Frequently Asked Questions

You have Questions. We have the Answers.

Introduction:  These are General, Introductory Questions.   Look at the questions in the Blue Bar.  To see the answer, "Click" the Blue Bar.  If you have a question that is not answered here on in another FAQ, Click a Hug at the bottom of this page.

v  Other Options:  To see other FAQs or to Learn More, use the Drop-Down menu options at the top of this page.
v
  For a Quote or Proposal:  
Select that option from the Drop-Down Menu.
v
  To See Testimonials:  
Choose "See Testimonials" from the Drop-Down list. 

Questions and Answers

Answer:  The Community Healthcare Cooperative (CHC) is a community-focused, member-funded organization, providing affordable healthcare solutions for individuals, families and employers.  People Insuring People.

CHC is similar to an Agricultural Cooperative, which provides a "One-Stop" community business service for farmers.

CHC is a "One-Stop" community healthcare service, which provides affordable healthcare plans for you, all members of your community, in all 50 states and world-wide.

CHC's Mission:
ü   To make your overall healthcare plan more affordable:
  
v  Lower monthly cost
  
v  Lower Out-of-Pocket cost
  
v  Lower Medical Services Cost
ü
  To lower your financial risk when you receive any medical service:
  
v  You select your Out-of-Pocket costs
  
v  You receive Discounts & Subsidies
  
v  No cost surprises
ü
 To make it easier for you to manage your entire healthcare experience:
  
v  You Have a Personal CHC Concierge Service
  
v  Who reviews your Medical Bills for errors and high costs
  
v  Who negotiates with Medical Providers on payments and terms

Answer:  Any person or company  
ü  Individuals
ü  Families including pets
ü  Employers
ü  Others:
  
v  
Medical Providers including hospitals
  
v  
Sales and Business Organizations
  
v  
Union and Trade Associations
  
v  
Non-Profit & Religious Organizations
  
v  
Community Organizations, management & Officials

Answer:  CHC provides an affordable healthcare alternative to traditional Affordable Care Act (ACA) health insurance or Group insurance plans.  CHC focuses on healthcare affordability and the lowering of your Healthcare financial risk when you need to have a Medical Service.

Here's how we achieve these objectives:  

ü   You only purchase the healthcare Coverages and Benefits you want:  CHC lets you design your own Healthcare Plan.  You choose and pay only for Coverages and Benefits you select.  This lowers your cost!
With traditional healthcare insurance, all plans include coverages that you may not need or even want; such as maternity coverage for a 60 year-old male. This increases your cost! 

ü   Removing the insurance company from the "Payment Path":   Pay Direct.  This eliminates the insurance company's costs and profits from your monthly CHC Healthcare Plan cost.  The result, your CHC Healthcare Plan will average about 50% less than any traditional insurance plan. This lowers your cost!

ü   Establishing a direct link between you and Medical Providers:   You choose the Medical Providers you want.  Not who an insurance company says you can use.  Competition lowers your cost!

ü   Receiving a "Self-Pay, No-Insurance" discount from Medical Providers:   Medical Providers will often reduce your bill by 10% to 80% when they don't have to submit their medical bill to an insurance company.  This lowers your cost!

ü   Changing Out-of-Pocket costs:  With an ACA or Group Plan you must pay the Deductible and Co-Insurance cost. With a CHC Healthcare Plan there is no Deductible or Co-Insurance.  You choose a simple and affordable Co-Pay.

  Ø  Shared Responsibility further limits your costs: The Shared Responsibility is 50%, which is the amount of your Medical Claim you and CHC pays.
  Ø  Co-Pay Max: The Co-Pay Max limits the amount you pay for a Medical Claim.  Your Co-Pay Max options are $1,000, $1,500 and $2,000.

Answer:  Faith-Based healthcare plans are sold by organizations whose members share religious beliefs and values and use these as a basis for paying medical expenses.  In most cases, to purchase their healthcare plan requires the purchaser to agree to their religious beliefs.  Their plans are not insurance.

Members contribute a fixed dollar amount each month to their own savings account.  When a member of the community is ill and needs help paying their medical expenses, the person submits a request for the amount needed to cover the bill.  If approved, the request is either paid directly to the healthcare provider by using funds from other members’ savings accounts, from the Pool.   Or, members are asked to send money to the member so the member can pay their medical bills.

In many cases, the faith-based organization does not negotiate or review medical bills.  What is similar to CHC is the practice of having their members contribute to pay another member's medical bills.

CHC adds two key business practices usually not found in faith-based organizations.  First, CHC gets actively involved to lower the cost of the CHC Member's medical services.  CHC has the Concierge Service to be the CHC Member's Healthcare Advocate.  CHC also uses other forms of stop-loss insurance to protect the money in the Members Capital Pool.   CHC uses best-practices to operate as a successful business and not a faith-based organization.  Of course, religious beliefs are not part of CHC's business practices and rules for membership.

Answer:  Yes, you receive a 100% reimbursement for your prescription medications.  There is no co-pay, deductible or co-insurance.  You choose your reimbursement amount of to $1,000.   

Answer:  Yes.  However, persons who have a severe, expensive and long-term medical condition should purchase an ACA insurance plan.  These persons would not be eligible for a CHC Healthcare Plan.  This practice allows CHC to keep its Healthcare Plan's prices low and affordable.

Some significant medical issues would be:  major heart problems, severe cancer, AIDS/HIV

Contact CHC if you have a significant medical issue to see if you qualify for CHC Membership.   

Answer:  You should purchase an ACA or Group plan if and when you have a medical condition requiring long term, expensive medical treatment.  

If you have a family, and one person has a significant medical condition, have that person purchase an ACA plan.  Keep the rest of the family on a CHC Healthcare Plan.  This practice would be the most affordable way to proceed. 

Answer:  That person should have an ACA insurance or Group plan.  The rest of the family should have a CHC Healthcare Plan.   

Answer:  The Shared Responsibility calculates your Co-Pay.  The Co-Pay Max limits your Co-Pay amount.   

Here is an example - The Medical Situation:  Let's say you break your arm and the Medical Provider's charges are $10,000.  The same year, you have another medical event, and that cost is $3,000.

Here is how a typical Healthcare Insurance plan works:   The Medical Provider sends the $10,000 bill to the insurance company.  The insurance company has the $10,000 bill reduced to $5,000.  You have a $2,000 deductible and a $6,000 Co-Insurance.  Your total annual Out-of-Pocket cost is $8,000.

What You Pay:  You must pay the full $5,000 because you have not met the $8,000 Out-of-Pocket cost.

Another Medical Event: The two medical events total $8,000.  You paid $8,000 and the insurance company paid $0.  This is in addition to the expensive yearly cost you paid for the insurance premium.

Here is an example to show how CHC with Shared Responsibility and Co-Pay work:  Because you are a CHC Member you can receive a "No-Insurance", "Pay on Day of Service" discount from the Medical Provider.  The Medical Provider reduces your cost to $5,000.  Your Shared Responsibility is 50% of the $5,000; $2,500.  Your Co-Pay Max is $1,000.

What You Pay:   Your Out-of-Pocket cost is only $1,000.  The lesser of the Shared Responsibility and your Co-Pay Max.

Another Medical Event:  The same Shared Responsibility and Co-Pay Max calculation is made.  The Shared Responsibility is 50% of $3,000; $1,500.  Your Co-Pay Max limits your cost to $1,000.  Your Out-of-Pocket cost for the two medical events total $2,500.  CHC saves you $5,500 compared to a traditional insurance plan.

Here's the real problem with a Traditional Health Insurance Plan!   Most people don't have $5,000 to pay the first cost, much less the $8,000 cost.  People struggle to pay the monthly premium only to be faced with an unaffordable $8,000 or more Out-of-Pocket cost.  There's more, with a family, the Out-of-Pocket cost could be $14,000 or more.
Most people don't have the money to pay their insurance plan's deductible and co-insurance cost.

This is the main reason many people resort to filing a medical bankruptcy.
Most people are not aware of this insurance Financial Risk.   Avoid this Financial Risk.   Purchase a CHC Healthcare Plan.

Answer:  Yes.  Just like any other Medical Service.  

Answer:  Your payment goes to CHC.  Your payment is called your "CHC Contribution".  When received, CHC deposits your CHC Contribution into the Community Healthcare Capital Pool (the "Pool").

The Pool holds your CHC Contribution and those received from other CHC Members.  The Pool pays your approved medical bills.

For security purposes, the Pool resides in multiple banks and credit unions.  Additional Pools are created to stay within FDIC and NCUA insurance limits.  

Answer:  There are several.
v   CHC Discounts & Subsidies:

  ü  Healthy Discount:  If you are healthy, CHC lowers your CHC Plan cost
  ü  Family Discount:  The larger the family the greater the Discount
  ü  Income Subsidies:  For Lower income CHC Members.

v   Subsidies From Other Sources:

  ü  Your Employer:  Employers frequently subsidize the cost of an employee's healthcare plan
  ü  Trade Associations, Church and Fraternal Organizations:  Let us know your affiliation and we'll check for subsidies and discounts.
  ü  Federal and state governments:  Not directly available through CHC. However, CHC can make recommendations.

Answer:  No and No.

CHC is a financial management cooperative managing money to be used to pay the CHC Members' medical bills.  CHC is not a healthcare insurance company and the CHC Healthcare Plan is not insurance.

For instance, a "Farmers Cooperative" is not a farmer or an agricultural company.  A "Farmers Cooperative" is a management company for farmers providing a wide range of business and financial services needed by the farmers.

CHC is a "Healthcare Cooperative" providing a wide range of healthcare and financial services for people living in the community.  

Answer:  When you join CHC you become a Member of the Community Healthcare Cooperative.  People who purchase health insurance are considered "the Insured" by the insurance company.  

Answer:  Since 2004.  The current "Cooperative" model was adopted in 2017 and CHC is based in Colorado.  

Everyone Saves Money  

ü   Your Healthcare Plan is about 50% less expensive than any ACA or Group plan
ü
  You can Include any person, regardless of age, even pets
ü
  Your Medical Services cost less because of CHC Medical Provider discounts
ü
  All Medical Services are available: dental, vision, hearing, holistic, and more.
ü
  Your Prescription Medications are Reimbursed 100%, No Co-Pays
ü
  You can receive Healthy and Family Discounts
ü
  You can receive qualifying low-income subsidies
ü
  Deductible and Co-Insurance Costs are eliminated
ü
  Your Out-of-Pocket Financial Risk is reduced because you select your Co-Pays
ü
  Medical Provider “Network” Requirements are eliminated
ü
  You can use any Medical Provider
ü
  You receive a Community Healthcare Savings Account (CHSA)
ü
  CHC matches your CHSA contributions dollar-for-dollar + Pays 5% interest
ü
  You receive the CHC Concierge Service for billing reviews and healthcare advice
ü
  You can have Loss of Income protection for CHC, ACA and Group insurance plans
ü
  Covid Coverage is included
ü
  World-Wide coverage is available
ü
  Variable contract term from 1 month to 3 years
ü
  Price Lock guaranty up to 3 years for all Benefits and Coverages
ü
  Your CHC Healthcare Plan can be fully paid by CHC; Free Healthcare
ü
  A Dedicated Team that stands with you as your healthcare Advocate
ü
  
You are part of a Community-Wide Healthcare Initiative of People Insuring People.

No other Healthcare Plan can match CHC's Benefits and Coverages you can Receive

 

CHC Offers More Choices, Coverages and Benefits, at Less Cost, than Any Other Healthcare Plan

The following Table shows three different CHC Healthcare Plan's compared to a traditional ACA Insurance plan.
The CHC prices include popular coverages such as wellness visits, tests and vaccines.  Each column under the plan shows the Coverages and Benefits.  Each CHC plan can be further personalized to meet your needs and budget. 

What Would You Like To Do Next?