Sedera Health & Medical Cost Sharing

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Sedera Health & Medical Cost Sharing

By Whitney Kline – Updated Oct 8, 2024
Reviewed by Wiley Long – Fact checked by Mike Montes

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or compare Sedera Health to other healthshare options available at HSA for America


All You Need To Know About Sedera

Sedera Health is a non-religious medical cost-sharing community, offering an alternative to traditional insurance by facilitating the sharing of healthcare costs among members.

It features two membership options: ACCESS+ for individuals and families, and SELECT+ for businesses.

Members pay a monthly contribution to share medical expenses, with various initial unshareable amounts and no specific annual or lifetime maximums. Sedera emphasizes healthy lifestyles and offers optional telemedicine visits.

It is not insurance but provides an affordable option for healthcare cost management.

Please refer to the Sedera Membership Guidelines to see the fine print on how needs are shared and what limitations there are.

Non-religious:

Inclusive medical cost-sharing community.

Membership Options:

ACCESS+ for individuals/families, SELECT+ for businesses.

Monthly Contributions:

Shared medical expenses with different initial unshareable amounts.

No Maximums:

No annual or lifetime maximums for sharing.

Telemedicine:

Optional visits for members.

Healthy Lifestyles:

Emphasis on maintaining good health.

Cost Management:

Affordable alternative to traditional insurance.

Get a Quote & Enroll in Sedera Health Plans Today

Join the hundreds of thousands of Sedera Health plan members that have discovered Sedera Health works for their family’s healthcare needs.


 

  1. You’ll be asked to enter some basic information about your age, your spouse’s age (if any), your location, and the size of your household. Just follow the prompts at each screen.
  2. After you view the quotes and are ready to signup, click Apply Online.
  3. Before you get started, take a minute to collect the important information listed that you will need to enroll.
  4. Verify your email address and register to get started.
  5. Select your Initial Unshareable Amount, number of people, and start date.
  6. Enter all member information and verify phone number.
  7. Answer all the Health Status questions.
  8. Review the Enrollment Summary, then click Continue to signup.

Choosing the Right Healthshare Plan for You

View the plan features of Sedera Health

Plan Features Sedera Health
Deductible/IUA $1000, $1500, $2500, $5000
HMO/PPO Network Required? Any doctor or hospital
ER After initial out-of-pocket
Dr. Visits After initial out-of-pocket
Preventative Not shared
Maternity No limits, $5000 fee
Rx Coverage Included, 1st 120 days

Sedera Health Pros & Cons

Sedera Health Pros

  • Non-Faith-Based: Open to all individuals regardless of religious beliefs, providing inclusivity.
  • Flexible Initial Unshareable Amount (IUA): Members can choose an IUA that fits their financial situation, ranging from $500 to $5,000 per incident.
  • Transparent Pricing: Clear guidelines on shareable expenses, offering predictability in costs.
  • Direct Primary Care (DPC) Integration: Supports members who use DPC, providing comprehensive primary care along with cost-sharing for larger medical expenses.
  • Provider Choice: Members have the freedom to choose their healthcare providers without network restrictions.
  • Competitive Monthly Contributions: Offers affordable monthly contribution rates based on age, family size, and membership level.

Sedera Health Cons

  • Initial Unshareable Amount (IUA): Higher IUAs can result in significant out-of-pocket costs before sharing begins, which might be challenging for some members.
  • Not Insurance: As with all health share plans, Sedera is not traditional insurance and is not regulated in the same way, which may lead to concerns about long-term stability and coverage guarantees.
  • Limited Preventive Care Coverage: While Sedera supports DPC, it may not cover all preventive care services, requiring members to pay out-of-pocket for some routine checkups and screenings.
  • Pre-Existing Conditions: Like many health share plans, Sedera has limitations or waiting periods for sharing expenses related to pre-existing conditions.
  • Reimbursement Process: Members may occasionally need to pay for medical services upfront and seek reimbursement, which can be cumbersome and require financial flexibility.

Optimize Your Sedera Membership with HSA MEC

Enhance your Sedera Health membership by adding HSA MEC from HSA for America. This preventive-only, HSA-qualified plan is specifically designed to complement Sedera’s medical cost sharing approach, providing you with exceptional tax savings and investment opportunities.

Why Combine Sedera with HSA MEC?

  • Tax Benefits: Secure substantial tax deductions and enjoy your savings’ tax-free growth.
  • Investment Potential: Leverage HSAs for unparalleled tax-favored investments.
  • Healthcare Freedom: Utilize your funds tax-free for global medical expenses.

Enhance your Sedera experience with the comprehensive benefits of HSA MEC.

Sedera Health with an HSA MEC
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View Sedera Health Plans & Pricing in Your Area

or compare Sedera Health to other healthshare options available at HSA for America


Frequently Asked Questions About Sedera

[Sedera Health FAQ]

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Q: Is Sedera Health insurance?

No, Sedera Health is not insurance. It operates as a cost-sharing community where members voluntarily share each other’s medical expenses.

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Q: What types of medical expenses are eligible for sharing?

Eligible expenses typically include unexpected and significant medical needs such as surgeries, hospitalizations, emergency room visits, and specialist consultations. Routine and preventive care are usually not eligible for sharing.

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Q: Can I choose my own healthcare providers? 

Yes, members have the freedom to choose their own healthcare providers. Sedera does not restrict members to a network of doctors or hospitals.

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Q: How do I submit a medical expense for sharing? 

Members can submit their medical expenses online through the Sedera Health member portal. Detailed instructions and support are available to guide members through the process.

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Q: What happens if a medical expense is not eligible for sharing? 

If a medical expense is not eligible for sharing, the member is responsible for covering the cost. Sedera provides resources and support to help members find affordable care and negotiate medical bills.

Sedera Health FAQ Icon

Q: What is an Initial Unshareable Amount (IUA)? 

The IUA is the amount a member is responsible for before their medical expenses are eligible for sharing within the community. It functions similarly to a deductible in traditional insurance.

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Q: Are pre-existing conditions covered?

Pre-existing conditions may have limited sharing eligibility, especially in the first few years of membership. It’s important to review Sedera’s guidelines on pre-existing conditions for specific details.

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Q: What happens if I have a medical emergency?

In the event of a medical emergency, members should seek immediate medical attention. Once the emergency is addressed, members can submit their medical expenses to the Sedera community for sharing.

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Q: Can Sedera Health be used in conjunction with other healthcare programs?

Yes, Sedera Health can be used alongside other healthcare programs, such as Health Savings Accounts (HSAs) and direct primary care memberships, to provide comprehensive healthcare solutions.

We’ve helped over 16 thousand people find health insurance or a health sharing plan.

Each customer gets the same amazing service.

Misty Berryman (Personal Benefits Manager) was fantastic to work with! I explained our situation/needs to her and she went through a number of options very thoroughly. We (Misty and I) worked through each of our options and determined the best path forward for my family. She is the best and any time we are in need for insurance, she will be our first call!

Travis Lawler, TX

Mike Montes (Personal Benefits Manager) was a great help! He helped me to find affordable health insurance, registered me in the system, and set up automatic payments for me. He also later helped me to find a primary care provider in my area. I was really pleased with his services!

Svetlana Nakrokhina, SC

I truly appreciated Leslie’s (Personal Benefits Manager) expertise in helping me navigate the health sharing options. She was patient and informative during the process. No question went unanswered. I will reach out to her without hesitation if I ever plan on adjusting my health plan in the future.

Minita Brinkley, OR

Whitney (Personal Benefits Manager) is THE BEST in every way! She is always ready to help, extremely patient and persevering, knowledgeable, personable and so kind. You and the clients she serves are blessed to have her. 

Hunter Purdy

Need Assistance?

Get Help in Figuring Out the Best Plan for You

Schedule a free appointment with our Personal Benefit Managers. It’s fast, friendly and easy with no obligation.

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Read Sedera Health Reviews

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3.8
3.8 out of 5 stars (based on 17 reviews)
5 star17%
4 star65%
3 star6%
2 star0%
1 star12%

This plan has revolutionized our approach to healthcare.

July 24, 2024

The freedom to choose our healthcare providers, coupled with the cost-sharing model, has made healthcare affordable and empowering. Sedera’s commitment to a member-centric experience is evident in every interaction. The simplicity of the claims process and the speed of reimbursement are noteworthy. The peace of mind that comes with knowing our family’s health is in good hands is invaluable. If you’re looking for a health share plan that delivers on its promises, look no further than Sedera!

Josiah, CO

A true partner in our family's well-being journey!

May 21, 2024

The plan’s affordability and flexibility have been a game-changer. Since we enrolled, the process has been seamless, and the coverage has exceeded our expectations. Sedera’s commitment to member support is evident in its responsive and knowledgeable customer service team. The community aspect of sharing medical expenses adds a personal touch to healthcare. It’s not just a plan; it’s a community that cares.

Gavin, TX

You won't regret choosing Sedera

March 13, 2024

The plan has been a blessing for our family. The emphasis on a holistic approach to health, combined with the cost-sharing model, sets Sedera apart. The comprehensive coverage and the ability to share medical expenses with a community of like-minded individuals make healthcare more accessible. We appreciate the transparency and integrity that Sedera upholds.

Wyatt MI

Simple and transparent

January 16, 2024

The simplicity and transparency of the plan make it stand out. The cost-sharing aspect has made healthcare affordable, and the freedom to choose our providers is invaluable. Our claims have been processed smoothly, and the reimbursement process is efficient. The wellness resources provided by Sedera have been an added bonus, helping us stay proactive about our health.

Charles K MN

Sedera rocks

November 5, 2023

First, it’s way cheaper than regular insurance. I save about half off my old premiums from my former plan.

I can pick my doctor. There’s no network I have to worry about.

I’ve had a couple of medical events and got reimbursed within two weeks both times.

Preventive care is covered.

Great customer support.

I get big discounts because providers think of me as a cash customer. Which I am.

Sedera’s not for everyone. But for self-employed creatives who don’t get a break from an Obamacare subsidy (like me!) it’s a great option.

Sandy R

There system gave us an error and they denied it and screwed us

August 15, 2023

We submitted our new baby to the portal within the 30 day window that we were instructed. This update is not auto-approved, though. It is delayed. This put us in a position where our baby was not approved in their 30 day window so they rejected all of her claims. They told us that we were supposed to call to have it approved sooner, but they never communicated that in their initial emails. My partner submitted the addition within 2 weeks of having the baby, but we did not get a confirmation email which we should have received from the system. Instead, we got an email several weeks later, on august 1st, saying that the changes made on august 2nd (???) would be approved august 3rd. However, I went through my partners browsering history and she was not on the Sedera account page on the 1st or the 2nd. This means that we did not get the email confirmation at the right time and were unable to have them change the time that our baby was added to fit in the 30 day window. They said they couldn’t accept our browsing history as proof, and we didn’t have any confirmation otherwise because the email was not sent when she completed the account change. I tried to test the email confirmation by adding a new account, and we got an email right away, but that did not happen the first time. I found it strange that the wording of the email confirmation was different the first time than the test time, but the rep I spoke to claimed that was due to a time discrepancy with a tech company they contract. This is not to mention that they are tirelessly picking apart every claim that we submit saying that we don’t have the right information. It feels like they are picking us apart over every dollar, and that we got screwed on a tech issue when we tried our best to follow the policy. There is no element of basic human decency or trust. I would not recommend this company at all.

Cole B.
Verified

There are Pros & Cons

March 2, 2023

WHAT I LIKE: Sedera saves me almost half what I was paying for my family health insurance plan from Blue Cross. We earn just over the threshold for an ACA subsidy, so that’s a big deal for us.

Reimbursement is pretty quick. We had some shareable expenses and they sent what they were supposed to send within a week of us submitting all the bills.

When we do have an issue, customer service has been great. They’re easy to contact and very responsive.

WHAT I DON’T LIKE: Sedera doesn’t share costs for naturopathic, homeopathic or other alternative forms of care.

Jim B
Verified

Disappointed!

December 2, 2022

I’m very disappointed in my maternity experience with Sedera. There is already a high unshareable amount ($5,000) which we agreed to pay. I gave birth to my daughter in November 2021 and was told I needed to add her within 30 days to have her covered by Sedera. I tried to add her online 4 days after her birth and thought I added her successfully, only to realize too late that it didn’t work. I told them what happened and even sent my internet history showing I was on the Sedera website 4 days after her birth, but my request was denied. We now have to pay an additional 4k+ for her birth because of this mistake.

Andrea W
Verified

Not the cheapest plans but worth it

October 20, 2022

Terrific! I had to have minor surgery two weeks ago. I submitted the final bill to Sedera and they wired me the full shareable amount within a week! I didn’t even have to make a phone call.

It wasn’t the cheapest healthshare plan on the market, but I’d definitely recommend them.

Colleen O
Verified

Cost sharing took almost a month

February 10, 2022

I was in the E.R. really briefly, and it was covered by my Sedera program. But It took a few weeks for the sharing payment to come through. I was hoping it would be a little quicker. But it worked just like they said it would.

Layla J
Verified

Great customer service!

January 15, 2022

Hands down, these guys have the best customer service team in the business. If you’ve ever had to drive your kid to the hospital, then you know how much it means to have someone who truly cares handling the bill. I’ll never forget the love and care we received from the Sedera community in our time of need. Members for life.

Dan K
Verified

Affordable way to give my employees healthcare

December 19, 2021

Everyone was telling me that I needed to offer a health plan if I wanted my company to grow. I don’t need to offer anything because I only have about 20 employees. But Sedera lets me choose how much to contribute. I can pay a little towards their plans, and that’s much better than nothing.

Keith D.
Verified

Sedera sharing is working well for our small business

December 3, 2021

Our small company transitioned to health sharing this year with Sedera. This was our first time offering an employee health benefit, and we weren’t sure how it would go. Last week we submitted our first needs claim, and the process was just as smooth as they said it would be. The employee got their check within weeks, which is even faster than they predicted.

Julie W
Verified

Sedera has done a pretty good job

November 30, 2021

The costs from my ER visit took about 30 days to process. I’ve heard other members getting their cost sharing handled in as fast as two weeks, so that was kind of a bummer. But other than that, Sedera has done a pretty good job. They’re team is super nice, and that’s always a big deal.

Sheila M
Verified

Sedera offers a good alternative to expense health insurance

October 2, 2021

I’d love to give my employees a good health insurance plan, but since we’re so small, there’s just no way we can afford it yet. Sedera healthshare isn’t as comprehensive as some of the group plans that we looked at, but it’s a lot more affordable. Now, we at least have something in place for a benefits package. For now, it gets the job done.

James W
Verified

Sedera came through for me!

September 9, 2021

I was diagnosed with an immune disorder in 2019. I was already signed up with Sedera, but I was terrified that it wasn’t going to be enough to pay for what was about to come. Once I was admitted to the ICU, I thought that I’d be paying a fortune. But Sedera connected me with my needs coordinator, they handled everything. The community came together and paid for my hospital costs, just like they said they would.

Billy S.
Verified

Works great for my small business

August 14, 2021

I got my small business signed up with Sedera last year, after the pandemic made it clear that I needed to offer some kind of health benefit. I was losing employees to other jobs that could offer health insurance. The Sedera Select plus plan lets me contribute however much I want, giving my workers an option that’s affordable. I think it’s working … We’re pretty happy with the program so far.

Leah B.
Verified
 
1001-A E. Harmony Rd #519 Fort Collins, CO 80525
Helping thousands lower health insurance costs since 2004!

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Disclaimer: All information on this website is relayed to the best of the Company's ability, but does not guarantee accuracy. Information may be out of date. The content provided on this site is intended for informational purposes only and does not guarantee price or coverage. This site is not intended as, and does not constitute, accounting, legal, tax, and/or other professional advice. Determination of actual price is subject to Carriers.