All Members pay a $55/month Advocacy fee. This includes access to cash-pay tools as well as your Care Advocacy team to help navigate and support your health events.

Crowdfunding is then charged separately per month, depending on the bills submitted from the Community. We only pay for what we use.

Maximum crowdfunding amounts requested per month:

Ages 0-54: Up to $140 per member

Ages 55-64: Up to $280 per member

Families of 4+ members: Up to $420 per family

CommunityCare is exclusively available for CrossFit Affiliate Owners, Coaches, and their Family members. Currently, CrossFit gym members are not eligible for membership….yet! Stay tuned though, we can’t wait to make this available to the entire CrossFit Community.

Also, the Community is not currently open to tobacco users (defined as daily use for a period of 3 or more months, past or present). We want the Community to be a place for anyone looking to improve their health and contribute generously through crowdfunding, so we hope to add options for more people with varied health histories soon.

For previously diagnosed or documented health conditions, no costs associated with the condition(s) are eligible for crowdfunding in the first or second year. Starting in the third year of Membership, up to $25K in bills per year related to previously diagnosed or documented health condition(s) may be submitted for crowdfunding.

The CommunityCare platform is designed to maximize the probability that all Members’ eligible bills can be funded each month. For big, planned bills (like expensive surgeries), we’ll negotiate the cost to a 30-60% discount before the procedure event happens. For big emergency bills, we'll work with our partners to negotiate them after the fact. There is no maximum amount of health care costs you can share with the Community.

Examples of procedures and treatments that are not eligible for funding include (but are not limited to): cosmetic procedures, long-term prescriptions, and fertility/infertility treatments. Procedures and treatments tied to a pre-existing condition are not eligible for funding in the first and second years of your Membership, and funding is limited in subsequent years.

When you go to the doctor for a standard appointment, ask for the cash price and pay the bill. For health events greater than $500, you commit to funding the first $500 and can submit a funding request to CommunityCare for anything over that amount.

For scheduled services, like labs, imaging, or surgeries, let us know ahead of time. We can contact your doctor and help negotiate pricing before you go.

For emergencies, let us know before you pay your bill. Our partners can help you negotiate your emergency bill before it's paid.

Check out why CommunityCare isn't insurance here.

CommunityCare does not limit your access to care through stifling doctor networks. As a Member, you can keep seeing your favorite doc, or talk to your Care Advocate if you need help finding a new high-quality provider.

No, your CommunityCare Membership does not satisfy a federal or state individual Minimum Essential Coverage (MEC) mandate. If you live in a state (e.g. California, District of Columbia, Massachusetts, New Jersey, Rhode Island, Vermont) with a state-level individual MEC mandate, you are responsible for securing that coverage independently from your CommunityCare Membership.

One annual wellness event per Member per year, costing up to $300, is eligible for crowdfunding without the initial $500 Member Commitment. Eligible wellness events include:

primary care wellness exam/physical, including naturopathy;
pediatric well-child visits;
direct primary care (DPC) membership fee;
annual female gynecological exam and labs;
dental exam, including cleaning and X-rays; or
vision exam.

Member maternity care that is eligible for funding by the Community includes your whole pregnancy through your baby's birth and beyond. All three phases of pregnancy care (prenatal, labor and delivery, and postpartum) are represented in a single Global Pregnancy health event with a $3000 Member Commitment.

Your child’s standard newborn care (first six months) is a separate health event from maternity with a $500 Member Commitment and is included in the baby’s Membership when added as a new Member after birth. If your baby gets sick or has complications at birth, the illness or injury will be treated as a separate health event from this newborn wellness health event.

Since CommunityCare isn’t insurance, you cannot contribute to an HSA to fund your Membership. This may be an option in the future, in the meantime, you can still expect to save hundreds to thousands of dollars a year on your health costs. If you have existing money in an HSA account, you could use that to pay for your medical bills that fall within the $500 Member Commitment (each Member pays up to $500 per unique health event before expenses are submitted for crowdfunding). However, existing HSA dollars can not be used to pay your monthly advocacy fee or crowdfunding contributions to CommunityCare.

Prescriptions related to a specific health event that occurs while you are a Member are eligible for funding by the Community for 120 days after that event. Prescriptions lasting longer than 120 days are not eligible for crowdfunding, but regardless of the timeline, you have access to our pharmacy discount partner, which can reduce your prescription costs by 50-60%.

FAQs

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