What Is Not Covered By Medi-Share?

Medi-Share is a unique cost-sharing program that offers members a way to manage healthcare expenses together. While it provides coverage for a variety of medical services, there are certain exclusions to keep in mind when considering enrollment in the program.

1. Vision Care and Hearing Aids

One important aspect to note is that Medi-Share does not cover vision care, including eye exams and eyeglasses, as well as hearing aids. While discounts may be available for these services, they are not part of the cost-sharing agreement.

2. Dental Checkups and Procedures

Similarly, routine dental checkups and procedures are not covered by Medi-Share. While preventative care is essential for overall health, members will need to budget separately for dental services.

3. Elective Medical Procedures

Elective medical procedures, such as cosmetic surgery, are not eligible for cost-sharing through Medi-Share. Members should consult the guidelines to understand which procedures fall under this category.

4. Mental Health Care

Another key exclusion is mental health care, including counseling, behavioral therapies, and occupational health sessions. While mental health is important, these services are not covered under the program.

5. Prescription Medications

Prescription medications can also pose a challenge, as only certain types of prescriptions are eligible for cost-sharing. Members should be aware of the limitations when it comes to covering medication costs.

6. Chiropractic Services

Chiropractic services, such as adjustments and treatments, are not covered by Medi-Share. Members seeking alternative therapies should explore other options for coverage.

7. Weight Loss Programs

For those looking to participate in weight loss programs or services, it’s important to note that these are not covered under the Medi-Share cost-sharing agreement. Members may need to seek alternative ways to manage weight-related expenses.

8. Long-Term Care

Long-term care services, including nursing home care and assisted living facilities, are not included in the Medi-Share coverage. Planning ahead for potential long-term care needs is essential for members.

9. Experimental Treatments

Experimental treatments or procedures that are not widely accepted by the medical community are typically not covered by Medi-Share. Members should carefully review the guidelines regarding treatment options.

10. Travel Vaccinations

Travel vaccinations and immunizations needed for international travel are generally not covered under the Medi-Share program. Members should consider these costs separately when planning trips abroad.

11. Infertility Treatments

Infertility treatments, such as in vitro fertilization (IVF) or fertility medications, are not covered by Medi-Share. Members facing fertility challenges may need to explore other avenues for treatment coverage.

What Is Not Covered By Medi-Share?

12. Medical Marijuana

Lastly, medical marijuana and related treatments are typically not eligible for cost-sharing through Medi-Share. Members considering alternative forms of treatment should be aware of this exclusion.

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Nancy Sherman

Nancy Sherman has more than a decade of experience in education and is passionate about helping schools, teachers, and students succeed. She began her career as a Teaching Fellow in NY where she worked with educators to develop their instructional practice. Since then she held diverse roles in the field including Educational Researcher, Academic Director for a non-profit foundation, Curriculum Expert and Coach, while also serving on boards of directors for multiple organizations. She is trained in Project-Based Learning, Capstone Design (PBL), Competency-Based Evaluation (CBE) and Social Emotional Learning Development (SELD).