Effective Date
The date that the member becomes active in the Covenant HealthShare program, which is determined at the time of registration.
The date that the member becomes active in the Covenant HealthShare program, which is determined at the time of registration.
Exceptional Grace Request
Medical Needs that do not meet the Guidelines of a member’s registered program may be eligible to be submitted as an Exceptional Grace Request, through which members ask their fellow members to contribute additional funds toward the requesting member’s medical needs in addition to a member’s regular MMG. Covenant HealthShare reserves the right to decide which needs will or will not be shared as an Exceptional Grace Request.
Medical Needs that do not meet the Guidelines of a member’s registered program may be eligible to be submitted as an Exceptional Grace Request, through which members ask their fellow members to contribute additional funds toward the requesting member’s medical needs in addition to a member’s regular MMG. Covenant HealthShare reserves the right to decide which needs will or will not be shared as an Exceptional Grace Request.
Explanation of Sharing
A document that explains a Share Request. It will provide information on the member-to-member share amount and total costs of services rendered, which is facilitated by Covenant HealthShare.
A document that explains a Share Request. It will provide information on the member-to-member share amount and total costs of services rendered, which is facilitated by Covenant HealthShare.
Household
Eligible registered members living under one roof, and dependent on the same Primary Member enrolled. Primary Members are responsible for payment of MMGs for their Household to be active.
Eligible registered members living under one roof, and dependent on the same Primary Member enrolled. Primary Members are responsible for payment of MMGs for their Household to be active.
Lifetime Membership Sharing Limit
The amount of total sharing available on eligible needs by other members for the life of their Covenant HealthShare membership. Each enrolled member in the Household will have their own Lifetime Membership Sharing Limit.
The amount of total sharing available on eligible needs by other members for the life of their Covenant HealthShare membership. Each enrolled member in the Household will have their own Lifetime Membership Sharing Limit.
Medical Benevolence Fund (MBF)
The charitable account that facilitates member-to-member sharing throughout the Covenant HealthShare community for eligible medical needs.
The charitable account that facilitates member-to-member sharing throughout the Covenant HealthShare community for eligible medical needs.
Medical Need
A medical service rendered by a Member Preferred Provider Group*, individual provider, and/or facility, or a Non-Member Preferred Provider Group, individual provider, and/or facility.
A medical service rendered by a Member Preferred Provider Group*, individual provider, and/or facility, or a Non-Member Preferred Provider Group, individual provider, and/or facility.
Member
A person who is enrolled in a membership level within the Covenant HealthShare program.
A person who is enrolled in a membership level within the Covenant HealthShare program.
Member Aid System (MAS)
The IT platform by which member-to-member sharing is facilitated, allowing members to control their healthcare cost through a secure online member portal. Members can also manage their MMGs, fellowship with other members, ask questions about the program
and their membership level, and donate additional gifts toward fellow members’ needs or other charitable causes.
The IT platform by which member-to-member sharing is facilitated, allowing members to control their healthcare cost through a secure online member portal. Members can also manage their MMGs, fellowship with other members, ask questions about the program
and their membership level, and donate additional gifts toward fellow members’ needs or other charitable causes.
Member Preferred Provider Group*
An eligible provider group, individual provider, and/or facility, participating in the MultiPlan PHCS network. Member-to-member sharing within a Covenant HealthShare membership level for services received from providers and/or at facilities participating in the Member Preferred Provider Group* is based on the specific sharing percentage established in the Guidelines for that membership level.
An eligible provider group, individual provider, and/or facility, participating in the MultiPlan PHCS network. Member-to-member sharing within a Covenant HealthShare membership level for services received from providers and/or at facilities participating in the Member Preferred Provider Group* is based on the specific sharing percentage established in the Guidelines for that membership level.
Member-to-Member Sharing
Eligible needs which are shared throughout the Covenant HealthShare community. This percentage is determined by the sharing amount that is specific to membership level guidelines.
Eligible needs which are shared throughout the Covenant HealthShare community. This percentage is determined by the sharing amount that is specific to membership level guidelines.
Monthly Member Gift (MMG)
A voluntary contribution donated each month by members to help share eligible medical burdens that are facilitated through the Member Aid System (MAS).
A voluntary contribution donated each month by members to help share eligible medical burdens that are facilitated through the Member Aid System (MAS).
Non-Member Preferred Provider Group
A provider group, individual provider, and/or facility, that is not included in the MultiPlan PHCS network. Member-to-member sharing within a Covenant HealthShare membership level for services received from providers and/or at facilities that do not participate in the Member Preferred Provider Group* is based on the specific sharing percentage established in the Guidelines for that membership level.
A provider group, individual provider, and/or facility, that is not included in the MultiPlan PHCS network. Member-to-member sharing within a Covenant HealthShare membership level for services received from providers and/or at facilities that do not participate in the Member Preferred Provider Group* is based on the specific sharing percentage established in the Guidelines for that membership level.
Personal Responsibility Amount Yearly (PRAY)
The amount not shareable by Covenant HealthShare’s community to individual members on a 12-month basis from the date of program enrollment. A medical need will not qualify for sharing until the total Share Request submitted exceed the member’s PRAY.
The amount not shareable by Covenant HealthShare’s community to individual members on a 12-month basis from the date of program enrollment. A medical need will not qualify for sharing until the total Share Request submitted exceed the member’s PRAY.
Primary Member
The oldest person registered in a Covenant HealthShare program membership level living in a Household. This person is responsible for their dependents and making MMG contributions to the Ministry on behalf of the Primary Member’s Household (if applicable) as required under the Guidelines for their registered membership level.
The oldest person registered in a Covenant HealthShare program membership level living in a Household. This person is responsible for their dependents and making MMG contributions to the Ministry on behalf of the Primary Member’s Household (if applicable) as required under the Guidelines for their registered membership level.
Program Year
A 12-month time period from the member’s Effective Date, which is provided at the time of registration.
A 12-month time period from the member’s Effective Date, which is provided at the time of registration.
Share Request
A formal request for medical need cost sharing from one member to another that is shared throughout the membership community via the MAS.
A formal request for medical need cost sharing from one member to another that is shared throughout the membership community via the MAS.
Yearly Membership Sharing Limit
The total amount available to be shared per year by the membership community. This amount is specific to the membership level guidelines. Total bills submitted will not be shared until a member’s PRAY amount is met.
The total amount available to be shared per year by the membership community. This amount is specific to the membership level guidelines. Total bills submitted will not be shared until a member’s PRAY amount is met.
*Covenant HealthShare does not own or operate the MultiPlan Private Health Care Service (PHCS) network.
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