TRANSFORM 
YOUR BUDGET 
BY ELIMINATING 
THE MIDDLEMEN 
FROM YOUR 
HEALTHCARE EXPENSES 
TRANSFORM YOUR BUDGET 
BY ELIMINATING THE MIDDLEMEN 
FROM YOUR HEALTHCARE EXPENSES 
When you eliminate the excessive administrative expenses, inflated fees and wasteful procedures, you get affordable healthcare.

You also get the freedom to choose your doctors because there are no provider networks. 

See who you want, when you want!
Affordable
When you eliminate the excessive administrative expenses, inflated fees and wasteful procedures, you get affordable healthcare.
Freedom
You also get the freedom to choose your doctors because there are no provider networks. See who you want, when you want!
Here's How You Do It!
PRIMARY CARE
MAJOR CARE
The combination of Akos and Sedera gets you the most comprehensive healthcare experience at the lowest possible cost.
Here's How 
You Do It!
PRIMARY CARE
MAJOR CARE
The combination of Akos and Sedera gets you the most comprehensive healthcare experience at the lowest possible cost.
This Works For Anyone Who Wants To:
INDIVIDUALS
  • Lower healthcare costs
  • Protect savings and credit
  • ​Sleep better at night
  • ​Start a business
  • ​Replace expensive COBRA plan
  • ​Get married
  • ​Start a family
EMPLOYERS
  • Provider better a better healthcare experience and lower costs 
  • Improve employee retention
  • ​Offer healthcare without worrying about minimum participation requirements
  • ​Eliminate provider network restrictions
Replace your health insurance company and get uncommonly high levels of service and superior healthcare through Sedera’s medical cost sharing program.

Sedera uses the best innovations from the modern sharing economy to deliver medical cost sharing services along with telemedicine, medical bill negotiation, expert second opinions and member advisor services.

Sedera brings people like you and me together and we agree on which expenses we are going to help each other with. We pay a monthly share and Sedera distributes it to those members who have a qualified medical need. As members of Sedera, we aren’t looking to make a profit off of each other.
This Works For Anyone Who Wants To:
INDIVIDUALS
  • Lower healthcare costs
  • Protect savings and credit
  • ​Sleep better at night
  • ​Start a business
  • ​Replace expensive COBRA plan
  • ​Get married
  • ​Start a family
EMPLOYERS
  • Provider better a better healthcare experience and lower costs 
  • Improve employee retention
  • ​Offer healthcare without worrying about minimum participation requirements
  • ​Eliminate provider network restrictions
Replace your health insurance company and get uncommonly high levels of service and superior healthcare through Sedera’s medical cost sharing program.

Sedera uses the best innovations from the modern sharing economy to deliver medical cost sharing services along with telemedicine, medical bill negotiation, expert second opinions and member advisor services.

Sedera brings people like you and me together and we agree on which expenses we are going to help each other with. We pay a monthly share and Sedera distributes it to those members who have a qualified medical need. As members of Sedera, we aren’t looking to make a profit off of each other.
Could This Work For You?
This isn’t new and you’re not the first to try it. Over 1 million individuals and families in the U.S. are currently participating in medical cost sharing.

Every day participation is growing, and the national community is getting stronger. And Sedera is the best option I found. They have an A+ rating with the Better Business Bureau, which says a lot.    
How would it be if you lowered your cost 
by as much as 60% and you got better healthcare?
Let’s say your monthly health insurance cost is $600 and you saved $360 a month by switching to Sedera. That’s $4,320 a year. 

What would that do for your monthly budget? That’s a lot of money saved, and it could actually be a lot more if you have an in jury or illness.  
How would it be if you could now truly afford healthcare?
Could This Work For You?
This isn’t new and you’re not the first to try it. Over 1 million individuals and families in the U.S. are currently participating in medical cost sharing.

Every day participation is growing, and the national community is getting stronger. And Sedera is the best option I found. They have an A+ rating with the Better Business Bureau, which says a lot.    
How would it be if you lowered your cost 
by as much as 60% and you got better healthcare?
Let’s say your monthly health insurance cost is $600 and you saved $360 a month by switching to Sedera. That’s $4,320 a year. 

What would that do for your monthly budget? That’s a lot of money saved, and it could actually be a lot more if you have an in jury or illness.  
How would it be if you could now truly afford healthcare?
What Members Have To Say
"With Sedera I've had the best healthcare I've ever had and I've saved over 60% over the regular health insurance."
Robert Morley
Attorney-at-Law
Morley Mason, PLC
Chandler, AZ
High-end, affordable healthcare without the hassle of insurance
"I'm passionate about it because it's worked for me and it's worked for my family."
Jason McKinley
Ins. Broker
M&D Ins. Services
Austin, TX
Next Steps 
Are you are interested in learning more?  

Check Out The Incredibly Low Cost!

Visit The 
Akos Website

Visit The 
Sedera Website

Read The Sedera Membership Guidelines

Next Steps 
Are you are interested in learning more?  
Frequently Asked Questions 
Akos FAQs
WHAT IS AKOS?
Akos is a revolutionary telemedicine company providing patients virtual access to board-certified physicians 24/7/365. Simply download the Akos app to your smartphone or tablet and you can have a virtual consultation with a physician in minutes.
WHEN IS AKOS AVAILABLE FOR PHYSICIAN CONSULTATIONS?
Akos is available 24/7/365. If you have access to a smartphone or tablet, you can have a virtual consult with a board certified physician anytime, anywhere.
IS AKOS SAFE AND PRIVATE?
Confidentiality is a top priority for Akos. Our app has been designed on a HIPAA-compliant platform so you can rest assured your information is securely and privately stored.
HOW ARE THE PHYSICIANS IN YOUR NETWORK SELECTED?
Each of our physicians undergo a rigorous credentialing process based upon guidelines set by the National Committee for Quality Assurance (NCQA). All physicians in the Akos Preferred Provider Network are board-certified, licensed and credentialed. All Akos physicians have completed our Akos comprehensive training program.
WHAT MEDICAL CONDITIONS DO YOU TREAT?
Our physicians can diagnose and treat a wide range of non-emergency medical conditions. Click here for a list of common conditions treated.
CAN I CHOOSE THE PHYSICIAN I WANT TO SPEAK WITH?
You will first speak with a care coordinator who will confirm your medical history and assess your symptoms. The care coordinator will determine if your condition can be treated by a virtual consultation. The care coordinator will select the best physician to treat your medical condition.
CAN YOUR PHYSICIANS PRESCRIBE MEDICATION?
When medically necessary, Akos physicians are able to prescribe a wide range of medications to treat your condition. Akos physicians do not prescribe or renew a prescription for controlled substances regulated by the U.S. Drug Enforcement Agency that have been designated as U.S. controlled substances. Click here to view a list of controlled substances. In addition, Akos physicians will not prescribe or renew large quantities of medications for any condition.
CAN I CHOOSE THE PHARMACY IF I NEED A PRESCRIPTION?
If our physician determines a medication is medically necessary, they can write a prescription for non-narcotic medications which will be sent electronically to the pharmacy of your choice.
CAN MEDICAL FORMS, SUCH AS WORK/SCHOOL EXCUSES BE PROVIDED?
Our physicians are able to provide simple forms such as work/school excuses or return to work/school documents as clinically appropriate.
WHAT IF MY CONDITION CANNOT BE TREATED BY AKOS?
If for any reason your condition falls outside the scope of what Akos covers, a care coordinator will direct you to a preferred healthcare center in your area, so you can get the immediate care you need.
WHAT IF MY CONDITION CANNOT BE TREATED BY AKOS?
If for any reason your condition falls outside the scope of what Akos covers, a care coordinator will direct you to a preferred healthcare center in your area, so you can get the immediate care you need.
Sedera FAQs
What is Sedera?
Sedera, Inc. is an innovative, non-insurance approach to managing large healthcare costs. Sedera members join a community of like-minded individuals who are active and engaged participants in their healthcare decision making. Together, we are tapping the power of community to create a new normal in healthcare that is high-quality, human, and transparent.
What kind of company is Sedera? 
Sedera is a patient advocacy and benevolence organization. Sedera facilitates the sharing of medical costs between our participating Members (the community) and provides access to several ancillary health services.
Is Sedera an Insurance Company?
No. Sedera, Inc. is not a licensed insurance company, nor is it in the business of insurance. Sedera was intentionally founded to serve a broader community of members using the well-established principles of sharing without mandatory faith requirements. Sedera, Inc. facilitates sharing for the Sedera Medical Cost Sharing Community. There are no insurance policies, guarantees, transfer of risk, or promise to pay. Instead, there is a group of like-minded individuals that have come together in community to share medical bills according to agreed to community sharing guidelines.
Can I choose my own doctors and hospitals without being penalized?
Absolutely! Having the personal freedom to choose the medical providers of your choice is fundamental to Sedera’s values. Sedera’s Member Advisors will be happy to assist you in providing quality information to help you decide on the best provider(s), but there are no “out-of-network” penalties.
Does Sedera use deductibles and co-insurance??
Sedera’s process differs significantly from insurance practices in this regard; to our member’s advantage. Traditional health insurance deductibles are cumulative over the course of a plan year. Co-insurance is the portion of the medical expense owed by the patient. These insurance cost-sharing measures can amount to thousands of dollars in out-of-pocket costs to insurance policyholders annually. Conversely, when Sedera Members incur an eligible medical expense that exceeds their Initial Unshareable Amount (IUA), any remaining balance relative to that specific Need would be eligible for sharing, effectively reducing the member’s portion to the selected IUA for any single need.
Where do my membership contributions go?
Sedera places a high value on transparency and believes that you should understand your true costs when it comes to managing healthcare.
 
Your monthly contribution is allocated to the following:
 
9.9% goes to Sedera Inc. for facilitating the community
$10.35 pays for External Clinical Expertise 
$55 (EO), $100 (EC/ES) or $150 (EF) covers the costs associated with your Member Services, sales expenses and bill negotiation 
The remainder goes directly to the Medical Cost Sharing Community for sharing of Needs.
Will Sedera share medical costs that were incurred outside of the United States?
Yes, Members’ eligible needs, wherever incurred, will be handled through your Sedera Membership.
What happens when a provider requires payment up front for services?
A Member may be required to pay out-of-pocket for medical services. Sedera advises its Members to avoid paying more than their IUA toward the cost of any medical need, as doing so dilutes Sedera’s ability to negotiate with medical providers. In cases where Members pay more than their IUA, they will be promptly reimbursed for the excess amount by the Sedera community.

Additionally, Sedera occasionally provides direct up-front payment for proposed services. The most prominent example of pre-payment is with maternity cases. Sedera may pre-pay maternity cases, based on the provider’s self-pay rates, in advance of the baby’s delivery. In virtually all cases, needs payments are sent directly to Members, not to medical providers.
If there is no network, what is the method used to secure fair pricing?
All Sedera members are “self-pay patients.” This enables significant leverage in the negotiation of medical bills. Our sister company, The Karis Group (TKG), is a professional patient advocacy and medical bill negotiation company. TKG currently serves nearly one million patient lives throughout the U.S. including negotiating all of the Needs for one of the largest Health Care Sharing Ministries in the nation. Sedera outsources the negotiation of all Member medical bills that exceed $500 to TKG. TKG’s average rate reduction exceeds 60% off billed charges. These savings are passed directly to our Members through the low monthly contributions they enjoy.
How does Sedera handle medical claims?
Because there is no “transfer of risk” with Sedera’s Medical Cost Sharing, no “claim” is ever guaranteed. When Members incur medical expenses that exceed their IUA there is simply a medical need. Sedera Members submit proof of their medical expenses to Sedera where they are evaluated in accordance with the Guidelines. Qualified needs are then designated for sharing based on the amount of shares collected from Members each month. Each member’s monthly share is voluntary but also a requirement in order to remain an active participant in the membership.
How does Sedera handle medical claims?
Because there is no “transfer of risk” with Sedera’s Medical Cost Sharing, no “claim” is ever guaranteed. When Members incur medical expenses that exceed their IUA there is simply a medical need. Sedera Members submit proof of their medical expenses to Sedera where they are evaluated in accordance with the Guidelines. Qualified needs are then designated for sharing based on the amount of shares collected from Members each month. Each member’s monthly share is voluntary but also a requirement in order to remain an active participant in the membership.
What is the process for paying my medical bills when I have a need?
At the time of service, Members should disclose to their medical providers (doctors, laboratories, clinics, hospitals, etc.) that they are “self-pay” patients. The providers will, in turn, bill the Member directly. The Member then organizes their bills, fills out a Need Processing Form (NPF) and submits the NPF, copies of all related medical bills and any proof of payments made towards their Initial Unshareable Amount (IUA). Our team of medical bill negotiators may contact the providers to discuss the appropriate payment for the services that were performed and determine if negotiations are necessary or available for the billed amounts. Sedera will review the need and help administer a process whereby community funds are share with the Member, less the Member’s IUA (as applicable), which, in turn, the Members use to pay their medical providers.
How long does it take Sedera to process a medical need?
The sharing turnaround time normally ranges from 14-60 days from receipt of your bills and required information depending whether negotiation is required or not. If your Need Processing Form is correct and complete, and there are no ongoing financial negotiations with providers, your need will normally be shared the second Friday after Sedera receives it. Please note that larger bills make take longer to negotiate.
What are Sedera’s Membership requirements?
Sedera Members are eligible through their employment, membership, or participation in a Sponsoring Entity. Members must agree to abide by each of the nine Principles of Membership. See Sections 1 and 2 of the Member Guidelines for the details of Membership requirements. Members understand that medical expenses resulting from the use of illegal drugs, or while participating in unlawful activities will not be shared.
Is there a lifetime or yearly maximum amount that is eligible for sharing for any one person or family?
There is no specific annual maximum dollar amount or lifetime maximum limits per member, though certain dollar amounts and/or visit limits apply to specific types of medical care and therapies. Sharing is only limited to the cumulative contributions received from participating members in any given month. There is, however no limit on the number of needs that an individual member or household may have. Additionally, no single need may consume more than one third (1/3) of the total number of shares available in order to assure ample shares for all members.
How can I be sure that Sedera really works?
The concept of medical cost sharing has been highly successful within the confines of faith-based Christian groups for more than 25 years. More than one million members have shared over a billion dollars in medical expenses over that span of time. Hence, there is strong precedence in the concept. We believe that a community of health-conscious people who care for their fellow man can successfully participate in the sharing of one another’s medical burdens. It is important to note that past successes by faith-based sharing groups assisting one another is no guarantee of the future success of similar programs. There is no promise or contract by Sedera or the Members to contribute toward any need you might have in the future. The only promise by Sedera is to facilitate the voluntary shares given through the medical cost sharing process. Sedera distributes these monthly contributions on behalf of those Members with needs.
How can I be sure that Sedera really works?
The concept of medical cost sharing has been highly successful within the confines of faith-based Christian groups for more than 25 years. More than one million members have shared over a billion dollars in medical expenses over that span of time. Hence, there is strong precedence in the concept. We believe that a community of health-conscious people who care for their fellow man can successfully participate in the sharing of one another’s medical burdens. It is important to note that past successes by faith-based sharing groups assisting one another is no guarantee of the future success of similar programs. There is no promise or contract by Sedera or the Members to contribute toward any need you might have in the future. The only promise by Sedera is to facilitate the voluntary shares given through the medical cost sharing process. Sedera distributes these monthly contributions on behalf of those Members with needs.
What happens if there are more medical needs than available shares in a month?
Sedera’s Guidelines clearly state the reality that payment is never guaranteed, but is always based on the commitment of the Members to each other. Sedera may overlap needs from multiple months so that there adequate shares for all Needs. However, if all needs cannot be met, Sedera uses a prorating method to evenly distribute the burden. For example, if there is only enough shares available for 90 percent of the needs submitted for a particular month, Sedera can only commit to sharing 90 percent of each need.
Can my Membership be dropped if I have very high medical needs?
Members cannot be dropped from the membership due to their medical needs. Neither your membership nor your monthly share is affected by the amount of medical expenses you or any family members may have.
What kinds of needs do Sedera Health Members share?
In general, needs for illnesses or injuries resulting in visits to licensed medical providers, emergency rooms, diagnostic testing facilities, laboratory or hospitals charges are shared on a per person, per incident basis. See Sections 6-9 of the Member Guidelines for details.
How can I know if a need qualifies for sharing?
The types of needs that qualify for sharing can be found in the Member Guidelines. Consult Section 10 to familiarize yourself with the general procedures for submitting your need and Sections 6-9 for the specific requirements for sharing certain types of needs. If you have any questions, do not hesitate to call your Sedera Member Advisor at 1-855-973-3372.
How does Sedera handle very large medical expenses?
There is no maximum limit to the amount that Sedera will share towards a specific medical need. However, the need must be within the scope of the Guidelines before it will be eligible for sharing. Because of the economic impact of very large medical bills (e.g., those over $150,000), Sedera has devised an internal mechanism to ensure that adequate shares are available to meet both our member’s normal and high-cost needs. For the very large medical expenses that occur from time to time, Sedera makes provision by allocating 15% of member’s monthly shares to remain available through a separate escrow fund that participating Sponsoring Entities have established. Sedera reserves the right to negotiate medical expenses with providers, and to prorate available shares, as necessary, in order to address all member’s medical expenses.
Are there any specific medical conditions that have an exclusion or waiting period?
A look-back period of 36 months applies to all prior medical conditions for Sedera applicants. A prior medical condition, as previously defined, is a condition in which the applicant has either received medical treatment, taken medications for, or exhibited observable symptoms. Any prior medical condition that has not exhibited symptoms during the 36 continuous months prior to membership effective date is considered cured and will have no sharing restrictions. Prior medical conditions will become eligible for sharing based on the Member’s tenure with Sedera, as indicated by the Guidelines.

Sharing restrictions do not apply for high blood pressure, as long as the member has not been hospitalized for high blood pressure in the 36 months prior to membership and the condition is controlled through medication and/ or diet. However, medication for treatment of high blood pressure as a chronic condition will not be shared.
Frequently Asked Questions 
Akos FAQs
WHAT IS AKOS?
Akos is a revolutionary telemedicine company providing patients virtual access to board-certified physicians 24/7/365. Simply download the Akos app to your smartphone or tablet and you can have a virtual consultation with a physician in minutes.
WHEN IS AKOS AVAILABLE FOR PHYSICIAN CONSULTATIONS?
Akos is available 24/7/365. If you have access to a smartphone or tablet, you can have a virtual consult with a board certified physician anytime, anywhere.
IS AKOS SAFE AND PRIVATE?
Confidentiality is a top priority for Akos. Our app has been designed on a HIPAA-compliant platform so you can rest assured your information is securely and privately stored.
HOW ARE THE PHYSICIANS IN YOUR NETWORK SELECTED?
Each of our physicians undergo a rigorous credentialing process based upon guidelines set by the National Committee for Quality Assurance (NCQA). All physicians in the Akos Preferred Provider Network are board-certified, licensed and credentialed. All Akos physicians have completed our Akos comprehensive training program.
WHAT MEDICAL CONDITIONS DO YOU TREAT?
Our physicians can diagnose and treat a wide range of non-emergency medical conditions. Click here for a list of common conditions treated.
CAN I CHOOSE THE PHYSICIAN I WANT TO SPEAK WITH?
You will first speak with a care coordinator who will confirm your medical history and assess your symptoms. The care coordinator will determine if your condition can be treated by a virtual consultation. The care coordinator will select the best physician to treat your medical condition.
CAN YOUR PHYSICIANS PRESCRIBE MEDICATION?
When medically necessary, Akos physicians are able to prescribe a wide range of medications to treat your condition. Akos physicians do not prescribe or renew a prescription for controlled substances regulated by the U.S. Drug Enforcement Agency that have been designated as U.S. controlled substances. Click here to view a list of controlled substances. In addition, Akos physicians will not prescribe or renew large quantities of medications for any condition.
CAN I CHOOSE THE PHARMACY IF I NEED A PRESCRIPTION?
If our physician determines a medication is medically necessary, they can write a prescription for non-narcotic medications which will be sent electronically to the pharmacy of your choice.
CAN MEDICAL FORMS, SUCH AS WORK/SCHOOL EXCUSES BE PROVIDED?
Our physicians are able to provide simple forms such as work/school excuses or return to work/school documents as clinically appropriate.
WHAT IF MY CONDITION CANNOT BE TREATED BY AKOS?
If for any reason your condition falls outside the scope of what Akos covers, a care coordinator will direct you to a preferred healthcare center in your area, so you can get the immediate care you need.
WHAT IF MY CONDITION CANNOT BE TREATED BY AKOS?
If for any reason your condition falls outside the scope of what Akos covers, a care coordinator will direct you to a preferred healthcare center in your area, so you can get the immediate care you need.
Sedera FAQs
What is Sedera?
Sedera, Inc. is an innovative, non-insurance approach to managing large healthcare costs. Sedera members join a community of like-minded individuals who are active and engaged participants in their healthcare decision making. Together, we are tapping the power of community to create a new normal in healthcare that is high-quality, human, and transparent.
What kind of company is Sedera? 
Sedera is a patient advocacy and benevolence organization. Sedera facilitates the sharing of medical costs between our participating Members (the community) and provides access to several ancillary health services.
Is Sedera an Insurance Company?
No. Sedera, Inc. is not a licensed insurance company, nor is it in the business of insurance. Sedera was intentionally founded to serve a broader community of members using the well-established principles of sharing without mandatory faith requirements. Sedera, Inc. facilitates sharing for the Sedera Medical Cost Sharing Community. There are no insurance policies, guarantees, transfer of risk, or promise to pay. Instead, there is a group of like-minded individuals that have come together in community to share medical bills according to agreed to community sharing guidelines.
Can I choose my own doctors and hospitals without being penalized?
Absolutely! Having the personal freedom to choose the medical providers of your choice is fundamental to Sedera’s values. Sedera’s Member Advisors will be happy to assist you in providing quality information to help you decide on the best provider(s), but there are no “out-of-network” penalties.
Does Sedera use deductibles and co-insurance??
Sedera’s process differs significantly from insurance practices in this regard; to our member’s advantage. Traditional health insurance deductibles are cumulative over the course of a plan year. Co-insurance is the portion of the medical expense owed by the patient. These insurance cost-sharing measures can amount to thousands of dollars in out-of-pocket costs to insurance policyholders annually. Conversely, when Sedera Members incur an eligible medical expense that exceeds their Initial Unshareable Amount (IUA), any remaining balance relative to that specific Need would be eligible for sharing, effectively reducing the member’s portion to the selected IUA for any single need.
Where do my membership contributions go?
Sedera places a high value on transparency and believes that you should understand your true costs when it comes to managing healthcare.
 
Your monthly contribution is allocated to the following:
 
9.9% goes to Sedera Inc. for facilitating the community
$10.35 pays for External Clinical Expertise 
$55 (EO), $100 (EC/ES) or $150 (EF) covers the costs associated with your Member Services, sales expenses and bill negotiation 
The remainder goes directly to the Medical Cost Sharing Community for sharing of Needs.
Will Sedera share medical costs that were incurred outside of the United States?
Yes, Members’ eligible needs, wherever incurred, will be handled through your Sedera Membership.
What happens when a provider requires payment up front for services?
A Member may be required to pay out-of-pocket for medical services. Sedera advises its Members to avoid paying more than their IUA toward the cost of any medical need, as doing so dilutes Sedera’s ability to negotiate with medical providers. In cases where Members pay more than their IUA, they will be promptly reimbursed for the excess amount by the Sedera community.

Additionally, Sedera occasionally provides direct up-front payment for proposed services. The most prominent example of pre-payment is with maternity cases. Sedera may pre-pay maternity cases, based on the provider’s self-pay rates, in advance of the baby’s delivery. In virtually all cases, needs payments are sent directly to Members, not to medical providers.
If there is no network, what is the method used to secure fair pricing?
All Sedera members are “self-pay patients.” This enables significant leverage in the negotiation of medical bills. Our sister company, The Karis Group (TKG), is a professional patient advocacy and medical bill negotiation company. TKG currently serves nearly one million patient lives throughout the U.S. including negotiating all of the Needs for one of the largest Health Care Sharing Ministries in the nation. Sedera outsources the negotiation of all Member medical bills that exceed $500 to TKG. TKG’s average rate reduction exceeds 60% off billed charges. These savings are passed directly to our Members through the low monthly contributions they enjoy.
How does Sedera handle medical claims?
Because there is no “transfer of risk” with Sedera’s Medical Cost Sharing, no “claim” is ever guaranteed. When Members incur medical expenses that exceed their IUA there is simply a medical need. Sedera Members submit proof of their medical expenses to Sedera where they are evaluated in accordance with the Guidelines. Qualified needs are then designated for sharing based on the amount of shares collected from Members each month. Each member’s monthly share is voluntary but also a requirement in order to remain an active participant in the membership.
How does Sedera handle medical claims?
Because there is no “transfer of risk” with Sedera’s Medical Cost Sharing, no “claim” is ever guaranteed. When Members incur medical expenses that exceed their IUA there is simply a medical need. Sedera Members submit proof of their medical expenses to Sedera where they are evaluated in accordance with the Guidelines. Qualified needs are then designated for sharing based on the amount of shares collected from Members each month. Each member’s monthly share is voluntary but also a requirement in order to remain an active participant in the membership.
What is the process for paying my medical bills when I have a need?
At the time of service, Members should disclose to their medical providers (doctors, laboratories, clinics, hospitals, etc.) that they are “self-pay” patients. The providers will, in turn, bill the Member directly. The Member then organizes their bills, fills out a Need Processing Form (NPF) and submits the NPF, copies of all related medical bills and any proof of payments made towards their Initial Unshareable Amount (IUA). Our team of medical bill negotiators may contact the providers to discuss the appropriate payment for the services that were performed and determine if negotiations are necessary or available for the billed amounts. Sedera will review the need and help administer a process whereby community funds are share with the Member, less the Member’s IUA (as applicable), which, in turn, the Members use to pay their medical providers.
How long does it take Sedera to process a medical need?
The sharing turnaround time normally ranges from 14-60 days from receipt of your bills and required information depending whether negotiation is required or not. If your Need Processing Form is correct and complete, and there are no ongoing financial negotiations with providers, your need will normally be shared the second Friday after Sedera receives it. Please note that larger bills make take longer to negotiate.
What are Sedera’s Membership requirements?
Sedera Members are eligible through their employment, membership, or participation in a Sponsoring Entity. Members must agree to abide by each of the nine Principles of Membership. See Sections 1 and 2 of the Member Guidelines for the details of Membership requirements. Members understand that medical expenses resulting from the use of illegal drugs, or while participating in unlawful activities will not be shared.
Is there a lifetime or yearly maximum amount that is eligible for sharing for any one person or family?
There is no specific annual maximum dollar amount or lifetime maximum limits per member, though certain dollar amounts and/or visit limits apply to specific types of medical care and therapies. Sharing is only limited to the cumulative contributions received from participating members in any given month. There is, however no limit on the number of needs that an individual member or household may have. Additionally, no single need may consume more than one third (1/3) of the total number of shares available in order to assure ample shares for all members.
How can I be sure that Sedera really works?
The concept of medical cost sharing has been highly successful within the confines of faith-based Christian groups for more than 25 years. More than one million members have shared over a billion dollars in medical expenses over that span of time. Hence, there is strong precedence in the concept. We believe that a community of health-conscious people who care for their fellow man can successfully participate in the sharing of one another’s medical burdens. It is important to note that past successes by faith-based sharing groups assisting one another is no guarantee of the future success of similar programs. There is no promise or contract by Sedera or the Members to contribute toward any need you might have in the future. The only promise by Sedera is to facilitate the voluntary shares given through the medical cost sharing process. Sedera distributes these monthly contributions on behalf of those Members with needs.
How can I be sure that Sedera really works?
The concept of medical cost sharing has been highly successful within the confines of faith-based Christian groups for more than 25 years. More than one million members have shared over a billion dollars in medical expenses over that span of time. Hence, there is strong precedence in the concept. We believe that a community of health-conscious people who care for their fellow man can successfully participate in the sharing of one another’s medical burdens. It is important to note that past successes by faith-based sharing groups assisting one another is no guarantee of the future success of similar programs. There is no promise or contract by Sedera or the Members to contribute toward any need you might have in the future. The only promise by Sedera is to facilitate the voluntary shares given through the medical cost sharing process. Sedera distributes these monthly contributions on behalf of those Members with needs.
What happens if there are more medical needs than available shares in a month?
Sedera’s Guidelines clearly state the reality that payment is never guaranteed, but is always based on the commitment of the Members to each other. Sedera may overlap needs from multiple months so that there adequate shares for all Needs. However, if all needs cannot be met, Sedera uses a prorating method to evenly distribute the burden. For example, if there is only enough shares available for 90 percent of the needs submitted for a particular month, Sedera can only commit to sharing 90 percent of each need.
Can my Membership be dropped if I have very high medical needs?
Members cannot be dropped from the membership due to their medical needs. Neither your membership nor your monthly share is affected by the amount of medical expenses you or any family members may have.
What kinds of needs do Sedera Health Members share?
In general, needs for illnesses or injuries resulting in visits to licensed medical providers, emergency rooms, diagnostic testing facilities, laboratory or hospitals charges are shared on a per person, per incident basis. See Sections 6-9 of the Member Guidelines for details.
How can I know if a need qualifies for sharing?
The types of needs that qualify for sharing can be found in the Member Guidelines. Consult Section 10 to familiarize yourself with the general procedures for submitting your need and Sections 6-9 for the specific requirements for sharing certain types of needs. If you have any questions, do not hesitate to call your Sedera Member Advisor at 1-855-973-3372.
How does Sedera handle very large medical expenses?
There is no maximum limit to the amount that Sedera will share towards a specific medical need. However, the need must be within the scope of the Guidelines before it will be eligible for sharing. Because of the economic impact of very large medical bills (e.g., those over $150,000), Sedera has devised an internal mechanism to ensure that adequate shares are available to meet both our member’s normal and high-cost needs. For the very large medical expenses that occur from time to time, Sedera makes provision by allocating 15% of member’s monthly shares to remain available through a separate escrow fund that participating Sponsoring Entities have established. Sedera reserves the right to negotiate medical expenses with providers, and to prorate available shares, as necessary, in order to address all member’s medical expenses.
Are there any specific medical conditions that have an exclusion or waiting period?
A look-back period of 36 months applies to all prior medical conditions for Sedera applicants. A prior medical condition, as previously defined, is a condition in which the applicant has either received medical treatment, taken medications for, or exhibited observable symptoms. Any prior medical condition that has not exhibited symptoms during the 36 continuous months prior to membership effective date is considered cured and will have no sharing restrictions. Prior medical conditions will become eligible for sharing based on the Member’s tenure with Sedera, as indicated by the Guidelines.

Sharing restrictions do not apply for high blood pressure, as long as the member has not been hospitalized for high blood pressure in the 36 months prior to membership and the condition is controlled through medication and/ or diet. However, medication for treatment of high blood pressure as a chronic condition will not be shared.