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Pay It Forward Health
How It Works
How Sharing WorksThe simple, transparent way members share costsMember GuidelinesWhat is eligible for sharingFAQsAnswers to common questionsAbout UsOur mission and community
Memberships
Individuals & FamiliesFlexible sharing for your householdCompanies & TeamsA benefit your team can affordDirect Primary CareUnlimited access to your own doctorPlans & PricingCompare programs and monthly sharesMember ServicesTelehealth, Rx savings, advocacy & more
Resources
Blog & StoriesLearn, explore, and read member storiesMember ReviewsWhat our community is sayingMedical AdvocacyWe negotiate bills on your behalfGiving FundSharing beyond the guidelines
Contact
How Sharing WorksMember GuidelinesFAQsAbout Us
Individuals & FamiliesCompanies & TeamsDirect Primary CarePlans & PricingMember Services
Blog & StoriesMember ReviewsMedical AdvocacyGiving Fund
Contact
Member Sign In(800) 555-0100

Healthcare you can actually afford — and a community that has your back.

Join in minutes. No open-enrollment window, ever.

Become a Member
Pay It Forward Health

A caring community where members share one another's medical costs — an affordable alternative to traditional health insurance. Welcoming to all, with no networks and no enrollment windows.

(800) 555-0100hello@payitforwardhealth.com

How It Works

  • How Sharing Works
  • Member Guidelines
  • FAQs
  • About Us

Memberships

  • Individuals & Families
  • Companies & Teams
  • Direct Primary Care
  • Plans & Pricing
  • Member Services

Resources

  • Blog & Stories
  • Member Reviews
  • Medical Advocacy
  • Giving Fund
  • For Advisors

Members

  • Member Portal
  • Become a Member
  • Contact Us
  • Privacy Policy
  • Terms of Service

Important Notice: Pay It Forward Health is a health care sharing program — it is NOT insurance. Members voluntarily share one another's eligible medical expenses. Participation is not a contract of insurance and does not guarantee that medical bills will be paid. The program is not subject to state insurance regulation and may not meet ACA / individual-mandate requirements in some states. Please review our Member Guidelines for complete details.

© 2026 Pay It Forward Health. All rights reserved.

A caring community, built on DoubleHelixHub.

How Sharing Works

Community health care, made simple

Pay It Forward Health is a health care sharing community — not insurance. Members voluntarily share one another's eligible medical costs. Here is exactly how it works, in plain language.

Start with the basics

Three terms worth knowing

Sharing uses a few simple ideas instead of insurance jargon. Once these click, the rest is easy.

Sharing Request

When you have an eligible medical need, you submit a sharing request through your member portal. Our team reviews it against the guidelines, and the community shares the eligible amount with you — no claim forms or denial letters.

Member Guidelines

A clear, published document that spells out exactly what is eligible for sharing and what is not. Because everyone agrees to the same guidelines, sharing stays fair, transparent, and predictable for the whole community.

Initial Unshareable Amount (IUA)

A set amount you pay toward each separate medical need before the community shares the rest. Unlike an insurance deductible, the IUA applies per need and does not reset every January — so a healthy year is never wasted.

The member journey

A simple rhythm that comes back around

Sharing is a cycle, not a contract. Each member is cared for, and in turn helps care for the next — paying it forward.

01

Join the community

Choose the program that fits your household and enroll online in minutes. There is no open-enrollment window and no health questionnaire to get a quote — you can join any time of year.

02

Learn the guidelines

Get to know the Member Guidelines so you know what is eligible, how the IUA works, and what to expect. Everything is published in plain language, with our team a phone call away.

03

Share each month

Your affordable monthly share goes to support fellow members with eligible needs — a fraction of a typical insurance premium, and a direct act of community care.

04

Submit a sharing request

When a medical need arises, pay your IUA, see the doctor you choose, and submit a sharing request. The community shares the eligible balance, often within days.

05

Live well

With preventive care, telehealth, prescription savings and advocacy included, you stay ahead of problems — and the cycle of paying it forward continues for the next member who needs it.

A doctor reviewing a care plan with a patient

Pay it forward

You are never facing a medical need alone

When something happens, you see the provider you choose, pay your IUA, and the community shares the rest. No networks to navigate, no surprise denials.

  • Submit a sharing request right from your member portal
  • Eligible needs are reviewed against the published guidelines
  • The community shares the eligible balance, often within days
  • Our advocates step in to review and negotiate large bills

A different model

Sharing vs. traditional insurance

Both help with medical costs — but sharing is built around people, transparency, and care rather than policies and fine print.

What to compare
Pay It Forward sharing
Traditional insurance
Monthly cost
A low, predictable monthly share
Premiums that climb most years
How costs are paid
Members share one another’s eligible needs directly
A company pays claims it approves
Up-front amount
One IUA per need — it does not reset yearly
A deductible that resets every January
Choosing your doctor
No networks — keep the doctors you trust
In-network restrictions often apply
When you can join
Join any time of year
Limited open-enrollment windows
How it feels
Neighbors helping neighbors, transparently
A transactional, often opaque, process

Monthly cost

Pay It Forward sharingA low, predictable monthly share
Traditional insurancePremiums that climb most years

How costs are paid

Pay It Forward sharingMembers share one another’s eligible needs directly
Traditional insuranceA company pays claims it approves

Up-front amount

Pay It Forward sharingOne IUA per need — it does not reset yearly
Traditional insuranceA deductible that resets every January

Choosing your doctor

Pay It Forward sharingNo networks — keep the doctors you trust
Traditional insuranceIn-network restrictions often apply

When you can join

Pay It Forward sharingJoin any time of year
Traditional insuranceLimited open-enrollment windows

How it feels

Pay It Forward sharingNeighbors helping neighbors, transparently
Traditional insuranceA transactional, often opaque, process

Pay It Forward Health is not an insurance company and the program is not insurance. It is a voluntary community of members sharing one another's eligible medical costs.

Everyone is welcome

Open to people of every background

There is no faith requirement, no health questionnaire to get a quote, and no open-enrollment window to wait for. If you believe in caring for your neighbor, you already belong here.

  • Individuals and families of every size and stage of life
  • People of all backgrounds and beliefs — no faith requirement
  • Self-employed workers, freelancers, and small-business owners
  • Anyone seeking an honest, affordable alternative to insurance

Eligibility can vary by state. Reach out or start enrollment and we'll help you confirm your options.

A family enjoying time together outdoors
12,000+
Members & growing
$48M+
Shared by the community
4.9/5
Average member rating
up to 50%
Typical savings

Still have questions?

We've answered the things members ask most — about the IUA, eligible needs, pre-existing conditions, joining mid-year, and more.

Read frequently asked questions

Ready to join a community that pays it forward?

Enroll any time of year and start sharing the first of next month. No networks, no surprises — just neighbors caring for neighbors.