Group Plans

Your team has diverse skills and needs, shouldn’t your healthcare options be the same

HSA and preventive care, it is ACA compliant in all 50 states with PHCS/Multiplan, Primary Health Care Service with the largest network of healthcare

Group Plan

Free healthcare is one of the best ways to attract and retain skilled workers. Contribute one fixed price per-month, per-employee and give them peace-of-mind they deserve.

Monthly Contribution Starts at: 
$0

Min. Employer Contribution:
$0

PLAN SUMMARY

Annual Sharing Maximum: No Cap

Lifetime Sharing Maximum: No Cap

Allows HSA: Yes

Preventative Care:  Yes

Primary Care and Specialist Visit: Discounted provider network, PHCS

Prescriptions: Discount prescription card where you can save up to 75% on select prescriptions

Hospital Care:  $1,000 or $2,500 IUA
Yearly $3,000 per individual / $6,000 Family

 

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Annual Sharing Maximum: No Cap.

Lifetime Sharing Maximum: No Cap.

Allows HSA: Yes

Preventative Care:  Yes

Primary Care and Specialists: Use the PHCS network for provider discount. Once deductible is hit is it s $35 copay for primary care and $60 for specialist visit. 

Prescriptions: Discount prescription card where you can save up to 75% on select prescriptions.

Maternity: Two Initial Unshareable Amounts (IUA’s) are applied to a single maternity need. 

Hospital Care:  $1,000 or $2,500 IUA
Yearly $3,000 per individual / $6,000 Family

Caregiver Network: PHCS

Mental Health: Yes. 

Dental: No.

Vision: No.

 

What to consider:
  • Not included: Organ Transplant • Specialty Drugs • Dialysis • Skilled Nursing Facility
  • HSA Qualifications:Must enter an EIN or 1099 number 

Group

Under 20
In-Network* Foundation Plan

Monthly Contribution Starts at: 
$379 – $1,099/mo.

Min. Employer Contribution:
$125/employee/month

PLAN SUMMARY

Annual Sharing Maximum: No Cap.

Lifetime Sharing Maximum: No Cap.

Allows HSA: No.

Preventative Care: Included in plan is annual wellness visit with routine lab work.

Primary Care Visit: $0

Specialist Visit: $50 Copay MRI, PET, & CT Scans, Specialists

Hospital Care: Individual – $4,000 out-of-pocket max.  Family – $6,000 out-of-pocket max

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Emergency Visit: Counts toward MRA.
Urgent Care Visit: Counts toward MRA.
Prescription Coverage: Helps to find lowest cost.
Maternity: Typical delivery and pre/post natal care is $2,000 out-of-pocket. See pg. 5 of plan details.
Mental Health: Yes. Unlimited consultations.
Pre-Existing Conditions: 12-month look back; no coverage for first 12 months; $25K 2nd year; $50K 3rd year; $125K 4th year and beyond. Exceptions for: Controlled diabetes, hypertension, high cholesterol, seasonal allergies and intermittent asthma will not be considered pre-existing when reported prior to membership effective date.
Meets ACA MEC Requirements: All states except New Jersey, Massachusetts, Vermont, California, Rhode Island and the District of Columbia.
Caregiver Network: See any doctor.
Dental: Yes. Save 20% to 50% on services
Vision: Yes. Reduced prices and savings

What to consider:
  • Not included: Organ Transplant • Specialty Drugs • Dialysis • Skilled Nursing Facility
  • Additional Benefits: Employer funded HRA