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United Refuah HealthShare

United Refuah HealthShare, headquartered in Ohio, was founded in 2018; however, they took over the health sharing program of Maysville Fellowship Medical Aid Plan (founded before 1999). “Refuah” means healing or recovery in Hebrew, and unlike many healthshares, which have Christian roots, United Refuah is a Jewish organization. Refuah values the religious community it serves and promotes caring for one another. United Refuah HealthShare was founded by Baruch Chaim Manies, an entrepreneur who wanted to provide a medical cost sharing option to his Jewish community after many Christian healthshares were unwilling to accept Jewish members.

This HealthShare provides an option for Jewish people who want to participate in a medical cost sharing organization that shares their values. Comments from Moishe Katz, CEO of United Refuah HealthShare, indicate that while members must belong to the Jewish community and share Jewish values, they do not necessarily have to be practicing Jews.

United Refuah’s member responsibility

United Refuah members pay an “Annual Pre-Share Amount (APA),” which resets on the anniversary of their membership each year. The Pre-Share amount is $500 for a single member, $1,000 for a couple, and $1,500 for a family. After the Annual Pre-Share Amount, United Refuah will share in 80% of eligible medical expenses. Members have responsibility for 20% of their medical expenses until they meet an “Annual Co-Share Responsibility.” The maximum Co-Share responsibility is $1,000 for a single member, $2,000 for a couple, and $4,000 for a family. After the Co-Share amount is met, United Refuah will begin to fully share a member’s eligible medical costs. For example, a family could pay up to $5,500 in medical costs before their needs are fully shareable.

Refuah charges pregnancy fees in addition to the Annual Pre-Share and Co-Share amounts. However, once these amounts are met, United Refuah HealthShare fully shares eligible maternity costs.

Pre-Notification with United Refuah HealthShare

One key consideration with United Refuah HealthShare is its strict pre-notification policy where many medical needs are only shareable after preapproval. United Refuah also has sharing limits for specific services (generally based on the caps placed by Medicare). For example, United Refuah reimburses doctor visits up to 50% above the Medicare rate. In these cases, United Refuah helps negotiate rates for patients too.

For emergency care, United Refuah asks for notification as soon as reasonably possible after admission. Any emergency admission that is reported will be reviewed by United Refuah to determine if treatment was medically necessary. For maternity services, members must notify United Refuah upon admission or anticipated admission.

Wellness with United Refuah HealthShare

United Refuah shares costs for some types of therapy and mental wellness visits, such as psychological counseling ( with certain restrictions). They also share in some preventive care, like annual wellness visits, Pap smears, mammograms, and colonoscopy screenings, which are not subject to the Annual Pre-Share Amount or Annual Co-Share Responsibility.

Some prospective members may be required to sign a Limited or Permanent Waiver for certain per-existing conditions as part of enrollment.

Noteworthy

Here is some of the top information we believe potential members might want to know about this HealthShare.

Key considerations

  • Expenses shareable up to $1,000,000 incident limit
  • No smoking or tobacco use allowed
  • May deny membership/require permanent waivers due to pre-existing conditions
  • Pre-existing conditions fully shareable after four years of membership
  • Sharing for medical expenses during the first 60 days of membership is limited

Membership requirements

  • Share Jewish beliefs and maintain Jewish lifestyle
  • Provide detailed health information to United Refuah
  • Be under 65 years of age

Pros

  • No lifetime sharing limit
  • Affordable monthly contributions and member responsibility
  • Sharing for three dental visits up to $100 each per membership year
  • Sharing for one vision visit up to $50 each per membership year
  • $600 combined annual allowance for preventive care per person
  • Some therapy and mental health services shareable with pre-approval
  • No pregnancy responsibility amount for a family membership

Cons

  • No maternity sharing for mothers who are unwed at the time of conception
  • Pregnancy responsibility amount for mothers in a single or couple membership
  • Enrollment fee of $125; annual renewal of $75; $10-$20 credit card surcharge
  • Many types of sharing only eligible after pre-notification to Refuah HealthShare

Ideal candidates

  • Belong to the Jewish community
  • Don’t participate in hazardous hobbies or professional sports
  • Appreciate a simple program structure

 

Learn about United Refuah HealthShare by watching their video

Page Updated: 11/24/2025

Website unitedrefuahhs.org
Religious Requirements Jewish, strict
Need Processing Time Typically 30 days
Caps $1,000,000 per incident; No lifetime limit
Personal Responsibility APA: $500-$1,500 plus Co-Share: $1,000-$4,000
Pre-existing Limitations One year waiting period for pre-existing. Up to $25,000 in second and third year; fully shareable in fourth year and beyond
Pre-existing exception(s) Some conditions may never be shareable; Prospective members may be asked to sign permanent waiver
Wellness Visit Yes, up to $600 per person annually
Preventive Immunizations Yes, up to $40 admin fee per vaccine
Screening for Mammogram Yes, up to $300 every other year at age 40 and above
Screening for Colonoscopy Yes, up to $1,500 every ten years at age 45 and above
Mental Health Yes, for diagnosed mental illness: 12 visits annually; $125 maximum per visit
Provider Network None: Free to choose your provider
Need Processing Method Pay provider direct or reimbursement with itemized bill from provider
Telemedicine Yes, through TeleRefuah, $0 consultation
Startup Fee 125.00
Renewal Fee 75.00
Prescriptions Inpatient and high dollar medications only, discounts for all others
Maternity Yes, separate maternity APA applies for single and couple memberships
Membership Size 8000
Community Start Date 2018

Reviews

Google 237 reviews
4.9 / 5
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United Refuah HealthShare Options

Family Couple Single
Annual Out of Pocket Max $5,500 APA and Co-Share $3,000 APA and Co-Share; ($3,900 with pregnancy responsibility) $1,500 APA and Co-Share; ($4,000 with pregnancy responsibility)
Shareable Cost Per Need 80% after $1,500 APA; 100% after $4,000 Co-Share 80% after $1,000 APA; 100% after $2,000 Co-Share 80% after $500 APA; 100% after $1,000 Co-Share
Max Sharing Per Need $1,000,000 per incident $1,000,000 per incident $1,000,000 per incident
Extended Sharing N/A N/A N/A
Doctor's Office Visits Shared as part of eligible sharing request; 1 Annual Wellness Visit Shared as part of sharing request; 1 Annual Wellness Visit Shared as part of sharing request; 1 Annual Wellness Visit
Hospitalization Shared after APA and Co-Share; Pre-approval required as soon as reasonably possible Shared after APA and Co-Share; Pre-approval required as soon as reasonably possible Shared after APA and Co-Share; Pre-approval required as soon as reasonably possible
Emergency Care Shared after APA and Co-Share; Pre-approval required as soon as reasonably possible or prior to discharge Shared after APA and Co-Share; Pre-approval required as soon as reasonably possible or prior to discharge Shared after APA and Co-Share; Pre-approval required as soon as reasonably possible or prior to discharge
Prescriptions Inpatient and high dollar medications only, discounts for all others Inpatient and high dollar medications only, discounts for all others Inpatient and high dollar medications only, discounts for all others
Maternity Shared after APA and Co-Share Shared after APA, Co-Share, and additional pregnancy responsibility Shared after APA, Co-Share, and additional pregnancy responsibility
Note *Different limits during first 60 days of membership; Additional $50 per month for each member after the first six *Different limits during first 60 days of membership *Different limits during first 60 days of membership
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Personal Responsibility: United Refuah has an Annual Pre-Share Amount (APA) with a maximum annual Co-Share. Members pay a 20% Co-Share after their APA up until their maximum Co-Share amount for the year. Members pay an additional Pregnancy Fee if applicable. The most a single member could pay out-of-pocket in a year for personal responsibility is $4,000; couples $3,900; families $5,500. Without a pregnancy need, the max out-of-pocket for personal responsibility in one year is $1,500 Single; $3,000 Couple; $5,500 Family.

Sharing Limits: First 60 days limited to $25,000 max per person and must be an acute illness, injury, or accident.

Maximum Service Rate: If a bill exceeds United Refuah’s maximum rate for a service the member is responsible for paying the difference.

Mental Health: Sharing available for diagnosed psychological or psychiatric conditions, not for general family or individual counseling, learning disabilities, behavioral counseling, medication, or hospitalization.

 

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