PROGRAM, NOT INSURANCE. I acknowledge that I am enrolling in Solidarity HealthShare, a healthcare sharing ministry of Melita Christian Fellowship Hospital Aid Plan, that is voluntary and cooperative and not insurance. I have read and understand any disclaimer to this effect and understand that there are no representations, promises or guarantees that my medical expenses will be paid. I also understand that any funds that I may receive for medical expenses do not come from an insurance plan but are voluntary donations by the members.
SIXTY-DAY WAIT. I acknowledge that for sixty (60) days after enrollment and acceptance as a Sharing Member, medical expenses for any reason, other than accident, emergencies, and acute illness, are not eligible for sharing among members.
CHANGES TO SHARING GUIDELINES. I acknowledge that amendments to the Guidelines will take effect as soon as is administratively practical or as designated by the Board of Directors. Dates of Service of medical expenses submitted for sharing will be subject to the edition of the Guidelines in effect when recorded as received by Solidarity HealthShare and supersedes all other editions of the Guidelines and any other communications, written or verbal.
APPLICATION FEE REFUND. I acknowledge that the $135 application fee will be refunded if all individuals on my application are declined for membership, or if I withdraw my application prior to my membership effective date. I also understand that the annual membership dues will not be refunded if, in the course of applying for membership, I fail to respond to written or verbal inquiries from Solidarity HealthShare for more than sixty (60) days.
CALCULATIONS OF SUGGESTED MONTHLY CONTRIBUTION. I acknowledge that the suggested Monthly Contribution is calculated on the total number of healthcare sharing ministry members, the amount of medical expenses submitted for sharing, and the administrative cost of operating the healthcare sharing ministry program. I further acknowledge that the suggested Monthly Contributioni is calculated on a periodic basis as needed and is subject to change. I understand that the donation of the Suggested Monthly Share Amount is voluntary and that I am not obligated to send any money.
ACCOUNT FEE. I acknowledge that if I make my Monthly Contribution by credit card or check payment method I will see a $10 Account Fee added to my Share Notice each month. I also understand Members can receive a $10 discount by using ACH as their method of payment to make their Monthly Contribution.
OPTIONAL COMMUNICATION BETWEEN MEMBERS. I acknowledge that Solidarity HealthShare’s cost sharing technology also enables members to send one another notes of encouragement or prayer and, upon activation, that each member can choose how to be identified in this system or to remain anonymous.
APPLICATION ACCEPTANCE. I acknowledge that Solidarity HealthShare, pursuant to the Sharing Guidelines, has the discretion to accept, reject, or modify my membership. I will not assume that my application has been accepted until I have received a written confirmation from Solidarity HealthShare.
MEDICAL HISTORY QUESTIONNAIRE. I acknowledge that I submitted a full and complete medical history for all individuals on this application at the time the application was submitted. I understand that the Solidarity HealthShare team will review the medical history for each individual and will contact me with any questions prior to my membership being accepted. If there are any changes to the medical history for any individual on this application prior to this membership being accepted or membership effective date, I will inform the Solidarity HealthShare team. I understand that the effective date selected and the sharing of any conditions listed on the Medical History Questionnaire are dependent on the medical review and enrollment process consistent with the guidelines of Solidarity HealthShare.
ACCEPTANCE OF GUIDELINES. I have read and understand the Sharing Guidelines and accept them as the guiding document for all interactions among members and for determining the eligibility of medical expenses that I may submit for sharing. If a difference of opinion should arise as to the use, application or interpretation of those Sharing Guidelines, I will follow the appeal process outlined in the Sharing Guidelines for the resolution of any or all disputes. I acknowledge that I will treat all Solidarity HealthShare employees and representatives with mutual kindness and respect as taught by the Gospel of John 13:34 “I give you a new commandment: love one another. As I have loved you, so you also should love one another.”
PAYMENT OF MEDICAL NEEDS. I acknowledge that any medical need shared will be used for the sole purpose for which it was shared.
STATEMENT OF BELIEFS. Solidarity HealthShare is made up of like-minded individuals who voluntarily share one another’s medical expenses. Our core ethical beliefs mobilize our actions, and we related to one another in community because of them. We ask that each member subscribe to the following Shared Beliefs:
- We believe that our personal rights and liberties originate from and are bestowed on me by God and are not concession granted to us by governments or men.
- We believe every person has a right to exercise his or her religion without interference or coercion. While we do not hold that every claim made in the name of religion has equal merit or equal basis in truth, we do respect each person’s freedom of both religious worship and practice.
- We believe it is our moral and ethical obligation to be our brother’s or sister’s keeper, in recognition of the principle of solidarity, according to our God-given resources and opportunity.
- We believe in the virtue of temperance, which enables us to maintain a healthy lifestyle and avoid foods, behaviors, or habits that could produce sickness or disease.
- We believe it is our fundamental right of conscience to direct our own healthcare, in consultation with physicians, family or other valued advisors, free from government dictates, restraints and oversight, including federal or state contraception and abortion mandates and all unethical practices or mandates.