At the time of service, Members should present themselves as “self-pay” patients to their medical providers (doctors, laboratories, clinics, hospitals, etc.). The providers will, in turn, bill the Member directly. The Member then organizes their bills, fills out a Need Processing Form (NPF) and submits the NPF, copies of all relative medical bills and any proof of payments made towards their Initial Unshareable Amount (IUA) to our Medical Cost Sharing Partner. If warranted, medical bill negotiators may contact your providers on your behalf to discuss fair pricing for the services that were performed and determine if negotiations are necessary or available for the billed amounts. Members will receive the appropriate number of shares from our Medical Cost Sharing Partner, which, in turn, they use to pay their medical providers. Payment delivery to the provider remains the Member’s responsibility.
Articles in this section
- Don't I have to have health insurance? Isn't there a penalty to pay if I don't?
- Can my adult children be enrolled in our family plan? Do they have to be a full-time college students?
- How are preventive/wellness medical visits and screening for me and my kids handled for sharing?
- After my Membership begins, can I change my IUA level?
- Is medical cost sharing just another name for health insurance?
- What’s the advantage of medical cost sharing?
- Are there any age restrictions on becoming a Member of the KNEW Health Community?
- You said you are working with an experienced Medical Cost Sharing Partner to manage that part of Member benefits: how do they fit into my KNEW Health Membership? Are they experienced?
- How can I be sure that the Medical Cost Sharing community concept really works?
- Are there monthly premiums?