Catastrophic cost sharing provides sharing for the unexpected
Catastrophic programs help make major emergencies more affordable if, and when they occur. They are for people who are primarily healthy and don’t mind paying out of pocket for day-to-day health care expenses but who are looking for peace of mind in case of serious illness or injury. Trinity catastrophic programs offer sharing eligibility for services such as inpatient and outpatient surgeries performed in hospitals and ambulatory surgical centers (ASC).
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How Trinity’s catastrophic health care program works
Members pay all medical expenses related to a catastrophic medical event until the individual’s Member Shared Responsibility Amount (MSRA) has been reached. The Member Shared Responsibility Amount, or MSRA, reflects the amount of personal responsibility and stewardship members are expected to demonstrate; in other words, the amount a member must pay before asking others in the program to share in the cost of medical expenses.
Upon reaching the MSRA, all eligible hospitalization, surgical, or emergency room expenses are submitted for cost-sharing at 100%. If a visit to the emergency room happens, the member is responsible for a $300 consult fee. Upon admittance to the hospital, the $300 then gets applied to the MSRA.
Monthly contributions for catastrophic programs vary depending on age and the chosen MSRA. Low monthly contributions give members peace of mind knowing they are protected against major catastrophic events that could cripple them financially. Catastrophic health care sharing provides a great combination of low price and good hospital services.