they increased my monthly share by 18%! A couple of months ago my wife and I had a daughter. Medi-share is now refusing to pay for her expenses related to birth because they claim they have no record of my phone call notifying them of her birth. I asked them if they want to see a copy of the birth verification form that the hospital faxed them and their answer was that they don't care what was faxed because they have no record of a phone call. I am now left to try to find a way to cover these invoices related to her birth after sending them nearly $50,000.
I would like her medical bills to be shared by the medi-share member. Those same people that I have helped with their medical bills for the past 5 years.
Each month, more than 200 babies are born into Medi-Share membership. When notified of a pregnancy, a Maternity Specialist is assigned to walk with the family through the pregnancy, birth, and postpartum care. In this case, Medi-Share was not notified of the pregnancy and so the family did not benefit from the services of a Maternity Specialist, who would have explained the need to add the baby within 30 days of birth, in accordance with the guidelines. We did not receive notification of the birth until more than a month afterwards. The Medi-Share Medical Director has personally reached out to the member and left messages for him to contact her with no response.
Did not use the service, canceled in 3 days. I want a refund.
When I spoke to the Customer Service Rep on the phone I was told that even with a high deductible plan I could get up to a 40% discount on medical services and a wellness check with a mammogram. I then agreed to sign up but then to clarify what I was told I wrote to Member Services via email and was told that mammograms are not a covered services, a 40% discount would be highly unusual and that only services they deem to be medically necessary would get any sort of discount. I was also not by told by Customer Service that I had to be a member in good standing for over a year before any of medical bills would even be shared. Three days later (because of the weekend) I emailed them and canceled the service, I was asked to call to verify my decision and given a "hard sell" but I told them I wanted to cancel right now. I want my money back because I was only a member from November 1 to November 3 and did not use the service at all. I am on a fixed income right now and can't afford to pay for something I could not and did not use.
I just want a full refund because I canceled within three days and I did not use the service at all.
We're sorry that Medi-Share was not the right fit for your healthcare needs. We are happy to report that a full refund was issued on November 19th to your credit card, but may take up to 7 business days for the transaction to process.
(The consumer indicated he/she ACCEPTED the response from the business.)
All I wanted was a refund since I didn't use the service.
I have been on the phone with MediShare and my provider for months trying to get our first bill paid by MediShare. We had been on the plan for 15 months when we had to have our first issue taken care of by insurance. My wife had severe diarrhea for several months and we decided it wasn't going to go away on it's own. We went to the doctor who performed a colonoscopy to identify the issue. She was diagnosed with Microscopic Colitis and he put her on treatment for that and resolved the issue. This was in March of this year.
After talking to a representative today about the issue, I was told because the issue is more than 90 days old, they weren't responsible to pay it. The doctor coded the treatment correctly. There were several codes that were not preventative, but because he also tested for other issues while he was doing the procedure and had a code for that, MediShare refuses to pay $10,000 worth of bills as everything was preventative according to them. They take your money like clockwork, but refuse to pay anything.
I really hoped I had found an honest insurance company after I was forced to ObamaCare after my individual policy was cancelled due to ObamaCare. But, nope. I had been with Blue Cross for 25 years before this and never had this issue.
I had discounted the other reviewers as trying to get coverage for pre-existing conditions or preventative procedures. Do yourself a favor and understand that MediShare will do whatever it can to avoid paying your bills.
We are working diligently with the provider to obtain accurate coding so that bills can be reprocessed. We will continue to communicate with you as this progresses and are happy to report that one check has already been issued for one of the bills in question. We appreciate your patience and for giving us the opportunity to serve you better.
DO NOT USE!!!!! Sooner or later you will regret it!!!!!!!!!!!! Long story but after an ENTIRE year of them wanting something different every other week. Now they are saying shortness of breathe is NOT a reason to or diagnosis for my Dr to run an ekg???? Then in the same call they changed the reason for the denial to "didn't get all the documentation needed with in a year. I HAVE GIVEN THEM EVERYTHING THEY ASKED FOR OVER AN ENTIRE YEAR. They put me off and had me chasing documents for an entire. This is their SCAM!!! I agree with JS nothing "Christian" about how they operate.
We appreciate your willingness to speak with us about your review. As we explained, the records requested from the provider's office in July were never received by Medi-Share. We notified the provider that we did not receive the records and we are waiting for the provider's response. We will continue to work with you to resolve this issue.
Christian Care Ministry has been a God send for my family. I was downsized by my former employer at the end of 2018, and this organization provided a reasonable alternative to private health insurance. I had a medical emergency in July resulting in medical expenses in excess of $75,000.00, and the Christian Care community rallied to generously share that burden, both financially, and by negotiating reductions in provider charges. In addition to assisting with financial support, the professionals at Christian Care Ministry and the entire community have offered spiritual support through prayer, and uplifting encouragement. The entire community is a shining example of Jesus' admonition to His disciples ". . . freely have you received, freely give".
There are many reasons why I am pleased with Medi-Share. Here are a few:
- My health coverage is only about $200/month with a $10,000 deductible which I think is extremely reasonable.
- They are a Christian company that is very selective about who they enroll. If you do not want to be paying for abortions, sex change operations, elective procedures unrelated to health problems, alcohol or drug-related accidents or injuries, this is the plan for you.
- I appreciate the way they screen the medical bills I pay and determine correct pricing for my health care providers.
- I absolutely LOVE their Telehealth program! I have access to a licensed physician 24 hours/day 7 days a week from the comfort of my home. No more waiting in doctors' offices with a bunch of contagious people for medical issues that can be treated over the phone and at absolutely NO COST! I don't know how they do it but it is fantastic! I have had two medical conditions in the past 6 months for which I needed a diagnosis and prescription. For one of the conditions (a spider bite that I thought was from a Brown Recluse spider), I sent the doctor a photo of the bite, she called me within 10 minutes of setting up the appointment, and within 5 minutes she had diagnosed the bite and prescribed a strong antibiotic. That was it! And it was at 4:00 a.m.! The other condition did not require a photo and the doctor was also able to prescribe a medication for me to pick up from my local pharmacy. Amazing!
- Every time I call, I am asked if I would like prayer. What an amazing company! I am so happy I started using them 3 years ago.
We always appreciate when our members take the time to write about their Medi-Share experience. Our shared values do set us apart and we agree that prayer is a special part of belonging to the Medi-Share program. Our members are committed to caring for each other when they have unforeseen medical expenses as you so rightly expressed. We also appreciate the ease of use from our telehealth service that allows members to meet virtually with a medical doctor any time, from anywhere, at no cost. Thank you again for your kind words. We value your membership and appreciate your support.
Medishare was my primary health services company for over 5 years. They have not covered medical care services for which they were responsible.
I was a member of the Medishare Christian Care Medical Sharing for over 5 years. I was required to have a gynecologist examination and procedure, which was done on May 30, 2018. The medical services were conducted through *** Healthsystem.
My Medishare account no. was ***. My *** Healthsystem account no. is ***. Although Medishare covered a portion of the medical expense, the outstanding amount not paid by them totaled about $ 325.52. My deduct able was 100% satisfied with Medishare at that time of the service too.
During my numerous telephone calls to Medishare, they indicated verbally that they would work with North Shore billing system to correct the medical coding on this medical service, and Medishare would take care of the balance payment due.
This back and forth process had been going on since June 2018. My last conversation with Medishare was September 16, 2019 (Reference # ***). That conversation with Medishare resulted in their reassurance that the $ 359.39 would be paid in full, as they were aware of the problem. They again indicated that the issue would be resolved with North Shore and billing system.
I just received a written letter notice from North Shore billing collection agency (dated October 15, 2019) that the outstanding amount of $ 359.39 is still ongoing, and that I am responsible for that final payment for services rendered back on May 30, 2018.
I am looking for the final balance of my medical service expense to be 100% covered by Medishare. That amount is currently $ 359.39
Medi-Share strives to help members resolve issues with improper provider coding. According to the program guidelines signed by all members, each member is responsible to ensure Medi-Share receives the correct information within a specified time-frame in order to resolve such issues. In this case, Medi-Share did not receive the necessary information to help the member resolve the issue within the specified time-frame. However, once we received the necessary information, Medi-Share worked with the member to resolve the issue and determined the bill will be shared by our other members.
(The consumer indicated he/she DID NOT accept the response from the business.)
I made several calls to my medical provider (*** Healthcare Systems) during this entire process, commencing upon notification that Medishare was not paying the expense of the provider services. Upon notification by Medishare in July 2018 (within 2 months of service performed) that my expenses were not entirely covered, I contacted Medishare to determine the reason. Medishare representative indicated that the service had to be re-coded to reflect the Medishare requirements for full payment.
I immediately contacted my medical provider with that information as stated by Medishare in July 2018. *** Healthcare did in fact make that re-coding change as requested from Medishare. That change was filed as Claim #*** according to my provider records. My provider even forwarded my laboratory records on that same service, which is not common practice as stated by my medical provider.
Given my records and backup correspondences with my medical provider on this matter, I did attempt to resolve this situation at the 2-month mark of the claim period. Medishare indicated that they would take care of my claim each time I contacted them, but it was never resolved. I made repeated attempts over the remainder of 2018, and into 2019.
Our records indicate that the referenced bill has been shared by your fellow members.
My wife injured her knee had to have surgery, The bill come in at a cost of I am guessing at this point around the range of 130 thou to 150 thou.
*** They paid all of my wife's surgery bills after I met my house hold annual portion which is similar to saying you have to first meet your deductible if you have a normal insurance plan. But as long as you follow the guidelines and communicate with them they work hard to make it that you are not left with massive medical bills. Our experience was opposite of the negative reports I read on this site. Medishare honored there moto to share the costs. I think people struggle trying to think in these new terms as to how it works.
I know because when I first come off of a normal insurance I had a bit of a adjusting period switching to understanding that this is not a insurance, which once you buy a insurance plan the insurance company is obligates to pay ( even though half the time they find every reason not to pay)
So basically with a insurance company as long as you stay in net work they pay higher but out of net work lower generally speaking that is after you meet the yearly deductible.
So with Medishare It takes faith to pay each month knowing they are not obligated to pay or share your bills but they generally do as long as you follow the basic guidelines. But remember until you meet the house hold potion you picked and agreed to meet. Medishare wont kick in to pay but will negotiate cost of medical bill down to contracted rate. Then once you meet the house hold potion. medishare will share your needs and financial burden that occur with all the member's basically meaning they pay the medical bill with in there guidelines. I again have been impressed because that once I met the house hold portion of 4200.00 that I picked, they paid 100 % of my bills. Thank you Medishare for carrying our burden of financial debt. We would have never dug out of this finacial hole with out your help. Barry and Elise M
We appreciate your positive review and your thoughtful explanation of your Medi-Share experience. Your experience is not unique. Medi-Share members have been faithfully sharing one another's medical expenses for over 26 years. You clearly and accurately explained the reality that after a member's Annual Household portion is met, bills are shared at 100%. We will continue to pray for a successful recovery from surgery with no complications and for continued health for your family. Thank you for taking the time to express your satisfaction and positive experience.
My 9 yo daughter had a hospital stay due to pneumonia back in February 2019. 6 months later and I'm still waiting for the bill to be processed.
Her Hospital stay was in Feb 2019. I submitted all the bills in April and was told I had to wait 4-6 months for an answer. We are in October, and still not answer. I have called several times and still no response. My household number is ***. My daughter's name is Juliana ***.
I don't understand why the process is taking so long. It seems to be a very lengthy process, worse than a regular insurance company. I was told I had to submit the just want to have a clear answer. Is my daughter's bill going to be "shared" or not. I have called several times and submitted all information. I also had the hospital submit the information. I really don't think that it is fair to your members to have to wait for so long.
We appreciate that waiting on bill processing can be frustrating for members. Our representatives do explain that if an out of network provider is used, the member should be prepared for a longer processing time. It looks like the estimated date that was given to you was October. Our records indicate your bills have completed processing, so please log in to your member center to see updates.
Medishare/ Christian Care Ministry, Inc employees misinformed over "network" coverage and taken more than six months to process shareable bills.
In December of 2017 I joined Medishare and my established care doctors were in their network. In June 2018, I got pregnant and immediately called the Medishare maternity specialist to review the sharing process. My providers were no longer in network. After speaking with the maternity specialist about care plans and providers, I asked specifically what the total out of pocket would be if I used an out of network provider. The maternity specialist said there "might" be a charge of up to $500 bringing the out of pocket for my plan, in this event, to a maximum of $3500. They also said I could always appeal it but did not go into detail. When I asked if there were any other differences in using the provider of my choice, they said no. I was grossly misinformed. Medishare has apologized for the misinformation but has taken little to no action to help me resolve it. This is an unacceptable business practice for a Christian based business that I paid toward monthly (my end of the bargain) while they did not fulfill theirs. I prepaid $2800 toward the OB office per the OB office requirements and was excited to know I had almost hit my AHP (medishare term of out of pocket). Upon the birth of my daughter (2/15/19) I incurred hospital and staff billing for our stay (service dates 2/15-2/217). I submitted the claims myself and was told it would increase processing time up to 90 days. It should have been disclosed that "out of network" provider reimbursements would need to be submitted via a different "pipeline" and processing would take at least 90 days as opposed to 30. I submitted them 3/7/2019. After receiving calls from some of the providers for the bills, I followed up with Medishare on 4/2/2019 and was told they had no claims in process for me. I have the confirmation email from their system that my information was received on 3/7/2019. I was told I needed to resubmit and follow up immediately via chat for confirmation. I did, and was told that now processing times could be 90-120 days FROM 4/4/2019. I followed up many times over the coming months. 120 days later some became available on the member portal. The bill I had already paid toward was NOT processed while others were and sent back to the provider as "patient responsible, AHP not met" despite many of them grouped together AND my telling Medishare during every update that needed to be processed first to prevent any issue. This was very frustrating since when I resubmitted the information on 4/4/2019 I asked them to look over and make sure it looked correct and was told it did, indeed, look correct. Still, I requested a new tax ID sheet from the and resubmitted it on 9/5 and requested it to be expedited.The reimbursement was needed from what I had already prepaid to pay all the bills Medishare had sent directly to me since they had no registered that I had paid toward the AHP. I received a confirmation email from an employee (I have records) that say they would forward it on to the correct department. Due to the previous issue of losing my information, I followed up 9/16 again and they could find no record of what I had sent in (again.). After chatting, they told me they didn't know how to help me and I would have to call in. After calling, the CS representative also couldn't find it and took it over the phone and said he would "try" to get it added and that it could be an additional 30 das. Many balances have turned over to debt collectors since I need this reimbursement, financially, to pay.
Medishare also failed to share all of the needs to the policy that was disclosed to me during my pregnancy. Multiple bills have been charged at LEAST a $500 "u&c" (unusual and customary) charge back to me. The anesthesiologist "u&c" alone was over $1000. It is not in line with what I was told to have the $1100 "u&c" balances for the anesthesiologist, $535 for the hospital, $535 for the OB as well as a balance from a debt collector of $7386.42 that Medishare has let go to collections.
Upon learning of the thousands of dollars being billed as "u&c" - I researched the charges and Medishare was not charged above the market value for any of these and in fact received a large discount from the facility. Not to mention that I specifically asked this question when financially planning for a surprise pregnancy and was told something different. on 9/19/19 after yet again another customer service encounter, I was told I could resubmit to have all the 'U&c" charges reviewed. I requested the review and was told it could be another 30-60 days I am filing this complaint in an effort to get more accountability and service from Medishare. I would like them to immediately pay out all the remaining balances to the debt collectors they have been turned over to to prevent any further, long lasting issues for my family. I would also like to see clear and transparent documentation of the policies I was misinformed on in the "maternity" section of their sharing guidelines to prevent this from happening to anyone else. I am absolutely pulling my hair out. This has hit our finances and now our credit scores hard. I have spent days worth of hours working on getting this resolved and following up with Medishare. Not to mention the unusual stress has caused me physical ailments such as stress triggered eczema and multiple panic attacks.
Hillary, we sent you an email earlier this week with an update to your bills which at this point should be resolved. Our rep Brittany will continue to walk alongside you to address any concerns you may have. We have improved the reimbursement process and going forward have the processing time at less than 100 days. We do communicate this to members and urge them to use in network providers as Medi-Share was not meant to be a self-pay system. We appreciate your patience and feedback.
(The consumer indicated he/she DID NOT accept the response from the business.)I have not heard an update on the u&c charges, which appear on multiple bills. I do not have any emails or calls from them saying it has been resolved and clearly listing the payments being sent to each provider, a necessary step to prevent any confusion or continual collector issues. Also, I would like to see them publish, clearly, the u&c/network policy on their maternity sharing guidelines. The excessive wait on processing (over 120 days) and additional issues with loss of information should not be swept under the rug with a "have the provider send them." New customers should be aware that reimbursement is easily 5+ months from time of service.
They are refusing to cover a $30,000 pregnancy bill.
From the time I first inquired about being a member, I asked about pregnancy coverage.
They're an alternative to insurance so they wouldn't use language like "coverage" they'd say "shareable" but it's in practice the same thing.
I have called in several times related to bills that were shareable (and previously shared) related to the pregnancy of our son, so they knew our son was going to be born.
After his birth, they're refusing to cover the $30,000 medical bill because they claim that back in July of 2018 they had a policy change, that mind you, I wasn't aware of, and that they now require the annual household portion to be $3,000, not $1,750 to share maturity needs.
An annual household portion is their version of an annual deductible.
I told them I'd be happy to pay them the $1,250 difference or do whatever I needed to in order to make the $30,000 bill sharable. They refused.
I remember speaking after the birth to one of their representatives about another smaller bill ($2,750 to be exact) related to the pregnancy, and they brought the different household portion to my attention at that time.
In response to that, I'm currently paying monthly for that $2,750 bill to met the requirements for that change according to their guidelines.
I even called in and added my son to my account, which switched my monthly contribution from $500 to around $900... so I needed up switching to a competitor, but needless to say, they were well aware of the pregnancy!
My wife was high-risk during the pregnancy, as we had a still-birth prior to joining Medishare, so I called to ensure everything would be covered/shareable when we found out we were pregnant. They said yes.
We went to the doctors twice a week for the bulk of the pregnancy, all of which they have clear documentation of and shared the bulk of those bills.
Yet, despite clear documentation of all this, they still refuse to cover/share the $30,000 medical bill.
I've escalated it twice with them. I've gone through the proper channels. I've done everything I could do but they still refuse, so I'm now seeking legal advice and plan on going to court.
I want them to share the $30,000 medical bill. That's all.
We appreciate your membership and your willingness to contact us about your experience. We apologize for the difficulties you encountered with Medi-Share and are happy to report that your eligible needs will be shared by your fellow members. Please know that we are using this experience to learn how to better serve our members in the future through coaching our representatives and finding the best routes of communication to our members.
Christian Care Ministries did end up reaching out to me. They said based on my situation they recognize that the reps I spoke with neglected to inform me of the change and so they decided to share my bill.
Medishare dropped coverage for my son without notifying me.
I found out my 18 year old son was dropped from my policy when I opened our statement and his name was not listed. When I called I was told he had not turned in a "testimony and commitment form" so he was dropped. Here are the facts:
*They acknowledge no notice was mailed to me and that was failure on their part.
*I was informed he will not be reinstated until its received
*They know he is serving in a Christian camp in Colorado and are aware he could incur injury.
*I contacted my son and had these forms signed and emailed.
*They can't expedite his reinstatement because emails come in bulk form and they don't see mine.
They are knowing leaving a young man without coverage and taking no responsibilty for the part they have played in this.
I would like someone from the company to call and explain this decision beyond "it's our policy".
Medi-Share makes every effort to communicate effectively with our members, however, we acknowledge that at times emails are not received or perhaps not read, which led to the cancellation of your son's membership. Our records reflect that the paperwork was mailed to you in June and emails regarding this matter were sent. We have since received the necessary signed form and are expediting the reinstatement. It might be helpful to review the email settings of each member in your household to make sure that you have not unsubscribed or blocked incoming emails.If you have more concerns or need help with email settings please call the representative at the number and name left on your voicemail earlier this week.
They raised my annual house-hold portion five hundred bucks but didn't inform me that my house-hold portion would cover maternity. I only need them for maternity. I was told that nothing on my account would changed except my annual house hold portion.
Multiple communications were sent to ensure that the membership was well-informed regarding the implications of this member-voted change, and the Medi-Share Guidelines reflected this change as effective on July 1, 2018.
Notification of the guidelines change was sent to the membership by e-mail and included in the monthly sharing statements members receive. In addition, there was a six-month "grace" period after the effective date for members to change their AHP with no switch fee and have their maternity shared. In January, we again communicated the change as the new AHP requirements were enforced.
Along with our Medi-Share community, we value life and have a robust maternity team to walk alongside our pregnant members. Our maternity specialists attempt contact with members who submit maternity-related medical bills for sharing, especially if they are sharing at the lower AHP levels, to communicate how maternity sharing works and how to increase their AHP prior to delivery so the maternity will be eligible for sharing. If you would like us to forward any of the communication sent please let us know.
My wife and I have requested whatever documents were sent to us to let us know about the changes made to our policy be sent to us and they have failed to do so. No maternity specialists ever tried to make any attempt to call us. That's a bold face lie. They can't even keep their story straight. I had one representative tell me the policy changed about a year ago and had another tell me it changed in May of this year. You would think that if my policy changed that I would have to verbally agree to it or have written correspondence signed by me approving of my policy changes. I will not take this laying down. The tactics they have used to avoid paying for my medical bills is absurd. I have been paying the premium monthly payment for over 4 years and when I actually have medical bills they run and hide and say that my policy changed WITHOUT me even agreeing to it. They need to make this right else I will be hiring an attorney and I'll get friends and family to blast my experience all over social media and the internet. I'm also considering contacting cable companies to have them share my horrendous experience as a news story. Contacting the , F and Revdex.com is just the beginning. I will be a thorn in this company unless they make this right.
As we discussed on the call earlier this week, we provided the list of referenced communications sent by Medi-Share over the last year about the change to the Guidelines regarding maternity sharing. Medi-Share makes every effort to communicate regularly and effectively with our members. Our records indicate we made no less than seven (7) attempts to contact you regarding the changes in the guidelines and upcoming maternity costs.
As you are aware, Medi-share is not an insurance plan, but rather, a community of like-minded believers who all join together to share in each other's bills following the member voted Guidelines. While we are sympathetic to your situation, in order to be good stewards of the members' money, the Guidelines must be applied equally to the membership. The Guidelines state that those in effect at the time a bill is incurred are the Guidelines governing the eligibility for sharing. Another unique benefit of this member sharing community is the ability to vote on how the members wish to care for one another.
The Board of Directors for CCM reviews suggestions and recommends changes to the guidelines regularly. We encourage you to prayerfully consider any suggestions you may have. You can email any guideline change recommendations for the Board's consideration to [email protected].
What phone number did you guys try to call? You guys never tried to call me. Just as you've guys have called me a couple of times in the last week,I have answered. If I don't answer the call, I always call back. Get it right else my you'll be hearing from my attorney, Aaron J. I will be a thorn against you guys until you make it right.
I had such high hopes for a program based on christian principals. However at the end of the day you are a number like any other insurance company. Their principles are the same deny and ignore. I never got an explanation on the questions when I filed my appeal, they used a completely unrelated issue and used that for denial, a "pre-existing condition" I was never diagnosed for, and again it had nothing to do why I went to the ER for. They send me a letter without explanation of my question and added another explanation. The other letter I send has been ignored and I have never heard back. I set up a payment plan with the hospital, because their patience ran out, at least they have been working with me to come up with a solution, more then I can say of M, disappointing.
A condition is considered pre-existing based on the records we receive from providers and/or the Medical Questionnaire filled out at the time of application. Our Member-voted Guidelines define pre-existing as signs/symptoms, testing, diagnosis, treatment, OR medication for a condition within 36 months prior to membership. Discounts may be available for pre-existing needs when working with a provider that is in network. We'd be happy to answer any additional questions.
You prove my point, this is the same generic respond tou gave me. I send you several letters why I believe your denial in not correcte. I asked for explanations and clarification on my questions and you keep on sending cookie cutter generic answers which do not answer of any if my questions. Then you finish with telling me that you are happy to answer any of my questions, which you have not done for the last year and you keep on sending me these generic answers. I will be praying for you in the hope you will acknowledge that we are all humans and like to be treated like one! I went from disappointed to disgusted now.
We have attempted to call you however the number we have in our member records is not valid. We're happy to discuss your concerns but will need a response to the email sent to you.
1. Medi-Share doesn't reimburse out-of-pocket costs timely
2. Customer support needs improvement
3. Medi-Share "Guidelines" need to be followed
I reluctantly write this complaint to the Revdex.com, but I feel the need to in order to warn current members of Medi-Share or those considering joining the membership.
I have recommended Medi-Share to many families but no longer do so ... I look forward to the day when I can again. I love 90% of the Medi-Share experience, but the other 10% can be catastrophic. We are a healthy family but encountered a tough 17'-18'.
1. I have been waiting over 6 months to be reimbursed on $23,000+ in medical bills. It feels like Medi-Share is just sitting on my bills.
2. How is an ordinary family supposed to float $23K in bills for 6 months? Just the credit card interest on this at 20% interest would be over $2,300 for a 6 month period.
3. Medi-Share will highlight that they recommend members use in-network providers, but often the best doctors for a procedure don't want to touch Medi-Share with a 10' pole - either due to a poor previous reimbursement from Medi-Share or due to a Medi-Share member previously stiffing the medical provider on an invoice - which in turn unfairly gives Medi-Share a bad name.
4. Medi-Share will quickly reimburse a member for a $25 prescription, but will sit on a reimbursable $2,500 doctor bill for months.
5. The Medi-Share EDI portal works great, and medical providers often receive their payments very quickly. Just this week one of our providers was paid within 5 days of submitting a bill, and this is a fairly typical time frame for ordinary bills. However, the Medi-Share out-of-pocket reimbursement system takes months, is often inaccurate, can require excessive documentation, and regularly processes the same billing procedures in completely different manners.
6. Medi-Share does not always follow it's own Member Guidelines. Anytime a question arises that is not spelled out crystal clear in the Guidelines, a member has no easy way to escalate a matter for clarification.
7. Bills that are absolutely eligible for reimbursement are often not shared among members. When dealing with member support, I have found certain support to sometimes quote guidelines that do not apply.
8. It often has felt like Medi-Share is trying hard to find reasons to not reimburse - and grays areas automatically turn into denials.
8. I am due a reimbursement on a $600 medical procedure for my youngest son, but was told "this is a pre-existing condition." When I sent Medi-Share proof that it was not, then I was told "Medi-Share does not cover conditions of the jaw." When I reminded Medi-Share this was a procedure on the tongue, I was told "that falls under the jaw guidelines," which I stated a tongue and a jaw are not the same, and the procedure should be covered.
9. The process to appeal a sharing decision seems intentionally designed to prohibit a member from appealing. In summary, there is not a way to appeal online. A member must call Medi-Share and then talk an entry level support rep into appealing the decision. If one cannot convince the rep to appeal a decision then it will not get appealed. Recently I had to work incredibly hard to get 2 bills appealed (that total $830). I had another bill for over $1,000 that I was not able to convince the rep to appeal. For a family going through tough medical situations, to feel like one has to fight so hard to get decisions appealed likely results in many members giving up.
10. Identical bills submitted for reimbursement are often processed completely differently, as if it depends on the day and the rep processing a bill. I recently appealed a bill for $130, and the only way I convinced the rep to appeal it for me was to dig in the archives and find the exact procedure and provider for $130 which was reimbursed the previous year. For many minutes the rep kindly refused to appeal the bill until I showed her the exact same bill.
10. The support staff experience is too long. I typically am on the phone for between 60-120 minutes trying to get my stuff worked out - to no avail.
1. As a disclaimer, my family has been members of Medi-Share for over 3 years, and we plan on being members for a long time, with this said, I really want all of my issues mentioned in this complaint to be addressed and resolved. I believe in Medi-Share, but I really believe some key areas need to be cleaned up and fixed before becoming even bigger problems. 2. I want to deal with an executive level staff member of Medi-Share, as I don't have the time nor desire to keep working with the same support reps (and expecting different results). 3. I have other issues to address that are not mentioned in this complaint, due to the 4000 word max description of my issues. 4. I want Medi-Share to thrive and be around for the next 100 years, as I believe in Medi-Share .. I am just tired of spending so much time on my issues only to not see acceptable and timely resolutions. 5. I hope my complaint opens the door for Medi-Share to find a better way to expedite member matters. Currently, their is not an easy way to take matters like this "to the top." This is a matter that easily could have been handled within "the locker-room." 6. Medi-Share will be able to look at my call history, call notes and be able to see that I have done all that I could do to resolve these matters internally. Certain notes inputted by support staff at Medi-Share may not be accurate, as I know of at least one instance where a rep told me what a previous rep had input (and what had been input was not what I had told the previous rep).
We appreciate the feedback you provided and will walk alongside you to address each concern. To ensure a better experience on the front end, we always recommend utilizing an in network provider when one is available so the reimbursement process is not needed. We realize at times this is not always an option. We continue to work on improving our processes based on information we receive from members like you. Thank you again for the time you took to provide your feedback.
(The consumer indicated he/she DID NOT accept the response from the business.)
To date, none of my issues have been resolved. Medi-Share was prompt in reaching out to me after I submitted the complaint to the Revdex.com (6/20/19), and they followed up with me again yesterday (7/1/19). We are currently scheduled to speak further about the issues next week. As discussed in my complaint, I have multiple issues to work through. While I hope my issues with Medi-Share can be resolved, I desire to keep my complaint with the Revdex.com open until all of my issues are resolved. To use a baseball game analogy, it feels like we are in the first inning and I have no idea how the game is going to go.
Also, I have not received a response from Medi-Share.
Medi-Share is insinuating that my issues are related to self-pay matters, but that is an attempt to redirect the conversation away from: (1) why am I still waiting nearly 8 months for reimbursements, and (2) why are reimbursements being denied that should absolutely be reimbursed? I have been on the phone for several hours with Medi-Share since I filed the Revdex.com complaint, and none of my issues have been resolved.
We understand that the reimbursement process can be cumbersome. We have worked to improve our reimbursement process, implementing feedback from members like yourself, and are happy to report that the turnaround time, once all documentation has been received, is now under 100 days. Please note that if information is missing, the processing time resets once all documentation is provided. Medi-Share adheres to the member-voted guidelines for bills eligible for sharing and these guidelines are applied equally across the membership. We look forward to speaking with you over the phone this week as your schedule allows.
Also, I have not received a response from Medi-Share.
Medi-Share is insinuating that my issues are related to self-pay matters, but that is an attempt to redirect the conversation away from: (1) why am I still waiting nearly 8 months for reimbursements, and (2) why are reimbursements being denied that should absolutely be reimbursed? I have been on the phone for several hours with Medi-Share since I filed the Revdex.com complaint, and none of my issues have been resolved.
We understand that the reimbursement process can be cumbersome. We have worked to improve our reimbursement process, implementing feedback from members like yourself, and are happy to report that the turnaround time, once all documentation has been received, is now under 100 days. Please note that if information is missing, the processing time resets once all documentation is provided. Medi-Share adheres to the member-voted guidelines for bills eligible for sharing and these guidelines are applied equally across the membership. We look forward to speaking with you over the phone this week as your schedule allows.
Case remains open and unresolved
Nine reimbursements remain unresolved - which were submitted between 10 and 11 months ago
I sent a status update email request 14 days ago and have not heard anything back
Our representatives have conducted an extensive review of your pending bills and have followed up by email and voicemail. To protect your privacy we can only discuss details via phone. We are glad to answer any additional questions you may have if you'd like to reach out to our representative at the phone number listed in the email.
I was diagnosed with breast cancer on Sept 27th. My cancer battle hasn't been as difficult as our MediShare battle. My breast are very cystic. Lumps come and go, come and go. My doctor noted in my chart how long a cluster of cyst had been active in an area of my breast. Among those cyst, the cancer was found. MediShare took that one little statement, ruled me pre-existing WITHOUT any previous formal diagnosis. They say you can not have a "sign or symptom" of any problems for 3 yrs. They have swept me out the door leaving me with A LOT of medical debt and stress. The icing on the cake, Medi Share hasn't even notified me that I am pre-existing. Not a phone call, not an email, not a snail mail letter. NOTHING!!! I found out from my local hospital. I then called MediShare and after two hours on the ph, it was confirmed....I am denied. It brings a bitter taste to my mouth that they promote Christian service and love on their radio adds but they aren't the body of Christ they present themselves to be. I will be looking for an alternative for my family. I've taken my experience to social media trying to warn ANYONE out there to beware!!
As we are working with you to find other resources for your particular situation, it's important to note that a review of your records did reveal this was a pre-existing condition which as a member, you can appeal based on our guidelines, Section XIII. We pray that you take advantage of the Extra Blessings program where members contribute to those whose have needs that are ineligible for sharing and would be glad to walk with you through that process.
I was very optimistic about this company but had a terrible experience. I'm not sure if they have changed ownership in the past few years or not. But, my experience was one of the worst I've ever had. Honestly, this is my first negative review that I've ever left for a business. But, I felt this was worth communicating.
I was given faulty advice by Medi-share employees on several occasions concerning my medical bills. This advice ended up costing me an extra $1000 in bills. In the beginning of 2018, my wife had an emergency trip to the hospital. Once the bills started coming in, I noticed that the hospital and ambulance services were telling me a different price than Medishare said I was responsible for. I contacted the hospital and ambulance services first and they told me to contact Medishare. I contacted medishare and was told that sometimes hospitals do not acknowledge the price point immediately. I was instructed to pay down the bill until it reached the mark that Medishare said I was responsible for. At that point, I was informed to call back medishare and they would contact the hospital and ambulance directly. I followed this advice.
During this time my debt was turned over to a collection agency which I continued to make payments to. After finally paying down the bills to the amount designated by medishare, I called medishare again to inform them. At this point, another Medishare employee told me that the hospital and ambulance service had denied their attempt to negotiate a lower price. She said this meant that I was responsible for the entire amount. She told me there was nothing more medishare could do. By the way, this was within the 1 year period from the original hospital bill that medishare requires.
So, after hearing this, I paid the remaining balances to the debt collection agencies by placing the amounts on a credit card. Several days later, I contacted medishare to cancel my account. After having such difficulty in dealing with these bills, this seemed like the best approach. As I cancelled my account, another medishare employee told me that the other 2 employees had given me faulty information. She said they were both completely wrong in the advice they gave me. She said that medishare was supposed to renegotiate the price with the hospital and the ambulance service. She also said that I should not have paid off the bill but since I had, there was nothing she could do (Even thought medishare told me to pay the bill). So, ultimately, I did exactly as I was told by medishare. Once I followed their procedure, I was informed that it was wrong and they understood that it cost me extra money, but there was nothing they could do.
Honestly, this feels completely like a scam.
We are saddened to hear of the complications you've experienced with your providers. Once we receive the bills in question we will be able to dispute them on your behalf. Please know that we are committed to working on your behalf to resolve this matter but are unable to move forward until we receive a response to our phone calls and emails.
I submitted copies of 2 bills today and an email from a third party proving the amount I was charged (still awaiting copy of bill from 3rd party). Honestly, seems a little like I'm jumping through hoops. I believe Medi-share knows the exact amounts of the bills since they received notice of whether the reduced agreements for the bills were accepted or rejected. I'm awaiting response and next steps.
Our goal is to find a resolution with you regarding your billing issues. We have made several attempts to reach you by phone and by email but have been unsuccessful. Please call us at (800) 264-2562 at the extension we provided in our emails as soon as possible so we can discuss the documentation we have requested to pursue a resolution. Thank you.
Yes, I have sent a couple emails to my contact with the requested information of proof of billing. Even though I'm sure that Medishare knows the amount I was billed for since they received the original bills and then was notified when a reduction was denied by the medical provider. I have not heard a response to these emails.
Thank you for the information you sent. We would be happy to dispute charges on your behalf however we do need all of the requested documentation listed in the email sent to you on 3/25/2019.
I love how this keeps getting batted back to me. The bottom line is that I continue to be given new hoops to jump through by medishare. Once I jump through the hoop, there is another hoop. I understand how this works. It's a funnel system where eventually the customer gets tired of jumping through hoops and gives up. And that's exactly what I'm doing. But, in the end, the reps from medishare admitted they made mistakes that cost me money and they were not willing to make that right. I would like to think that if I ran a company or "ministry" that advised its clients twice against company protocol and that advice cost them money, I would have the integrity to own up to my mistake. However, that is not the case here.
One additional note that I would like to add is that the same laws that allow medi-share to operate similar to an insurance while technically not being an insurance are the same laws that keep the customer from being protected. Sure, medishare does have lower rates. However, since they are technically not insurance, you as the customer have no protection if you are denied. Just food for thought.
They don't follow the *** contract price, instead processing high bills
I chose Medi share program is because I was told that they are in *** network. Recently my son need MRI test, the customer service rep told me that I need to go with providers in *** network, and asked the provider for the *** contract price. So I followed what they instructed me and figured out *** imaging. has the best price of $433.73 for ***. Another place which is not in *** network would cost $700. So I chose *** imaging. But once I received my bill, it is $1387.5. I contacted Medi share many times and I was told it is *** issue, and I contacted *** many times, and *** also contacted Medi share. Medi share informed *** that they don't follow *** price and it is my responsibility. I don't understand why they don't follow *** price? I did exactly what they asked me to do, found a provider in *** network, and asked for *** contract price, now I am getting a big bill from them and they can't explain why they don't follow *** price.
follow the *** contract price.
This provider has upheld the contracted *** discount with Medi-Share. If this provider quoted you a different price we suggest submitting a dispute with the documented quote and sending that to the provider directly.
(The consumer indicated he/she DID NOT accept the response from the business.)
I talked to Shields imaging, they told me that Christian Care Ministry didn't process this claim through *** at all, but through something called multi-plan. Why Christian Care Ministry claimed they are in the *** network and instructed me to get service in the *** network. Why they hide this info from me? Why I am not even aware there is such thing called multi-plan. Why did you process this claim through multi-plan?
is the owner of the *** Network. *** has two national networks: *** Network, which is a primary PPO, and the *** Network, which is a complementary network.
Provider not in network that was in network before January 1st.
Around last two weeks of December I started researching Medi-Share and come to find out all the providers within their network before I signed up has been dropped. Dr. William L, Dr. Ben S, Dr. James H. These are my only go to doctors I would go see. I would have never signed up for medi-share if they wasn't in their network I even asked customer service representative to look a couple of them up. They are not wanting to refund February Payment True today is the 1st but I just got the bill last night when I discovered provider we thought wasin network is not in network. I just got notice about bill on 31st of January and Renewal is on firt I called find out that I have lost January Payment and February Payment because I paid twice by mistake. I think I am entitled to amount after January. I am willing to eat this amount. Unless something changes I can no long recmmmend this company.
I am seeking for refund for at least February and remaining credit.
Medi-Share members may choose any providers they desire whether they are in network or not. The benefit of using providers who are in our PCHS network is the discounts the network provides to our members. We encourage our members to contact providers in advance to determine if they are still in the PHCS network, as we are not notified if they drop out of network. We processed your request for withdrawal from the program and issued a refund on 2/12/2019.
(The consumer indicated he/she ACCEPTED the response from the business.)Thank you for doing what's right. FYI I did check before we signed up. With any insurance most people do not call and ask provider "hey, I am about to come see you" are you still in network two weeks later."May close the case now. I will wait for rest of refund to appear in mail. It's $122.00