Yes, you can use health sharing with diabetes, but coverage depends entirely on which plan you choose and how long you're willing to wait. Zion HealthShare covers diabetes medications and complications from day one after your annual household portion (IUA), making it the best option for diabetics who need immediate coverage. Medi-Share requires a 12-month waiting period before diabetes-related expenses become shareable, though you still pay monthly contributions during that year. CHM technically covers diabetes but excludes certain maintenance medications, making it problematic for Type 1 diabetics who need daily insulin. For anyone managing diabetes, the choice isn't whether health sharing works—it's which plan covers your specific needs without forcing you to wait a year or pay everything out-of-pocket.
Zion HealthShare: Immediate diabetes coverage after IUA ($1,000-$5,000). Medi-Share: 12-month wait, then shareable. CHM: 6-month wait, some medications excluded. Samaritan: 6-month wait, full coverage after. For diabetics needing immediate medication coverage, Zion is the only viable option.
How Each Plan Handles Diabetes
| Plan | Waiting Period | Insulin Coverage | Oral Medications | Test Strips/Supplies | Complications (ER, Hospital) | Annual Cost for Diabetic | |------|----------------|------------------|------------------|---------------------|------------------------------|-------------------------| | Zion HealthShare | None (day 1 after IUA) | ✅ Shareable | ✅ Shareable | ✅ Shareable | ✅ Shareable | $2,220-$3,216 + IUA | | Medi-Share | 12 months | ✅ After wait | ✅ After wait | ✅ After wait | ✅ After wait | $2,724-$4,860 + 12mo meds | | CHM | 6 months | ⚠️ Some excluded | ⚠️ Some excluded | ❌ Not shareable | ✅ After wait | $1,380-$3,168 + meds | | Samaritan | 6 months | ✅ After wait | ✅ After wait | ✅ After wait | ✅ After wait | $1,800-$4,200 + 6mo meds | | CrowdHealth | 1 year (phased in) | ✅ Crowdfunded | ✅ Crowdfunded | ✅ Crowdfunded | ✅ Crowdfunded | $1,680 + fees + meds | | Sedera | 6 months | ✅ After wait | ✅ After wait | ✅ After wait | ✅ After wait | $2,160-$3,360 + 6mo meds |
Real-World Cost Breakdown: Type 2 Diabetes
Typical monthly diabetes costs:
- Metformin (oral medication): $10-$30/month
- Insulin (if needed): $200-$400/month
- Test strips: $50-$100/month
- A1C tests (quarterly): $150 every 3 months
- Endocrinologist visits: $200-$400 every 3-6 months
Total annual out-of-pocket (no sharing): $3,000-$6,000
Scenario: 45-Year-Old with Type 2 Diabetes (Insulin + Metformin)
Current monthly costs:
- Insulin: $350
- Metformin: $20
- Test strips: $75
- Total: $445/month ($5,340/year)
Option 1: Zion HealthShare Standard ($215/month, $2,500 IUA)
Year 1:
- Monthly cost: $215 × 12 = $2,580
- IUA (one-time): $2,500
- Medications BEFORE IUA met: $1,250 (3 months at $445/mo until IUA hit)
- Medications AFTER IUA: Shareable
- Total Year 1: $6,330
Year 2+:
- Monthly cost: $2,580
- Medications: Shareable after new $2,500 IUA
- Total Year 2: ~$5,080 (IUA + monthly)
Annual savings vs no coverage: $260 Year 1, $2,000+ Year 2+
Option 2: Medi-Share Silver ($310/month, $2,700 IUA)
Year 1:
- Monthly cost: $310 × 12 = $3,720
- Medications (NOT shareable during wait): $5,340
- Total Year 1: $9,060 ❌
Year 2:
- Monthly cost: $3,720
- Medications: Shareable after IUA
- Total Year 2: ~$6,420 (IUA + monthly)
Verdict: Medi-Share costs $2,730 MORE in Year 1 due to waiting period
Option 3: CHM Bronze ($115/month, $5,000 IUA)
Year 1:
- Monthly cost: $115 × 12 = $1,380
- IUA: $5,000 (one-time)
- Medications (some NOT shareable): $2,000-$3,000
- Total Year 1: $8,380-$9,380 ❌
Verdict: Cheapest monthly cost but high IUA + medication exclusions = expensive first year
CHM's Medication Exclusion: CHM considers some diabetes maintenance medications "not shareable" under their guidelines. Insulin for Type 1 diabetes IS shareable, but some oral medications for Type 2 may not be. Always verify your specific medications with CHM before joining.
Type 1 vs Type 2 Diabetes: Coverage Differences
Type 1 Diabetes (Insulin-Dependent)
What you need:
- Daily insulin (multiple types): $400-$800/month without insurance
- Continuous glucose monitor (CGM): $300-$500/month
- Test strips and lancets: $100+/month
- Endocrinologist visits: Every 3 months
- Annual cost without sharing: $10,000-$18,000
Best health sharing plan: Zion HealthShare
Why:
- No waiting period (critical for daily insulin needs)
- CGM supplies shareable after IUA
- Insulin shareable immediately
- All complications (DKA, hypoglycemia ER visits) covered day 1
Worst option: CHM or Medi-Share
- CHM excludes some supplies
- Medi-Share's 12-month wait = $4,800-$9,600 out-of-pocket medications
Type 2 Diabetes (Non-Insulin or Insulin-Dependent)
What you need:
- Oral medications (Metformin, etc.): $10-$100/month
- Insulin (if advanced): $200-$400/month
- Test strips: $50-$100/month
- Routine labs: $500-$1,000/year
- Annual cost without sharing: $1,500-$6,000
Best health sharing plan: Zion or Samaritan
Why:
- Zion: No wait, immediate coverage
- Samaritan: Only 6-month wait (vs 12 for Medi-Share)
- Both cover all medications after wait period
Acceptable option: Medi-Share (if you're patient)
- Can afford 12 months of self-pay medications
- Want largest member community (500K+)
- Value long-term stability over short-term cost
Diabetes Complications: What's Covered?
Emergency Coverage (All Plans Cover After Wait)
✅ Diabetic ketoacidosis (DKA) ER visit ✅ Hypoglycemia/hyperglycemia hospitalization ✅ Diabetic foot ulcer treatment ✅ Diabetic retinopathy surgery ✅ Kidney failure dialysis (chronic, ongoing) ✅ Heart attack or stroke (diabetes-related)
Key difference: Zion covers these from day 1. Other plans require 6-12 month wait.
Preventive Care (NOT Covered by Any Plan)
❌ Routine A1C tests (you pay out-of-pocket) ❌ Annual eye exams ❌ Annual foot exams ❌ Nutrition counseling ❌ Diabetes education classes
Estimated annual preventive costs: $500-$1,200 (not shareable)
Long-Term Complications (Covered After Wait)
✅ Neuropathy treatment ✅ Kidney disease management ✅ Vision loss surgery ✅ Amputation (if medically necessary) ✅ Heart disease treatment
Important: These are only shareable if they occur AFTER your waiting period ends. If you join with existing neuropathy, it may not be shareable immediately.
Continuous Glucose Monitors (CGMs): Zion and Samaritan share CGM costs after IUA/wait period. Medi-Share shares them after 12 months. CHM does NOT share CGM supplies (considered maintenance, not acute care). If you rely on a CGM, Zion is your best bet.
Can You Switch Plans If You're Already Diabetic?
Yes, but you restart the waiting period clock.
Example:
You're on CHM with diabetes (past the 6-month wait). You want to switch to Zion for better medication coverage.
What happens:
- You leave CHM: Diabetes coverage ends
- You join Zion: Immediate coverage after IUA (no wait since Zion has no pre-existing wait)
- Result: You can switch and get immediate coverage with Zion
But if you switch to Medi-Share:
- You'd restart a 12-month waiting period
- Better to stay with your current plan unless Medi-Share offers something crucial
Strategy: Start with Zion if you have diabetes. Switch later only if your health dramatically improves.
Real Member Experiences (2026)
Member 1: Type 2 Diabetes, Zion Member
"I joined Zion in March 2025 when they dropped the faith requirement. I have Type 2 diabetes and take insulin. My first month, I hit my $2,500 IUA with an ER visit (unrelated to diabetes). After that, all my insulin and test strips were shareable. I pay $215/month and maybe $50/month for medications now. Before Zion, I was paying $450/month for medications alone. No regrets."
Annual savings: ~$4,800
Member 2: Type 1 Diabetes, Medi-Share Member
"I've been with Medi-Share for 8 years. I joined before my diabetes diagnosis. Now that I'm diabetic, everything is shareable—insulin, CGM, endo visits, all of it. But I wouldn't recommend Medi-Share if you're joining WITH diabetes already. That 12-month wait would have bankrupted me. If I were joining today, I'd go with Zion."
Verdict: Medi-Share works great AFTER the wait, but not worth it if joining with diabetes.
Member 3: Type 2 Diabetes, Left CHM for Zion
"I was on CHM for 2 years. Monthly cost was great ($115), but they wouldn't share my Metformin or my quarterly labs. I paid $1,500/year out-of-pocket on top of the monthly $115. I switched to Zion Standard ($215/month) and now my medications are shareable. I actually save money even though the monthly cost is higher."
Why it worked: Medication sharing > lower monthly cost
Should You Join Health Sharing with Diabetes?
✅ Join Health Sharing If:
- You have Type 2 diabetes (manageable, not insulin-dependent)
- Your medications cost < $500/month
- You're comfortable with some out-of-pocket costs
- You want to save 40-60% vs traditional insurance ($400-$800/month)
- You choose Zion or Samaritan (shorter/no waiting periods)
❌ Stick with Insurance If:
- You have Type 1 diabetes with high medication costs ($800+/month)
- You need guaranteed coverage (health sharing is voluntary)
- You have frequent hospitalizations (> 2/year)
- You're on Medicare (can't use health sharing as primary)
- You live in CA, MA, NJ, RI, VT, DC (state mandates require insurance)
⚠️ Hybrid Approach:
Some people use:
- Health sharing for catastrophic coverage (hospital, surgery)
- GoodRx or cost-plus pharmacies for medications (often cheaper than sharing)
- Direct primary care for routine visits ($50-$150/month)
Example monthly cost:
- Zion Basic: $185
- Medications via Cost Plus Drugs: $30
- DPC membership: $75
- Total: $290/month (vs $600-$800 for insurance)
Bottom Line: Best Plans for Diabetics
🥇 Best Overall: Zion HealthShare
- Cost: $185-$268/month
- Waiting period: None
- Coverage: Immediate after IUA
- Best for: Anyone who needs diabetes coverage NOW
🥈 Best for Patient People: Samaritan Ministries
- Cost: $150-$350/month
- Waiting period: 6 months (half of Medi-Share)
- Coverage: Full coverage after wait
- Best for: Christians comfortable waiting 6 months
🥉 Best Long-Term: Medi-Share
- Cost: $227-$405/month
- Waiting period: 12 months (longest)
- Coverage: Excellent after wait period
- Best for: Healthy people who become diabetic AFTER joining
❌ Avoid: CHM (for diabetics)
- Why: Excludes many diabetes supplies and maintenance medications
- Only choose if: You have Type 1 diabetes needing insulin (insulin IS covered) and want the absolute lowest monthly cost
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