Though provider payment methods vary depending on the HealthShare, there are generally two options to consider:
- The HealthShare pays providers directly, similar to traditional insurance.
- Members pay providers themselves and then get reimbursed by their HealthShare.
Member reimbursement is common
While a few HealthShares work with both provider payment options and allow members to choose their preference, most HealthShares only use one or the other. Member reimbursement is currently the more common method, but the industry is seeing a gradual shift towards paying providers directly, improving processing efficiency and standardizing practices across the board.
Direct provider payment is ideal
HealthShares strive to improve their member’s experience by improving payment processes. For example, United Refuah and Zion HealthShare are making efforts to pay providers at the time of service. In some cases, these HealthShares can attempt to handle payment ahead of time. Zion HealthShare can pay for preventive appointments over the phone; United Refuah asks members to prenotify them whenever possible and also created a needs form that clearly shows the information needed.
Such initiatives not only benefit the HealthShare members, but also foster positive relationships with providers and facilities, encouraging future collaboration. The adoption of best practices from traditional insurance models is raising standards across the industry.
Does method of payment matter?
When selecting a HealthShare, prospective members should consider the method of payment that aligns with their needs. Slow bill processing should not necessarily be a deal-breaker for those who are able to pay providers up front and wait for reimbursement. However, if timely financial stability is important, it may be worthwhile to explore other options.
To gain insight into a HealthShare’s timeliness in handling bills, consult recent reviews, which can provide valuable and relevant context about bill processing. Alongside HealthShare Guide, there are other websites that are dedicated to collecting real user experiences to help others choose the HealthShare that is best for them. These review sites can offer insight that might not be found elsewhere.
What provider payment works best?
Before joining a HealthShare, a prospective member should make sure that the HealthShare they choose uses the payment method that work best for them. Taking the time to make an informed decision will contribute to a better and less stressful HealthShare experience.
