Sedera vs Medi-Share: Secular vs Christian Health Sharing for 2026

By The WhichHealthShare EditorsReviewed June 2026

Sedera and Medi-Share both have strong reputations, but the gap between them starts with a single question: are you a practicing Christian? Medi-Share (4.5/5, founded 1993) requires a Christian statement of faith and is the largest health sharing ministry in the country — 350,000+ members, PHCS and First Health PPO network, telehealth, partial prescription sharing, no annual or lifetime cap, individual cost $115–$470/month. Sedera (4.5/5, founded 2014, 50,000+ members) is the most-established secular option — no faith requirement, HSA compatible, any doctor, individual cost $153–$742/month (most working-age members pay $153–$438; the 60–64 band runs higher), unlimited cap. Both phase pre-existing conditions in over time, and neither is the pick for an immediate managed condition. If faith is not a factor, Sedera is the natural choice; if you are Christian and want the largest community, Medi-Share is the proven option.

Sedera

50,000+ members | Founded 2014

From $153/mo

Secular users seeking alternative to faith-based ministries

Medi-Share

400,000+ members | Founded 1993

From $115/mo

Christian families, established community with 30+ years history

Side-by-Side Comparison

FeatureSederaMedi-Share
Monthly Cost (Individual)$153-$742$115-$470
Initial Unshareable Amount (IUA)$500 / $1,000 / $1,500 / $2,500 / $5,000$3,000 / $6,000 / $9,000 / $12,000
Coverage CapUnlimitedNone — no annual or lifetime sharing cap
Faith RequirementNone (secular)Christian (light)
Pre-Existing Wait12-36 month phase-in36 months
NetworkNo network restrictionPHCS + First Health (MultiPlan)
PrescriptionsIncludedIncluded
Mental HealthIncludedIncluded
MaternityIncludedIncluded
Processing Time30-45 days45-60 days

Monthly figures show the full individual range across all age bands (18–64) and IUA/deductible tiers. The top of each range reflects the oldest 60–64 band — a typical working-age member (under 60) pays in the lower-to-middle of the range (e.g. Sedera runs roughly $153–$438 for ages 18–59, rising toward $742 at 60–64).

The Bottom Line

Sedera wins for secular members who want HSA compatibility and IUA flexibility; Medi-Share wins for Christians who want the largest, most established community.

Choose Sedera if

You are not a practicing Christian — or simply do not want a faith requirement — and want a well-established secular health sharing plan with flexible IUA tiers from $500 to $5,000 and HSA compatibility. Sedera has 50,000+ members, has operated since 2014, and is popular with self-employed members who want to dial their monthly cost to cash flow. Pre-existing conditions phase in over 12–36 months — not ideal for an immediate need, but the plan is transparent about the timeline.

Choose Medi-Share if

You are a committed Christian who wants the largest health sharing community (350,000+ members since 1993), a structured PHCS and First Health PPO network, telehealth, and partial prescription sharing. Medi-Share has no annual or lifetime cap, a 12-month phased pre-existing wait (25% → 100% over four years), and is the most-reviewed plan in the industry. Note: ongoing maintenance prescriptions are not shared, and in-person outpatient mental health is not covered.

Frequently Asked Questions

Does Sedera require a Christian faith?
No. Sedera is fully secular — no statement of faith and no church attendance required. Medi-Share requires a Christian statement of faith, so if you are not a practicing Christian, Sedera is the only option between these two.
Is Sedera or Medi-Share cheaper?
It depends on age and the IUA you choose. Medi-Share starts slightly lower — around $115/month individual versus $153/month for Sedera. But Sedera's cost can be kept lower for younger members by selecting a higher IUA tier, while Medi-Share's AHP options start at $3,000. For most working-age individuals (18–59), Sedera's range of $153–$438 and Medi-Share's range of $115–$470 overlap substantially.
Is Sedera HSA compatible?
Yes. Sedera is HSA compatible, meaning you can pair it with a Health Savings Account and use pre-tax dollars for out-of-pocket costs. Medi-Share is not HSA compatible.
How do pre-existing conditions compare?
Sedera phases pre-existing conditions in over a long runway — nothing shared the first 12 months, graduated annual caps through month 36, fully shareable after 36 months (36-month look-back applies). Medi-Share has a 12-month phased wait: 25% shared in year one, 50% in year two, 75% in year three, 100% from year four. Medi-Share reaches full sharing one year earlier for most conditions. If you need a common managed condition covered quickly, consider Zion HealthShare (day-one for blood pressure, cholesterol, and diabetes) instead.
Which has more members?
Medi-Share has 350,000+ members — the largest health sharing ministry in the US by a wide margin. Sedera has 50,000+ members. Medi-Share has the deeper community pool; Sedera is the more established secular option.

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Largest community

Medi-Share

$115–$470/mo · 4.5

The biggest health sharing ministry — 400,000+ members and Cigna PPO network access.

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