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Care+ Plan
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Monthly Contribution Starts At:
$165/$395 individual/family
Initial Unshareable Amount (IUA)
$1,000, $2,500, or $5,000 (max 3/year)
Annual Out-of-Pocket Maximum:
$3,000, $7,500, or $15,000
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MPB Care+ SUMMARY
Annual Sharing Maximum: None, unless restricted by pre-existing condition.
Lifetime Sharing Maximum: None, unless restricted by pre-existing condition.
Allows HSA: No
Preventative Care: No
Primary Care Visit: 24/7 tele-health included, the team can help coordinate care.
Specialist Visit: May count towards (IUA) Initial Unshareable Amount
Maternity: Yes
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[/et_pb_accordion_item][et_pb_accordion_item title=”Click to expand full plan summary” open_toggle_text_color=”#0A0404″ open_toggle_background_color=”#FFFFFF” closed_toggle_background_color=”#FFFFFF” icon_color=”#330066″ _builder_version=”4.14.2″ _module_preset=”default” custom_padding=”5px|0px|0px|0px|false|false” hover_enabled=”0″ border_width_all=”0px” border_width_top=”2px” global_colors_info=”{}” toggle_text_color=”#79D1F2″ toggle_font=”Open Sans|700|||||||” toggle_font_size=”15px” open=”off” sticky_enabled=”0″]
Emergency Visit: You are responsible for first $1,000, which counts toward your annual MRA.
Urgent Care Visit: Free through telehealth.
Network: Open Network, may use in all 50 states at any hospital or provider
Prescription Coverage: Prescriptions for medication(s) that are billed by a provider and are related to a qualified Need are shareable. Searches six U.S Platforms, the Word Drug Market and Pharmacy Assistance programs to find the lowest costs for you.
Maternity: Two Initial Unshareable Amounts (or Member Responsibility Amounts) are applied to a single maternity need. Any pre-birth or post birth need of the child will be considered a separate need from the mother’s maternity care.
Mental Health: Yes. Unlimited.
Pre-Existing Conditions: 24-month look-back: no coverage for the first 12 months; $25K 2nd year; $50K 3rd year; $125K 4th year and beyond. (Exceptions for High Blood Pressure, High Cholesterol & Diabetes)
Meets ACA MEC Requirements: No.
Caregiver Network: PHCS
Dental: No.
Vision: No.
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Telehealth-24/7
QR Lifecode
24/7 Emergency Assistance with your Personal LifeCode allowing medical professionals instant access. You select which doctor(s) can view.
Life Care
Focuses on eliminating many things that compromise productivity or quality of life. Includes substance abuse, ongoing depression or anxiety, financial concerns, relationship problems and more!
Has everything the SECURE plan offers except HSA and MEC
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- Out of pocket costs for specialists and doctors are your responsibility
- Pre-existing conditions go back 24 months, but if medically managed could be eligible for sharing.
- Does not meet the minimum requirements for MEC (Minimal Essential Coverage) or the ACA (Affordable Care Act). New Jersey, Massachusetts, Vermont, California, Rhode Island and the District of Columbia.
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