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Health Sharing Plans in Illinois (2026)
Health sharing is legal in Illinois with no state mandate and no penalty. 7 plans are currently vetted and available in IL — note that Sedera is not available in this state.
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Illinois has no individual mandate and no penalty for skipping ACA coverage. The ACA benchmark premium in 2026 runs around $554/month for an individual — not the most expensive state, but still a steep number if you do not qualify for subsidies. Chicago has one of the largest concentrations of self-employed professionals and small business owners in the country, which is exactly the market health sharing is built for.
Is Health Sharing Legal in Illinois?
Health sharing is fully legal in Illinois. The state has no individual mandate — there is no penalty for choosing health sharing over ACA-compliant insurance. Illinois does not restrict which health sharing ministries can operate here, with one notable exception on the plan side: Sedera has voluntarily excluded Illinois from its service area (more on that below).
One important caveat that applies in every state: health sharing plans are not insurance and are not regulated by the Illinois Department of Insurance. Members agree to voluntarily share each other's eligible medical costs — there is no guaranteed payment. Read each ministry's membership guidelines carefully before enrolling.
Heads Up: Sedera Is Not Available in Illinois
Sedera — one of the most popular secular health sharing options — does not accept members in Illinois. IL is on Sedera's state exclusion list, along with AK, HI, ME, MD, NH, PA, VT, and WA. This is Sedera's own policy, not a state law.
The good news: the remaining 5 vetted plans are all open to Illinois residents:
- Zion HealthShare — secular, any doctor, from $114/mo
- CrowdHealth — secular, ~$140/mo avg, crowdfunded model
- CHM — Christian, most affordable starting at $115/mo
- Medi-Share — Christian, from $115/mo
- Samaritan Ministries — Christian, from $199/mo
If Sedera's secular, tech-forward model was appealing to you, Zion HealthShare and CrowdHealth are the closest secular alternatives available in IL.
How Health Sharing Compares to ACA in Illinois
The ACA benchmark (second-lowest-cost Silver plan) in Illinois averages $554/month for an individual in 2026. That is before subsidies. If your income is above roughly $62,000 for a single person — the 400% federal poverty level threshold — you get no ACA subsidy and pay full price. For Chicago-area professionals, that threshold is easy to exceed.
| Option | Monthly Cost (Individual) | Regulated? | Best for |
|---|---|---|---|
| ACA Silver Plan (benchmark) | $554/mo | Yes | Subsidy-eligible, pre-existing conditions |
| Medi-Share / Samaritan (mid-tier) | $220–$405/mo | No | Christian members, established ministries |
| Zion HealthShare (secular) | $114–$320/mo | No | No faith requirement, any doctor |
| CHM / CrowdHealth (budget) | $115–$140/mo | No | Healthy, low utilization expected |
If you qualify for ACA subsidies, run the numbers first — subsidized ACA can be very competitive. If you do not qualify, the premium gap is significant: $3,000–$5,000 per year in most scenarios.
The Self-Employed Deduction: What IL's 4.95% Tax Rate Means
Self-employed people who pay for traditional health insurance can deduct 100% of premiums from their federal taxable income. Health sharing contributions generally do not qualify for this deduction under current IRS rules — that gap can cost several hundred dollars per year in federal taxes alone.
Illinois adds a flat 4.95% state income tax on top of that. Losing a $6,000 annual deduction means paying an extra $297 in Illinois state taxes — not devastating, but a real number to include in your comparison. A self-employed Chicago-area professional choosing health sharing should factor in roughly $900–$1,200 in lost federal + state deduction value when modeling the true annual cost difference.
Health Sharing Plans Available in Illinois
7 plans are currently vetted and accepting new members in IL. Sedera is excluded from Illinois — all other plans below are open to IL residents. Pricing shown is the starting individual monthly cost for 2026.
Zion HealthShare
No faith requirement
Zion HealthShare is a modern health sharing ministry founded in 2019, based in St. George, UT, with 75,000+ members. Monthly contributions start at $114 for individuals and $334 for families, with unlimited sharing per need (no annual or lifetime cap) and no faith requirement. No provider network — members can see any doctor. Includes telehealth, prescriptions, maternity, mental health, preventive care, emergency, and surgery. Pre-existing conditions phase in over 4 years: nothing shared year 1; up to $25,000/request in year 2; up to $50,000/request in year 3; up to $125,000 per 12-month period from year 4 onward (permanent cap). Exception: high blood pressure, high cholesterol, and diabetes are shareable from day one if the member was not hospitalized for them in the prior 12 months.
CrowdHealth
No faith requirement
CrowdHealth is a healthcare crowdfunding platform (NOT health sharing or insurance) founded in 2021, headquartered in Austin, TX, with 17,000+ members. Uses peer-to-peer crowdfunding where members contribute to fund each other's medical bills. Monthly advocacy fee $60 plus variable crowdfunding costs (avg $140/mo for individuals under 55). No coverage caps, no faith requirement, any doctor, month-to-month flexibility.
Medi-Share
Christian faith required
Medi-Share is the largest health sharing ministry with 400,000+ members, founded in 1993 and based in Melbourne, FL. Monthly contributions vary by age and AHP — roughly $115 to $470 for individuals and $390 to $850 for a family of four. AHP (Annual Household Portion) options are $3,000, $6,000, $9,000, or $12,000 — there is no annual or lifetime sharing cap. Requires a Trinitarian statement of faith and active church involvement. Pre-existing conditions are not shared for the first 36 months; after 36 months shared up to $100,000/member/year, and after 60 months up to $500,000/member/year. Uses the PHCS and First Health PPO networks (900,000+ providers). Includes telehealth and TeleBehavioral health, maternity coverage ($125K cap per pregnancy), preventive, emergency, and surgery. Ongoing prescription maintenance drugs are not shared; new acute condition prescriptions covered up to 6 months.
CHM (Christian Healthcare Ministries)
Active Christian required
CHM (Christian Healthcare Ministries) is the most affordable health sharing ministry, founded in 1981, with 300,000+ members based in Barberton, OH. Monthly contributions start at $115 for individuals and $345 for families, with a $125,000 per-illness sharing cap. The optional CHM Plus add-on ($42/unit/month) extends coverage to $1M per illness (Silver/Bronze) or unlimited (Gold). Strict Christian faith requirement including church attendance. Pre-existing conditions are no longer pre-existing after 12 months symptom/treatment-free (cancer requires 5 years cancer-free). Covers maternity, preventive, emergency, and surgery with any doctor — no network.
Samaritan Ministries
Active Christian required
Samaritan Ministries is an established health sharing ministry founded in 1994, based in Lancaster, PA, with 250,000+ members. Monthly costs range from $199-$365 for individuals and $620-$715 for 2-person households (Aug 2025 Classic rates, by age band), with a $250,000 per-need cap (Classic). Requires strict Christian faith and church attendance. Pre-existing conditions share at 50% for the first year; cancer, heart, and hereditary conditions require 5 years symptom-free; type-1 diabetes is permanently excluded.
Knew Health
No faith requirement
Knew Health is a secular medical cost-sharing community founded in 2017, headquartered in Darien, IL, with 30,000+ members. Membership starts around $142/month for individuals, with exact rates set by age, household size, and chosen IUA ($1,000, $2,500, or $5,000). It has no annual or lifetime sharing cap for new eligible needs, and members are never responsible for more than three IUAs in a membership year. No faith requirement. Covers 24/7 telehealth, mental health, maternity (for pregnancies starting 90+ days after joining, with a due date one year or more out; note: maternity beginning Jan 1 2026 requires a $5,000 IUA), preventive/wellness care, emergency, and surgery; prescriptions are shareable for the first 120 days of a new eligible need. Any doctor — no network restriction. Pre-existing conditions are not shared in year 1, limited years 2-4, and from year 4 are shared but permanently capped at $125,000 per 12-month rolling period.
HSA Secure
No faith requirement
HSA Secure is the only health sharing plan designed specifically for HSA compatibility. It is powered by Zion HealthShare — a secular community founded in 2019 with 75,000+ members — and pairs Zion's health sharing with a MEC (minimum essential coverage) preventive insurance policy. This unique structure lets members contribute pre-tax dollars to an HSA while keeping monthly contributions affordable (from $114/month for individuals). The plan covers preventive care, telehealth, prescriptions, maternity (after 6-month wait), emergency, and surgery. There are no network restrictions, no annual or lifetime sharing caps, and no faith requirement. IUA tiers are $1,250, $2,500, or $5,000 (the $1,000 tier was retired January 1, 2026). The main trade-offs: mental health is not directly shareable, and pre-existing conditions follow a phased sharing schedule (nothing shared months 1-12, up to $25,000/yr months 13-24, up to $50,000/yr months 25-35, up to $125,000/yr from month 36).
What Illinois Residents Should Consider
No Individual Mandate — No Penalty
Illinois has no state individual mandate. You can choose health sharing with zero penalty risk. This is different from states like California and Massachusetts, which penalize residents for lacking ACA-compliant coverage.
Chicago's Self-Employed Market
Chicago is home to a large concentration of self-employed professionals, consultants, freelancers, and small business owners — exactly the people who earn too much for ACA subsidies but find $554/month premiums hard to justify. The cost-of-living gap between Chicago and downstate Illinois also means the premium pain hits Chicago residents harder relative to income. Run the annual cost comparison before deciding — our Annual Cost Projector can help.
Sedera Is Not an Option Here
If you were considering Sedera — a secular, tech-forward plan popular with the self-employed crowd — it is not available to Illinois residents. The best secular alternatives available in IL are Zion HealthShare (from $114/mo, any doctor) and CrowdHealth (~$140/mo avg). Both have no faith requirement.
Pre-Existing Conditions
Most health sharing plans impose waiting periods for pre-existing conditions — ranging from 12 months symptom-free (CHM) to 24 months or more (Zion HealthShare). If you have ongoing conditions that require regular treatment or medication, that waiting period is a real gap to account for before switching off ACA coverage.
Not Insurance
Health sharing plans are not insurance and are not regulated by the Illinois Department of Insurance. Members voluntarily share each other's eligible medical expenses — there is no legal guarantee of payment. Read the membership guidelines carefully before enrolling.
Common Questions — Illinois
Is health sharing legal in Illinois?
Yes, health sharing is fully legal in Illinois. There is no state individual mandate and no penalty for choosing health sharing over ACA-compliant insurance. Illinois does not restrict which health sharing ministries can operate here.
Does Illinois have an individual mandate?
No. Illinois has no state individual mandate. Residents face no penalty for lacking ACA-compliant coverage. The federal mandate penalty was also eliminated in 2019.
Why is Sedera not available in Illinois?
Sedera has voluntarily excluded Illinois (and several other states) from its service area. This is Sedera's own business decision, not an Illinois state law. The exclusion list includes AK, HI, IL, ME, MD, NH, PA, VT, and WA. The remaining 5 vetted plans — Zion HealthShare, CHM, Medi-Share, Samaritan Ministries, and CrowdHealth — are all available to Illinois residents.
How much can I save vs ACA in Illinois?
The ACA benchmark premium in Illinois is approximately $554/month for 2026. Health sharing plans start as low as $115–$185/month for individuals. If you do not qualify for ACA subsidies, the annual savings can reach $4,000–$5,000. Factor in the lost self-employed deduction (roughly $900–$1,200 in combined federal + Illinois state tax value for a $6,000 annual contribution) to get the true net savings.
What are the best secular health sharing options for Illinois residents?
Since Sedera is not available in Illinois, the two main secular options are Zion HealthShare (from $114/mo, any doctor, no faith requirement) and CrowdHealth (~$140/mo avg, crowdfunded model, no faith requirement). Both are open to IL residents. Use our free advisor to see which fits your situation better.
Find the Right Plan for Illinois
Our 2-minute advisor filters by state availability, faith requirement, and budget. Illinois has 5 vetted plans available — we'll show you which one fits best.
Our top pick
Zion HealthShare
from $114/mo · ★ 4.8
Our highest-rated plan (4.8/5): no faith requirement, HSA-compatible, broad coverage, and managed conditions shared from day one.
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