Sedera Health Medical Cost Sharing
About Sedera Health
Sedera Health is a membership-based Medical Cost Sharing community for the purpose of sharing healthcare costs between members. It is not an insurance company, but it provides an excellent alternative to traditional insurance.
The concept behind Sedera is to get like-minded people together to share medical expenses. All members must express a belief in a healthy lifestyle, and Sedera focuses on helping all members minimize their medical expenses. Members pay a monthly contribution, which is applied to legitimate healthcare bills as needed.
VIEW SEDERA HEALTH RATES
An Overview of What Sedera Health Offers
For Sedera SELECT members, IUAs range from $500, $1,000, or $1,500 per medical need.
For both Sedera SELECT and ACCESS, there isn’t a maximum share amount. However, while the dollar amount is not capped, available funds or membership guidelines may limit sharing.
Preventive care screenings, such as colonoscopies and pap smears, are shareable prior to meeting the IUA. Childhood immunizations, before age 18, are also shareable. Telemedicine is available with a $0 consult fee and is an unlimited service.
Maintenance medications are not shareable for existing medications. Medications for new conditions, on the other hand, are shareable for the first 120 days. Curative medications are shareable as part of a need.
After the IUA, the following are eligible for sharing:
Emergency room visits
Hospitalization (in- and out-patient)
Surgery (in- and out-patient)
Diagnostics Imaging (MRI, CT, PET scans)
Laboratory work (out-patient)
Any pre-existing condition that has been active or needed treatment within 36 months prior to membership is subject to sharing limitations.
Pre-existing conditions will be eligible for sharing based on how long the member has held membership. For the first year (12 months), costs are not eligible for sharing. For the second year (13 to 24 months), costs are shareable up to $25,000. For the third year (25 to 36 months), costs are shareable up to $50,000. Starting the fourth year (37 months), costs are eligible for sharing.
To make the most of this platform, you’ll want to be sure to take advantage of your Sedera Advisor whenever you have a medical need. They can help you find the right healthcare professionals, negotiate for the best prices, and even save money on surgeries.
How to Take Advantage of Group Pricing Discounts
While Sedera is designed for businesses of five or more, Sedera can make exceptions down to three if there is an expectation of growth.
How to Set Up an HSA-qualified Plan
Through the Sedera Benefits program, you can also enroll in an HSA-qualified minimum essential coverage (MEC) plan, which meets the Employer Mandate of the ACA.
An HSA, or health savings account, allows you to deposit pre-tax money in a tax-advantaged HSA, which can then be used to pay future medical expenses.
The tax savings can be substantial. More information is on our HSA Info page.
Quotes and Application
Start your instant quote by selecting your State at the top or bottom of this page.
This will show you your estimated monthly share amount and take you to the Sedera Health Benefits Enrollment page.
The first step is to agree to complete the Sedera Benefits Enrollment and Lifestyle Profile.
In the second step, in the Referring Source, choose “Wiley Long.” (If you do not choose us, we will not be able to help if you ever need assistance.)
When you complete your payment information, there will also be a one-time $125 set-up fee to join the Sedera Benefits platform. In years two and beyond, there is a $50 annual membership renewal fee.
The final step will take you to the Sedera website to complete that portion of the application.
If you apply no later than the 20th of the month, your membership can be effective starting the first of the following month.
Partially self-directed healthcare plans are becoming more popular as the cost of health insurance rises. Going with an HSA-healthshare plan could be the best move for you and your family’s health and well-being.
To see what plans are available for you right now, call one of our Personal Benefits Managers at 800-913-0172.
749 S. Lemay Ave, Suite A3-116, Fort Collins, CO 80524
Telephone: 800-913-0172 | Fax: 970-999-0989
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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.