The healthcare system in America can be extremely difficult to navigate. Patients often find themselves with unexpected bills, one from the doctor, one from the hospital, often even receiving bills from doctors they didn’t actually see. This is not even to mention the fact that providers often overcharge for their services, or make mistakes in their billing that can tack on thousands extra in erroneous fees.

Members of healthcare sharing ministries in particular can have trouble with providers who aren’t familiar with the way they work and expect them to work just like traditional health insurance plans. These difficulties are exactly why we place such a heavy emphasis on advocating for our Members. Learn how our Care Navigation and Care Coordination Teams work closely with providers to make sure you never pay more than you should.

Care Navigation

Many providers either don’t know how healthsharing works, or do not bill reasonable rates for their services. But this is a very difficult thing to know yourself without getting any outside help. This is why our Care Navigation team exists! They are there for you when you are trying to find a provider, schedule a surgery, or get testing done. They have tools to find high quality providers that work well with our program. They are also able to make sure that you get charged fair prices for the care that you receive.

This team routinely saves our Members tens of thousands of dollars on medical procedures just by directing them to different options that have fair prices. They are also able to help you find Preferred Providers, which are providers that have agreements with Solidarity to bill us directly for fair, set prices. This often leads to a much smoother experience at the point of service for our Members. If you have an upcoming procedure that you would like help scheduling, please fill out this form and our Care Navigation team will reach out to help you.

Care Coordination

We also have a Care Coordination team that directly advocates for our Members who are dealing with complicated medical situations. The program is designed to assist Members who are significantly utilizing the healthcare system. It can be hard to stay on top of everything when you are receiving lengthy, specialized care. For instance, Members who need major surgery, are undergoing cancer treatments, require life-affirming care, are pregnant and receiving maternity services, or any complex inpatient hospitalization. If you find yourself in any of these situations, we encourage you to reach out to us. We can help!

Recently, our Care Coordination team was able to advocate for a Member and reduce a $112,000 bill that their provider was pressuring them to pay to just under $18,000.

The Bottom Line

Please remember, if you ever feel like you aren’t sure what to do about a medical situation, or if a provider is pressuring you, give our team a call! We are able to work with you to make sure that your provider is treating you fairly. We always recommend having your provider bill us directly so that we can negotiate the costs on your behalf, but not every provider will be easy to work with. If your provider is demanding payment up front, always call us before paying them. Our team is very well versed in these sorts of situations and will do everything in their power to help you and make sure you do not have to pay these unaffordable costs out of pocket.

Our team is ready and waiting to help you out, so please always feel free to give us a call at 844-313-4999 option 2 when you need help!