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GUIDELINES

GUIDELINESGUIDELINESG uidelines notice: Those who call the CHM office detailing their circumstances and asking if medical bills qualify will be given an opinion, not a decision. Bills cannot be authorized for CHM sharing over the phone. If a member sends bills and details of a medical incident in writing, a decision will be sent by email or return mail. For more information on submitting bills to CHM, see section VI of the GUIDELINES or visit of ContentsI. Christian Healthcare Ministries 2A. The heart of the ministry ..2B. How health cost sharing works ..2C. Statements of Beliefs ..4II. Membership 6A. Membership qualifications ..6B. Understanding membership Applying for Bring-a-Friend referral program ..10E. Member commitments.

and share eligible medical bills since 1981. Our ministry model sets us apart. CHM members and staff pray with you and serve you—as Christians serving Christians. Incident occurs and you seek medical treatment Request itemized bills and discounts from your provider; submit Sharing Request Packet to CHM Eligible bills are processed and CHM sends

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2018 Form 8965 - chministries.org

www.chministries.org

8965 t the Treasury Internal Revenue return Health Coverage Exemptions Attach to Form 1040. GO to www.irs.goWForm8965 for instructions and the latest information.

  8965

Acciden Veri˜ca Form - chministries.org

www.chministries.org

MOTOR VEHICLE ACCIDENT (AUTO, MOTORCYCLE, BOAT, ETC) Was the patient the: square Driversquare Passenger square Pedestrian List if the injury/accident occurred on private or public property: Name and address of the liable party: Insurance company: Claim/policy #: Address: Phone #: Adjuster’s name: Phone #:

  Private, Motor

Sharing Request Form

www.chministries.org

Patient Name: Date of birth: Member#: Instructions: Complete each column to reflect the dollar amounts associated with each itemized bill’s initial charges, reductions, and other payment details. Is this worksheet an add-on (a bill, form or letter related to an incident already been submitted) to a previous incident?

  Worksheet, Date, Name

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Would you like to share your personal testimony? Revised 12/09/2021; PERSONAL INFORMATION (Please Print or Type) The following information is needed for the TDCJ to conduct a criminal history check to determine whether access to TDCJ units, facilities, and offices should be approved. Applicants must be 18 years of age to apply.

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Spiritual Growth Assessment

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1. They bore witness through their eyewitness testimony a. In this they are very special witnesses - cf. Jn 15:27; Ac 1:8; 5:30-32; 13:30-31 b. Providing empirical evidence - cf. 1 Jn 1:1-2; 2 Pe 1:16-18 2. They bore witness through their lives and death a. Enduring great hardship for their testimony - cf. 1 Co 4:9-13 b.

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