Health Sharing Programs are emerging as one of the most effective and flexible alternatives to health insurance. In this updated side-by-side healthshare plans comparison guide, we rate and review the best and most affordable options that are currently available.

Best Healthshare Plans Comparison Guide 2022

What Are the Best Health Sharing Plans in America?

The eight health care sharing programs that we review below (Altrua, Mpowering / MPB Health, Medi-Share, Liberty, Samaritan, United Refuah, Covenant, & OneShare) represent the plans that are both popular with our clients and recommended by our in-house healthshare experts.

At the end, we’ll reveal our top pick for the most affordable health insurance alternative.

Compare Pricing on the Best Healthshare Plans Available

Health Sharing Plans Comparison [2022 Update]

Note: The contribution amounts have been updated for 2022. These amounts reflect the price for individual plans, and can vary depending on how you structure your plans. Adding family members to your healthshare plan will also increase the monthly cost.

Best Overall Healthshare Plan: OneShare Health

With low contribution amounts, 24/7 telemedicine, and 100% shared preventative care, OneShare health is perhaps the best all-around performer when it comes to health care cost sharing programs. “OneShare Catastrophic” is popular because it offers both ER and Hospital Care, in addition to a great telemedicine program that includes mental health support.

Pre-Existing Conditions: Some limitations
Contribution Amounts [Individual]: $115 – $239
Provider Networks: Uses Multiplan/PHCS Network
Statement of Faith: Must sign a ‘light’ statement of faith
HSA Option: NONE
Perks: Dental discount; diabetic care and supplies; lab discount, telemedicine w/ mental health services

OneShare Health

MPowering Benefits / (Now MPB Health)

This HSA-qualified health care sharing plan allows consumers to take personal ownership of their health. They also let members use whatever health provider they want while not paying as much as with ACA.

MPB Health also offers both HSA-qualified and DPC-friendly healthshare plans. “MPB Direct” is designed to work alongside a Direct Primary Care membership to further reduce the monthly cost while adding critical preventive benefits.

Pre-Existing Conditions: Accepted
Contribution Amounts [Individual]: $170 – $295
Provider Networks: Any doctor or hospital
Statement of Faith: Not required
HSA Option: YES
Perks: Mental health counseling included. DPC and HSA- plans available

MPowering Benefits

Altrua Healthshare

With four different membership levels (Diamond, Emerald, Sapphire, and Ruby) and a hyper-simple signup process, Altrua is one of the easiest ways to switch to health sharing. Altrua’s Ruby membership is only $113 per month, and includes 6 pooled doctor office visits per member.

Pre-Existing Conditions: Two to Five year waiting period
Contribution Amounts [Individual]: $113 – $297
Statement of Faith: Must sign a statement of standards
HSA Option: None
Perks: Unlimited telemedicine and 6 pooled doctor office visits per member [all membership levels].

altrua healthshare

Medi-Share / MediShare

MediShare is the most explicitly Christian healthshare program available. They have a strongly worded faith statement, and reserves the right to check with your minister to make sure you regularly attend church.

However, they also have some of the highest member reviews and boast a 98% customer satisfaction rate year after year. Medi-Share’s 25 year track record makes them one of the most reliable healthcare sharing options available.

Pre-Existing Conditions: Considered, but not guaranteed to be accepted
Contribution Amounts [Individual]: $135 – $470
Provider Networks: PHCS network

Statement of Faith: Must sign (and possibly have verified) a statement of faith
HSA Option: NONE
Perks: Telemedicine; dental, vision and RX savings. A 98% customer satisfaction rate



The most common feedback we receive about Liberty is that their support staff is prompt, attentive and friendly, three things you might never see from an insurance company.

**2022 Update: While Liberty healthshare continues to be popular with both individuals and families, their rates have gone up as of 2022. Click here to read more about the rate changes and comparable plans.

Pre-Existing Conditions: Yes; limited to three (3) years of assistance
Contribution Amounts [Individual]: $159 – $359
Provider Networks: PHCS

Statement of Faith: Must agree to a set of 5 core values
HSA Option: NONE
Perks: Discounts on pharmacy, vision, hearing, and chiropractic costs

liberty logo


Individuals who attend church regularly should consider Samaritan. They can boast over 64,000 member households, which adds up to about $23 million per month that is eligible for sharing.

*2022 Update: Samaritan’s new “Given” plan option is currently under beta but not yet open to the public. This plan is reported to include new co-sharing options with low Annual Unshakeable Amounts.

Pre-Existing Conditions: Not eligible for regular sharing
Contribution Amounts [Individual]: $200 – $495
Provider Networks: PHCS

Statement of Faith: Strict; must attend church regularly
HSA Option: Unknown
Perks: $250,000 maternity limit; 120-day supply of medication is shareable

samaritan logo

United Refuah Healthshare

The first Jewish Health Sharing Organization, established with a mission to provide affordable, flexible reimbursement options with Torah values. United Refuah has a more limited program selection than other health sharing companies, but also offers lower average contribution rates.

Pre-Existing Conditions: Eligible after 1 year of membership, with a $25,000 share cap in years 2 and 3.
Contribution Amounts [Individual]: $209 ($199 with direct bank debit program)
Provider Networks: Open (No network limitations)

Statement of Faith: Strict; must attend synagogue regularly
HSA Option: NONE
Perks: Open-network means you can choose any doctor or hospital; 24/7 tele-medicine practitioners are not subject to PreShare amounts

united refuah logo

Covenant Healthshare

**2022 Update: We have been receiving multiple reports of slow response and bad communication from Covenant. At this time, our Personal Benefits Managers are recommending that you choose a different healthshare company. We’ll update this page with more information as it comes in.

Covenant HealthShare is one of the only healthcare sharing options that allows for the sharing of both routine primary care visits and preventative care services. Covenant HealthShare is also the first and only African American operated and led HCSM in the country. 

Pre-Existing Conditions: Restricted; Varies by membership level share cap in years 2 and 3.
Contribution Amounts [Individual]: $87 – $192
Provider Networks: PHCS

Statement of Faith: Must agree to the Covenant Seven Statements of Faith; No church attendance required
HSA Option: NONE
Perks: Includes sharing for both routine primary care visits and certain preventive care services

covenant healthshare plans

netWell Healthshare

NetWell offers three different membership levels. Advantage is the catastrophic options, with a monthly contribution cost of $195 a month, providing protection for ER visits, hospitalization, in/outpatient surgery, and lab costs. Superior offers primary care protection, without the ER and hospitalization. The Elite + is the most popular plan, offering cost sharing for both primary care and emergency care.

Pre-Existing Conditions: 24 month waiting period for pre-existing conditions. Certain more serious conditions may have a 2-year or 4-year waiting period, or a lifetime exclusion on related hospitalizations and surgeries.
Contribution Amounts [Individual]: $144 – $269
Provider Networks: Choose any doctor you wish. Discounts are available with netWell’s exclusive provider network.

Statement of Faith: Members must sign a Statement of Religious and Ethical Beliefs including belief in God, the Bible, the Power of Prayer, and the moral responsibility to share each other’s burdens.
HSA Option: Not available
Perks: The Elite + membership comes with a large suite of discount services, including dental, vision and LASIK, diabetic supplies, gym memberships, and lots more.

netWell healthshare

Zion Health

Zion Health’s Direct plan is designed to work alongside a Direct Primary Care (DPC) membership. By pairing a Zion healthshare with an existing DPC membership, consumers can get a more comprehensive version of health sharing that is still significantly less expensive than insurance.

Zion Health does require a Statement of Faith; All applicants are accepted for cost-sharing as long as the monthly contribution is being met.

Pre-Existing Conditions: Accepted
Contribution Amounts [Individual]: $170-295
Provider Networks: Any doctor or hospital

Statement of Faith: Not Required
HSA Option: YES
Perks: Annual preventive care services, 24/7 telemedicine, and access to LifeWorks mental health resources at a very low additional cost

Zion Healthshare

Universal Healthshare

One of the newer healthcare sharing companies, Universal Healthshare has seven different cost sharing programs to choose from. All Universal Healthshare programs include unlimited 24-hour telemedicine consultations, all with $0 fees.

Member Non-Shareable Amounts (NSA) can be as low as $1000 for an individual. This makes Universal Healthshare a good choice for someone who wants to be protected against steep out-of-pocket costs in case of an incident.

Pre-Existing Conditions: One year waiting period, $50,00 sharing cap during years 2 and 3
Contribution Amounts [Individual]: Starting at $186 per month
Provider Networks: Non-emergency visits must be scheduled through Multiplan / PHCS network

Statement of Faith: Statement of Shared Faith and Principles including belief in spiritual growth, peace, compassion, and community building
HSA Option: None
Perks: UHS Smart Share is a uniquely structured healthshare that sets fixed-rate sharing limits on specific medical events. This allows for an even lower monthly cost for members.

Universal Healthshare

Top Healthshare Plans FAQ – Frequently Asked Questions About Healthcare Cost Sharing, HCSMs, and More

Q: What is a Health Sharing Program?

A: One of the reasons that health sharing programs are so affordable is because they are not technically insurance, which makes them unbound by the strict (& expensive) regulations of the Affordable Care Act.

By paying a monthly ‘contribution’ to a Health Care Sharing Ministry, members can receive affordable coverage at about half the cost of an ACA insurance plan.

However, health sharing is not for everyone. Many of them have restrictions on pre-existing conditions, for example, and a statement of faith is required in many cases.

The best plan for your needs will depend on your age, zip code, smoking status, and whether you choose a healthshare that only shares on catastrophic expenses, or a more comprehensive program. 

Q: Healthshare Plans vs. Insurance: What is the Difference?

A: Because health sharing plans are not the same as health insurance, the rules are a bit different. Here are some of the primary differences between health share plans and health insurance that you need to be aware of:

  • Health share plans are not required to cover the same minimum essential benefits as ACA health insurance plans. This makes them more affordable, but less comprehensive than traditional insurance.
  • Health sharing organizations can make their own rules on what medical costs are shared and how the money is distributed. Every health sharing plan is a little bit different in how it works.
  • Many health share plans have restrictions or waiting periods for pre-existing conditions. You might need to pay into the plan for 1 or more years before certain medical costs are shared.
  • Health care cost sharing is usually about half the cost of unsubsidized health insurance.  This has encouraged hundreds of thousands of Americans to make the switch in recent years.

Q: Are Healthshare Plans Legitimate?

A: Healthcare sharing plans are a legitimate and legal alternative to health insurance. Unlike insurance, healthshare plans are designed to protect people against their most critical medical costs. Meanwhile, they’re not wasting your money on all the extra coverage that is never being used.

Q: Which is Better Medi-Share or Liberty Healthshare?

A:  In general, Liberty Healthshare has lower monthly contribution amounts. Meanwhile, MediShare plans tend to have better protection and no lifetime sharing limits. The best healthshare plan for you will depend on a few things, including your budget and health needs.

Q: Is HealthcareSharing Right for Me?

A: If you’re looking for a more affordable alternative to health insurance, and you don’t use your coverage that much, then healthcare sharing programs could be a great fit.

If you have serious or ongoing health needs, on the other hand, then a traditional insurance plan might be the better option. ACA health insurance can have better overall rates if you factor in ongoing prescriptions drugs, chronic conditions, tobacco use, and more.

Q: What is the Top Healthshare Plan in 2022 according to member ratings?

A: MediShare has a 98% member satisfaction rate. Not all healthshare programs publish their member satisfaction rates. This makes it difficult to confirm that MediShare is the best reviewed healthshare plan, but it does seem likely.

We’ll also note that member ratings for MPB Health have gone up dramatically over the last few years. Some experts are crediting this to their new specialized plan options designed to work with HSAs and DPCs.

Learn More About Healthshare Plans

At about half the cost, it is no surprise that millions of Americans have already ditched their insurance. Switching to a health care sharing program can be an ideal way to save money on monthly health care costs.

However, not every plan is right for every person. Choosing the wrong plan can lead to unexpected coverage gaps that might end up costing you in the end. Picking the best health sharing plan, on the other hand, can end up saving you thousands of dollars a year on monthly health care costs.

If you are interested in learning more about health care sharing, or are curious whether you are currently signed up for the best plan, give us a call. You can also click over to our website and get a healthshare instant quote to review your options.  

Here are some additional articles on healthsharing programs: What is Christian Health Insurance? | Do Health Sharing Plans Work for Businesses?

Here are some additional pages related to this article: Healthshare Plans | Healthshare FAQ