TEI
Burden Sharing
A
Cost-Effective Means to
Meet
Burdensome Medical Expenses
Introduction
Sponsored by the
Theological Education Institute (TEI) of Hartford, Connecticut, TEI
Burden Sharing
is a moral covenant between people of like mind who choose the power
of giving and receiving mutual
trust, as opposed to a legal contract.
Anyone is invited to
participate who agrees with and lives by the following principles:
1. The basis for a
healthy life is found in the biblical ethics rooted in the
assumptions of Genesis 1-2.
2. Healthy human
sexuality equals chastity outside of heterosexual faithful
monogamous marriage, and fidelity
within.
3. Healthy living
includes no use of inhaled tobacco, no use of illegal drugs, and no
abuse of alcoholic beverages.
4. Healthy living
means the pursuit of a wise diet and appropriate exercise.
5. Healthy living
means preventative measures are always embraced, and so as to
minimize use of
pharmaceuticals
and/or surgery, and then the simplest and most direct treatment for
specific illnesses.
6. Human abortion is
wrong except in the rare cases where the mother would otherwise die.
These principles are
exactly that B
principles to serve as a guideline for how to share one
another=s
burdensome medical expenses.
Sharing Needs
TEI Burden
Sharing manages a system of people sharing each other=s burdensome medical expenses.
TEI Burden
Sharing is applicable for otherwise unmet burdensome medical
expenses. Any one-time expense which
exceeds $250.00 may qualify for sharing, up to the ability of the
system to share it.
How the Covenant
Works
1. As a signer of
this moral covenant, you apply to TEI Burden Sharing,
stating that you agree to live by
its principles.
2. You will be
interviewed personally, and if you are accepted, you will be asked
how much money per month
you can contribute to help meet the burdensome medical expenses of
your fellow signers. Part
of the acceptance question depends on your level of participation
consistent with your ability, agreement
to what pre-existing conditions may or may not be possible to accept
into your covenant, as
well as having an annual medical and dental exam and forwarding the
results to TEI Burden Sharing.
You are not held to that monthly amount, but there needs to be
faithful burden sharing among
all signers of the moral covenant for it to work. You will need to
make three months of contributions
to become active. The interview is the key to the system B
where in personal relationships
we can determine the fairest way for burdensome medical expenses to
be shared among all
signers.
3. TEI Burden
Sharing uses these three months of contributions to help with
overhead, and then once a
year thereafter it will receive your monthly contribution for that
purpose. From the point you become
active, for the next 11 months your contribution will go to meet the
qualifying expenses of other
signers of the covenant, and on the 12th month it will go to TEI
Burden Sharing, thus keeping overhead
at 8.3 percent.
4. As a signer of
this moral covenant, when you have medical expenses that exceed the
$250.00 per incident
threshold, submit the final bill(s) to TEI Burden Sharing.
Tell the physician, dentist, hospital,
laboratory, pharmacy et al. that you are "self-pay."
Arrange to pay the first $250.00 yourself,
ask for a reduction in cost, and state that the balance will be paid
within 30 days after the final
bill has been received. Feel free to explain TEI Burden Sharing.
5. TEI Burden
Sharing will call, email, fax or mail its members each month,
asking them how much money
they can contribute for that month. Out of these monies your bills
will be paid directly. All monies set to meet medical expenses will go into an account designated solely
for that purpose B
"medical expenses.@
The monies received separately for overhead expenses will be in a
different TEI
account.
If the amount of monthly gifts to the system exceed the amount
needed for a given month, the
monies will remain there for the subsequent month(s).
If the needs
exceed the gifts pledged, then any
positive balance in the medical expenses account will be used to
make up the difference. If there is
no balance in the medical expenses account, then all signers will be
asked to make up the deficit to keep
all needs current, or the corresponding percentage will be paid out
according to the monies on hand (e.g., if 95% of the needed monies
are on hand, 95% of each claim will be paid). The exact balance in the medical expenses account
will always be available to TEI
Burden Sharing signers.
6. If ever you do
not meet the pledge you make for a given month, you will not be able
to have your qualifying
medical expenses shared until you meet your pledge and keep current. TEI Burden
Sharing maintains the freedom
to discontinue any signer whom it believes is not making an honest
attempt to make an appropriate
contribution month to month.
7. Since there is no
legal contract involved, TEI Burden Sharing will work
personally with you to determine
if all your burdensome medical expenses can be covered. However, for
example, if TEI Burden
Sharing believes your costs are a result of not living by its
principles, or if a more cost- effective
treatment is possible, it may decline to share those expenses. If
you feel TEI Burden Sharing
has been unfair in this matter, or in terms of a decision to
discontinue your participation, you
may appeal, and a randomly selected or elected group of 9 covenantal signers,
along with a TEI designated panel of 4 people, will make a final decision after
you present your case to them (on a majority vote between themselves
if necessary).
8. Since TEI
Burden Sharing is based on mutual trust, it assures the integrity
of the system by consistent
personal communication among its signers, where the goal is to
effectively share one another=s
burdensome medical expenses. TEI Burden Sharing
recognizes that overall costs are kept
lowest if budgetable expenses are paid by individuals or families, and
only burdensome expenses are shared. Thus, to keep things as
simple as possible, trust and communication
between signers is the nature of TEI Burden Sharing, and
those attracted to it are those
who see it as a wise way to go. Also, if necessary, TEI Burden
Sharing can operate without any
need to sign this covenant B
just verbal agreement.
9.
All TEI Burden Sharing signers are required to purchase
catastrophic health insurance exceeding $150,000.00. And it is
recommended that long term health insurance be likewise purchased.
10.
TEI Burden Sharing will build a professional list of participating physicians,
dentists, nurses, hospitals, laboratories, et al. Those listed will
meet a certain set of professional standards along with commensurate
reputation, and will be recommended by the TEI. All TEI Burden
Sharing signers are free to choose their own health care
providers, if they are in good standing with their respective
professional associations.
11.
All TEI Burden Sharing signers must also sign a covenant
promising not to file any lawsuits against any TEI recommended
physician, dentist, nurse, hospital, pharmacy, laboratory or other
health care provider.
Malpractice
insurance is a leading cause in rising health care costs. If a TEI
Burden Sharing signer believes there is just cause to accuse a TEI
health care provider of negligence, then the first step is to convene
a TEI review panel (per item #7 above), with both the accuser and
accused present, to work out a settlement.
If
the TEI review panel believes the health care provider is at fault,
and if no equitable settlement is reached, then the TEI reserves the
right to remove that provider from the TEI professional list, to
publish this removal, and if necessary, to file lawsuit on behalf of
the accuser. If the TEI review panel determines that the health
care provider is not at fault, and the TEI Burden Sharing
signer then pursues a lawsuit, then that signer forfeits his or her
covenant freedoms with the TEI, this removal will be published, and
the TEI is free to file a lawsuit on behalf of the wrongly accused.
12.
The workings of the TEI Burden Sharing plan is therefore owned
by its signers, and self-policed by the same. Those who are
trustworthy will find great benefit, and those who are not will remove
themselves form such benefit.
13. TEI Burden Sharing
will get underway when 300 families have signed up.
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