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Author Topic: Self-employed with a large family: What do you do for health insurance?  (Read 9534 times)

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Offline Geremia

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I have a friend who is self-employed with 7 children and a homemaker wife. What does someone do for health insurance in that situation? Are there any good, relatively inexpensive plans out there?
thanks
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Offline s2srea

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  • Quote from: Geremia
    I have a friend who is self-employed with 7 children and a homemaker wife. What does someone do for health insurance in that situation? Are there any good, relatively inexpensive plans out there?
    thanks


    Have they tried:



    Offline Matthew

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  • Christian Healthcare Ministries.

    We've been members since 2006. And for the same reasons you mentioned -- I'm self-employed, don't make a killing, our family is young and growing, etc.

    They even have maternity coverage, including home births and midwives.

    They are an approved "health insurance" in the new Obamacare system (i.e., it counts as health insurance; you won't have to pay any fines)

    It costs $160 per month for a "unit". A couple is two units. Covering "all of your children" = 1 more unit TOTAL.

    If you decide to sign up for this, PLEASE mention my name (PM me for my full name if you decide to sign up) because I'll get 1 free month for each person that signs up thanks to me. We could certainly use it!
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    Offline Tiffany

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  • I'm guessing many would have already signed up with the welfare office to be covered by Medicaid for the children and the OB care. Have they just used cash in the past? Insurance varies by state as far as the product that is offered and the price so a forum like this isn't the best place to get info. If they don't want Medicaid I suggest calling an independent agent.

    Offline Matthew

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  • Quote from: ggreg
    So correct me if I am wrong but that would be 9x 160 per month or 1440 dollars per month. Per year 18,500

    That is more than half as much as I pay in income taxes, (with a skilled accountant)

    How can people on this forum suggest you can bring up a family in North America on a gross single income of 40,000?  Do such families simply go uninsured?

    At that price I would be tempted to.


    You misunderstood.

    (However many children you have, whether it's 1 child or 15) = another $160 TOTAL.
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    Offline Geremia

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  • Quote from: Matthew
    Christian Healthcare Ministries
    I know there are others like Medi-Share, Christian Care Ministry, and Samaritan Ministries. Is Christian Healthcare Ministries the best of those?
    Quote from: Matthew
    We've been members since 2006. And for the same reasons you mentioned -- I'm self-employed, don't make a killing, our family is young and growing, etc.

    They even have maternity coverage, including home births and midwives.
    Is it hard to find a doctor that supports Christian Healthcare Ministries?
    Quote from: Matthew
    They are an approved "health insurance" in the new Obamacare system (i.e., it counts as health insurance; you won't have to pay any fines)
    Oh, that's good. Is that true for the other healthsharing companies?
    Quote from: Matthew
    It costs $160 per month for a "unit". A couple is two units. However many children you have = 1 more unit.
    Wow, that's pretty cheap. thanks
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    Offline Geremia

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  • Quote from: Matthew
    Christian Healthcare Ministries
    Also, do they not fund contraception, sterilization, IVF, etc.? thanks
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    Offline Matthew

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  • Quote from: Geremia
    Quote from: Matthew
    Christian Healthcare Ministries
    I know there are others like Medi-Share, Christian Care Ministry, and Samaritan Ministries. Is Christian Healthcare Ministries the best of those?
    Quote from: Matthew
    We've been members since 2006. And for the same reasons you mentioned -- I'm self-employed, don't make a killing, our family is young and growing, etc.

    They even have maternity coverage, including home births and midwives.
    Is it hard to find a doctor that supports Christian Healthcare Ministries?
    Quote from: Matthew
    They are an approved "health insurance" in the new Obamacare system (i.e., it counts as health insurance; you won't have to pay any fines)
    Oh, that's good. Is that true for the other healthsharing companies?
    Quote from: Matthew
    It costs $160 per month for a "unit". A couple is two units. However many children you have = 1 more unit.
    Wow, that's pretty cheap. thanks


    1. Yes, it's like those, but many of those require that you be "born again" or something to that effect. We steered clear of those. CHM is OK with Catholics. I don't know much about the other programs, especially any changes that have happened since 2006 (including any changes as a result of Obamacare).

    2. You can use whatever doctor you want. It's the same as paying cash, from the doctor's perspective. You are encouraged to ask for a "cash discount". But you aren't required to pay up front, or that would defeat the purpose.

    For maternity coverage, there is no deductible (normally $500) if the midwife gives you a $500 discount. Any discount you secure (by paying cash up front, etc.) comes off your normal deductible.

    3. The prices are all "per month". One adult, or X number of children costs $160 a month. It doesn't matter how many children you're insuring, it's still only $160 a month.

    4. It's called Christian for a reason. It's a faith-based program, so they don't pay for abortions or anything else that goes against "biblical" living. I don't have the specifics memorized, so I suggest checking out their website for the details.

    5. This isn't the kind of insurance that pays for every little thing (e.g., routine doctor visits -- you're on your own for those), but neither would it be accurate to call it "catastrophic" insurance.

    I think it's great for Catholic families, especially larger ones that aren't well-off, who don't worship the medical establishment (have a huge collection of pharmaceuticals on their kitchen counter), but also don't want to be financially ruined due to an emergency like a heart attack, which could set you back $200,000. No one is prepared for that.

    I always tell people -- it's like a bunch of neighborhood kids selling each other things for pennies. A stick is 1 cent, a marble is 2 cents, and a pen is 3 cents. The total circulation among the 12 children is no more than a few dollars. Imagine one of those children trying to sell enough sticks or marbles to buy a brand-new car!  It would be impossible, because the new
    car and the "kids' economy" exist on two different orders or scales.

    Hospital stays are not priced in Earth dollars.

    There's no way to buy a car selling 1 cent sticks to your friends, you can't pay off the National Debt of 16 trillion by having a bake sale, and a Catholic family can't be frugal and industrious enough to weather a regular-price trip to the hospital for a serious but common health crisis.

    How do you save up $300,000 to weather a health crisis when you earn $40,000 or $60,000 a year, especially when most of that money is spoken for?

    It would be like having a job in rural Mexico, but trying to live in Los Angeles, California. There would be an earnings/cost-of-living mismatch.
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    Offline Geremia

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  • Quote from: Matthew
    4. It's called Christian for a reason. It's a faith-based program, so they don't pay for abortions or anything else that goes against "biblical" living. I don't have the specifics memorized, so I suggest checking out their website for the details.
    Yeah, I just emailed the major ones about whether they cover contraception, sterilization, in vitro fertilization (IVF), abortion, etc. I highly doubt they'd cover any of those just because infertility isn't considered a medical condition (although fertility might…) and IVF etc. is mind-bogglingly expensive, but if they're mostly Protestants, I wouldn't be surprised if they covered contraception.
    Quote from: Matthew
    5. This isn't the kind of insurance that pays for every little thing (e.g., routine doctor visits -- you're on your own for those), but neither would it be accurate to call it "catastrophic" insurance.
    But routine visits during pregnancies are covered, right?

    Quote from: Matthew
    I think it's great for Catholic families, especially larger ones that aren't well-off, who don't worship the medical establishment (have a huge collection of pharmaceuticals on their kitchen counter), but also don't want to be financially ruined due to an emergency like a heart attack, which could set you back $200,000. No one is prepared for that.
    Indeed

    thanks for the info
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    Offline ggreg

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  • Quote from: Matthew
    Quote from: ggreg
    So correct me if I am wrong but that would be 9x 160 per month or 1440 dollars per month. Per year 18,500

    That is more than half as much as I pay in income taxes, (with a skilled accountant)

    How can people on this forum suggest you can bring up a family in North America on a gross single income of 40,000?  Do such families simply go uninsured?

    At that price I would be tempted to.


    You misunderstood.

    (However many children you have, whether it's 1 child or 15) = another $160 TOTAL.


    Ok, that is more reasonable.

    Offline MaterDominici

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    Self-employed with a large family: What do you do for health insurance?
    « Reply #10 on: May 06, 2014, 08:50:31 PM »
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  • Matthew must not pay the bills around here... CHM is only $150 per unit per month. : )

    I posted about CHM in this thread:
    http://www.cathinfo.com/catholic.php/Health-Insurance

    One question I didn't see him answer ... there are THREE programs like this which are Obamacare approved -- CHM, Samaritan, and Medi-Share.

    We thought CHM was the best fit for us. I know it was somewhat close between CHM and Samaritan with Medi-Share being way behind when I looked into the three programs, but that was 2006, so I don't recall all of our reasons for choosing CHM. Plus, CHM has changed quite a bit in that time and I'm sure Samaritan has as well.
    "I think that Catholicism, that's as sane as people can get."  - Jordan Peterson


    Offline MaterDominici

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    Self-employed with a large family: What do you do for health insurance?
    « Reply #11 on: May 06, 2014, 09:13:27 PM »
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  • I also recommend looking at the specifics of your state's CHIP program for covering the children. The income limits are generally between 200% and 300% poverty level. For a family of 9, that would be between $88,300 and $132,450. These programs are run by the states, so how much it costs will vary by where you are and how much your income is. A Google search will tell you everything you'd want to know about the program in your state.
    "I think that Catholicism, that's as sane as people can get."  - Jordan Peterson

    Offline MaterDominici

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    Self-employed with a large family: What do you do for health insurance?
    « Reply #12 on: May 06, 2014, 09:31:16 PM »
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  • Quote from: Matthew
    2. You can use whatever doctor you want. It's the same as paying cash, from the doctor's perspective. You are encouraged to ask for a "cash discount". But you aren't required to pay up front, or that would defeat the purpose.


    I don't think he explained this very well.

    Exactly when payment is due is up to the medical provider. CHM takes about 4 months to get you money after you've submitted paperwork that shows your medical need. In most cases, this means you make payments for the four months and then pay off the balance. If quicker payment will make a difference in the amount of discount you may receive, CHM will likely be able to get the payment to you sooner.
    "I think that Catholicism, that's as sane as people can get."  - Jordan Peterson

    Offline Geremia

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    Self-employed with a large family: What do you do for health insurance?
    « Reply #13 on: May 06, 2014, 09:49:53 PM »
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  • Quote from: MaterDominici
    there are THREE programs like this which are Obamacare approved -- CHM, Samaritan, and Medi-Share.
    good to know
    thanks
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    Offline MaterDominici

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    Self-employed with a large family: What do you do for health insurance?
    « Reply #14 on: May 06, 2014, 09:54:08 PM »
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  • Quote from: Geremia
    Quote from: Matthew
    5. This isn't the kind of insurance that pays for every little thing (e.g., routine doctor visits -- you're on your own for those), but neither would it be accurate to call it "catastrophic" insurance.
    But routine visits during pregnancies are covered, right?


    It's been awhile since I've been to an MD for a pregnancy, but I'm pretty sure it's generally a package amount. When you go for a visit, you make a payment toward the birth expense and the visits themselves are "free".

    BUT, there is an important thing to note in your question here. Everything Matthew or I have mentioned regarding CHM is in reference to the GOLD level membership. They also offer silver and bronze levels for less money. At the gold level, everything related to the pregnancy is covered -- Rx meds, lab work, visits, complications, ultrasounds, etc. At the other levels, coverage is limited to the hospital bill only and the deductible is higher.

    I don't think Matthew's deductible explanation was very clear either, so I'll give you another version. : )
    At the gold level, your deductible is $500 when you have an eligible medical need. Your deductible is reduced by any discount you secure from a provider. So, if you've received a discount of $500 or more, your need will be shared 100% among the ministry.
    "I think that Catholicism, that's as sane as people can get."  - Jordan Peterson