Similar to a premium, your monthly share is the amount you send each month direct to another member to help cover their medical needs. The table below explains the different membership types. Members of the Classic Level Membership agree to share expenses incurred for medical treatments specified in the Membership Guidelines. The amount of the monthly share is based on household size (see chart below), regardless of your medical history, age (unless individual 29 or younger), or other factors.
Samaritan has two membership levels to choose from, Classic and Basic. Members of both plans can choose to add Save to Share (highly recommended!) for sharing of needs above $250,000.
|Individual Membership is < Age 29||$160|
|Two person family||$454|
|Widowed or Divorced with Children||$330|
|3-7 person families||$530|
|8+ person families*||$555|
|PERSONAL RESPONSIBILITY (level where a need can start being shared)||$300/incident (can be reduced to $0 with discounts)|
|MAX SHAREABLE AMOUNT (including maternity, 2 person or higher required)||$250,000/incident (Save to Share increases this to unlimited)|
|Samaritan shares 100% of qualifying needs which go above $300 in total cost on the Classic Plan. Prorating rules apply.
Note: Aug 2019: * The 8+ person tier was chosen to be created with a summer 2019 vote by the members. It is not quite in effect. Until it is created in the system those families will be at the $530 rate.
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Members of the Basic Level Membership agree to share expenses incurred for medical treatments specified in the Membership Guidelines. The amount of the monthly share is based on household size and age group determined by the age of the head of household (see chart below), regardless of your medical history or other factors. This plan level allows for smaller monthly share amounts, with greater personal responsibility portion and a 90/10 split sharing as detailed below (I think of it like a 90/10 co-insurance level).
AGE GROUPS (oldest member age) Monthly Share
|PERSONAL RESPONSIBILITY/SHARING THRESHOLD (level where a need can start being shared)||$1500/incident|
|SHARING PERCENTAGE (amount shared by members)||90% of the amount that is shareable|
|CO-SHARE (amount paid by member on his/her own need)||10% (up to maximum co-share)|
|MAXIMUM CO-SHARE (MCS)||$13,500 (applies even if get Save to Share)|
|MAX SHAREABLE AMOUNT (non-maternity)||$236,500 ($250,000 minus the MCS) (Can still join Save to Share to get sharing above $250k)|
|MATERNITY MAX SHAREABLE AMOUNT (2 person or higher required)
||$5000 (more sharing is available if certain conditions are met.)|
- All members of a family must be on the same membership plan type (Classic or Basic), not a mixture of both.
- If a share increase is proposed due to rising medical costs, members vote on whether to increase the shares. Majority must approve in order to raise
the monthly cost. These increases usually happen ever 18-24 months, so there is actually no automatic annual increase. (another difference from insurance company plans)
- If you only need a membership for one spouse it is ok to join as a “single” for membership purposes even though you are a married couple. Reasons this could happen would be if one spouse has work insurance but the other doesn’t, or one spouse may not be eligible for membership due to lifestyle (smoking, etc) or belief conflicts.
- If you have 2 or more kids and only one spouse needs to join, you would join at the three person family rate (so the other spouse might as well join if that person is eligible). There is a bonus to this, the spouse who already has insurance can have their left over insurance expenses (co-insurance or deductible amounts) shared by Samaritan members.
- If you are anticipating the possibility of a maternity need in the future, I recommend the Classic level plan (purple grid) because of the full sharing for maternity needs allowed. The Basic level caps maternity at $5000, which isn’t a lot if you have a hospital birth. It could be plenty if you have a home birth.
- There is a $100 switching fee to change plans. There are no blackout periods and you can change whenever you want. If switching from Basic to Classic all existing needs become pre-existing and are subject to the same 12 month treatment/symptom free rule before becoming non pre-existing again.