Many Amish and Old Order Mennonites do not use traditional health insurance with monthly premiums copayments. In Lancaster County, Pennsylvania, some Amish and Mennonites use Preferred Health Care (PHC) Old Order Group coverage (OOG). When an OOG member visits a participating provider (approximately 1100 local physicians and 9 hospitals in the Lancaster area accept the OOG coverage), they present a unique white card with red and blue print identifying them as a PHC member. These cards are void of any identifying information, as is the custom of their religious belief. After care is rendered, providers submit a claim to PHC for a "repricing" as if the patient had insurance. A PHC statement is then sent to the medical practice and the patient indicating the discounted amount due the provider. The practice then collects the repriced amount from the patient directly, as per practice policy for collecting balances due on self-pay patient accounts. In this way, the Old Order Group has engaged in collective bargaining practices to lower their cost of health care. Additionally, the community will support any member who is sick, disadvantaged, old, or who has suffered an accident.