Case Study: Eye Surgery Center

Innovative to Solve the Soaring Cost of Healthcare


For middle income individuals and families


Nationwide Open Network enables choice


Medical procedure prices are made clear and known prior to scheduling


Non Medical expenses like travel, lodging coverage

Compare Plan Features and Costs

Self-Funded PlanMightyWELL MightyWELL
Plan TypeCSP | POSSelf FundedHealth Share
Premium $750 EE & $2,136 family$330 EE & $1,000 family$330 EE & $1,000 family
Coinsurance80% - 20% in network only100% all doctors100% all doctors
NetworkCignaMultiPlan & All doctorsMultiPlan & All doctors
Office Visit$30 / $60$50 / $100$50 / $100

Annual Cost Savings = $200,000

Monthly Rates

ClassSelf-Funded PalnHealth Share

View and Print Plan Benefit Details

Innovative Health Share has many advantages

Katie and Steve are having a baby !

Kate chose the Heath Share C0Pay Plan 

The Best – Most family friendly maternity plan in America

Transparent – All cost known and paid upfront $6,000

Affordable – Katie’s total out of pocket cost $1,000

Amazing – All pre and post natal cost included 

Healthcare Event 2023
Male age 63 diagnosis advanced prostate cancer
Doctor & Facility Choice – GA Urology and Northside Hospital
Procedure Choice – From all options Da Vinci robotic surgery

Affordable – Procedure cost fully covered by plan $0 out of pocket cost

Transparent – All cost known upfront $87K negotiated to $33K

Amazing – Robust coverage including additional $100k to offset non-medical expenses like time off, travel and at home care total benefit $132,000
Client Financial Impact
ExpenseACAMightyWELL Plan
Co-Pay80% / 20%None
Procedure Price Quoted$87,000$33,000
Plan Benefit ? hidden ?$32,000
Catastrophic Living Benefit$0$100,000
Client Financial Impact$13,900 out of pocket$94,800 client's to keep

MightyWELL Client Difference $108,700

How Transparent Flexible Healthcare Works

Laparoscopic Gallbladder Surgery Female Age 38
Doctor & Facility Choice – Piedmont Hospital Rockdale
Procedure Choice – Laparoscopic Gallbladder Removal

Transparent – Piedmont Hospital $33,694 initial price quoted
Transparent upfront repriced at $9,500

Affordable – Procedure costs fully paid after $1,000 Health Share out of pocket cost

Advocate – Prior to the procedure MW assisted locating and negotiating with an alternative outpatient surgery center. Client used significate reduced price quote and upfront pay option to save thousands.

Client Financial Impact
ExpenseIndemnity Limited PlanMightyWELL Plan
Premium annual$4,000$3,060
Benefit Paid$7,192$8,500
Client Financial Impact$2,231 out of pocket$1,000 out of pocket

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