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Plan Comparison

EverydayCARE®1
Hospitalization

EverydayCARE®1

EverydayCARE® Hospitalization

Managed by

Plan Comparison	EverydayCARE®1 Hospitalization	EverydayCARE®1
Employee Only	Employee Only $415	Employee Only $150
Employee + Spouse	Employee + Spouse $820	Employee + Spouse $270
Employee + Child(ren)	Employee + Child(ren) $850	Employee + Child(ren) $270
Employee + Family	Employee + Family $1,200	Employee + Family $400
Minimum Employer Contribution	Minimum Employer Contribution 50% of Employee Only4	Minimum Employer Contribution 100% of Employee Only4
Minimum Employee Participation	Minimum Employee Participation 50% of Eligible Employees		Minimum Employee Participation 50% of Eligible Employees
Multiplan Practitioner Only (or add a doctor prior to visit)†	Multiplan Practitioner Only (or add a doctor prior to visit)†	Multiplan Practitioner Only (or add a doctor prior to visit)†
ACA Compliance Satisfies Penalty A (MEC) & Penalty B (MVP)	ACA Compliance Satisfies Penalty A (MEC) & Penalty B (MVP)	ACA Compliance Satisfies Penalty A (MEC) Penalty A Only
Routine Care - Use the app Virtual Primary Care (24/7/365) In-Office Primary Urgent Care Annual Adult Physical1 & Well Child1 12 FREE Chiropractic Visit per year X-rays $0 copay Virtual and In-Network Office Visits with Pre-Authorization $20 copay^ Out-of-Network Office Visit with Pre-Authorization $50 copay2 In-Network or Out-of-Network Visit without 48 Hour Preparation/Pre-authorization	Routine Care - Use the app Virtual Primary Care (24/7/365) In-Office Primary Urgent Care Annual Adult Physical1 & Well Child1 12 FREE Chiropractic Visit per year X-rays $0 copay Virtual and In-Network Office Visits with Pre-Authorization $20 copay^ Out-of-Network Office Visit with Pre-Authorization $50 copay2 In-Network or Out-of-Network Visit without 48 Hour Preparation/Pre-authorization	Routine Care - Use the app Virtual Primary Care (24/7/365) In-Office Primary Urgent Care Annual Adult Physical1 & Well Child1 12 FREE Chiropractic Visit per year X-rays $0 copay Virtual and In-Network Office Visits with Pre-Authorization $20 copay^ Out-of-Network Office Visit with Pre-Authorization $50 copay2 In-Network or Out-of-Network Visit without 48 Hour Preparation/Pre-authorization
$0 copay Labs View Labs	$0 copay Labs View Labs	$0 copay Labs View Labs
$0 copay Mental Health & Tele-Counseling No Coverage without Appointment Preparation/Pre-authorization	$0 copay Mental Health & Tele-Counseling No Coverage without Appointment Preparation/Pre-authorization	$0 copay Mental Health & Tele-Counseling No Coverage without Appointment Preparation/Pre-authorization
Rx and Immunizations (Copays $10, $25, $50, $100) View Rx Formulary	Rx and Immunizations (Copays $10, $25, $50, $100) View Rx Formulary	Rx and Immunizations (Copays $10, $25, $50, $100) View Rx Formulary
$50 copay Specialist Consults & Care No Coverage without Appointment Preparation/Pre-authorization	$50 copay Specialist Consults & Care No Coverage without Appointment Preparation/Pre-authorization	Specialist Consults & Care Care Navigation Only Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations
$50 copay MRI, PET, CT Scans, Ultrasound and other imaging No Coverage without Appointment Preparation/Pre-authorization	$50 copay MRI, PET, CT Scans, Ultrasound and other imaging No Coverage without Appointment Preparation/Pre-authorization		MRI, PET, CT Scans, Ultrasound and other imaging Care Navigation Only Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations
Hospital Care - Inpatient & Outpatient Individual - (non-embedded) plan year $2,000 deductible 20% coinsurance $4,000 out-of-pocket max^ Family - (non-embedded) plan year $4,000 deductible 20% coinsurance $6,000 out-of-pocket max^ Emergency Room $500 Copay + 20% Coinsurance Pre-authorization REQUIRED for ALL NON-EMERGENCY Care	Hospital Care - Inpatient & Outpatient Individual - (non-embedded) plan year $2,000 deductible 20% coinsurance $4,000 out-of-pocket max^ Family - (non-embedded) plan year $4,000 deductible 20% coinsurance $6,000 out-of-pocket max^ Emergency Room $500 Copay + 20% Coinsurance Pre-authorization REQUIRED for ALL NON-EMERGENCY Care		Hospital Care - Inpatient & Outpatient Care Navigation Only Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations
Excluded Services3 Organ transplants, dialysis, skilled nursing and specialty & non-formulary medications	Excluded Services3 Organ transplants, dialysis, skilled nursing and specialty & non-formulary medications Care Navigation Only Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations		Excluded Services3 Organ transplants, dialysis, skilled nursing and specialty & non-formulary medications Care Navigation Only Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations
Employee Only	Employee Only $415	Employee Only $150
Employee + Spouse	Employee + Spouse $820	Employee + Spouse $270
Employee + Child(ren)	Employee + Child(ren) $850	Employee + Child(ren) $270
Employee + Family	Employee + Family $1,200	Employee + Family $400
Minimum Employer Contribution	Minimum Employer Contribution 50% of Employee Only4	Minimum Employer Contribution 100% of Employee Only4
Minimum Employee Participation	Minimum Employee Participation 50% of Eligible Employees		Minimum Employee Participation 50% of Eligible Employees

Start Your Application

Competitive recruitment. Increase retention. Lower healthcare spend. Better care.

With insurance premiums still on the rise, businesses across America have increasingly struggled to provide quality care for their employees. With Redirect Health your business can provide quality healthcare at a price you can actually afford.

Recruit Quality Employees

Looking for a competitive advantage in recruitment? With Redirect Health, you can continue to offer healthcare to potential employees which helps attract the very best talent. A prime recruiting tool in place at a fraction of the cost.

Retain Your Best People

Healthcare is important to your employees. Increase satisfaction and improve retention by providing your team with a FREE healthcare option.

Cap Out-of-Pocket Costs

Protect your employees from outrageous medical bills. Give them peace of mind knowing their healthcare includes a low deductible and out-of-pocket max.

Is Redirect Health the right solution for your business?

We provide easy to manage solutions for your employees.

Manage your Roster
Control invoice accuracy
Build your job candidate growth pool

Prevent unnecessary workers comp costs and protect E-MOD
Always get the Right Care at the Right Price

Plan Features

Your Membership Includes

National Direct Primary Care

Virtual and in-office visits

24-Hour Concierge

Call | Text | App English & Spanish

Hospitalization^*

Protection against high-dollar medical expenses

Labs and Immunizations

Never pay more
than you should

Prescription Discount Program¹

We’ll help fill your prescriptions at a fair price

Chiropractic

Includes 12 in-office visits per year

Mental Health

No Cost Tele-Counseling

Right Care at
the Right Price

Never pay more
than you should

In/Out of Network Flexibility

Freedom to choose
your own provider

This program is an ERISA self-funded insurance plan managed by Redirect Health exclusively for members of the Modern Business Council. The risk pool is managed by Newpath Mutual Insurance Company. See program guide for details.
1 Routine physical/exam; gynecological exam; mammogram; pap smear; prostate testing(PSA); other routine lab and immunizations. In-network routine endoscopy, colonoscopy, sigmoidoscopy, vision or hearing screening for children, and x-ray will also be included at no cost(with authorization) when required by provisions of the Affordable Care Act. Visit www.hrsa.gov for all Minimum Essential Coverage as outlined by the Affordable Care Act.
2 Maximum allowable is 140% of Medicare allowable.
3 See Summary Plan Document (SPD).
4 ALE Minimum contribution is the greater of 50% of employee only or 9.61% (2022).
* Households with at least one member who uses tobacco products are NOT eligible for the inclusive $75 discount as reflected in the Hospitalization prices.
† Any doctor who accepts the Redirect Health Usual, Customary & Reasonable (UCR) Agreement can be in-network.
^ Eligible benefits subject to deductible and copay counts toward max out-of-pocket.
This overview is intended only as an illustration of the benefit plan design. Please refer to your Plan Document for actual coverage, limitation, and exclusion provisions.

Plan Comparison

EverydayCARE® Hospitalization

Managed by

Plan Comparison

EverydayCARE®1 Hospitalization

EverydayCARE®1

Employee Only

$415

Employee Only

$150

Employee + Spouse

Employee + Spouse

Employee + Child(ren)

Employee + Child(ren)

Employee + Family

Employee + Family

Minimum Employer Contribution

Minimum Employer Contribution

Minimum Employee Participation

Minimum Employee Participation

Multiplan Practitioner Only

Multiplan Practitioner Only

Multiplan Practitioner Only

ACA Compliance

ACA Compliance

ACA Compliance

Routine Care - Use the app

$0 copay Virtual and In-Network Office Visits with Pre-Authorization

$20 copay^ Out-of-Network Office Visit with Pre-Authorization

$50 copay2 In-Network or Out-of-Network Visit without 48 Hour Preparation/Pre-authorization

Routine Care - Use the app

$0 copay Virtual and In-Network Office Visits with Pre-Authorization

$20 copay^ Out-of-Network Office Visit with Pre-Authorization

$50 copay2 In-Network or Out-of-Network Visit without 48 Hour Preparation/Pre-authorization

Routine Care - Use the app

$0 copay Virtual and In-Network Office Visits with Pre-Authorization

$20 copay^ Out-of-Network Office Visit with Pre-Authorization

$50 copay2 In-Network or Out-of-Network Visit without 48 Hour Preparation/Pre-authorization

$0 copay Labs

$0 copay Labs

$0 copay Labs

$0 copay Mental Health & Tele-Counseling

$0 copay Mental Health & Tele-Counseling

$0 copay Mental Health & Tele-Counseling

Rx and Immunizations (Copays $10, $25, $50, $100)

Rx and Immunizations (Copays $10, $25, $50, $100)

Rx and Immunizations (Copays $10, $25, $50, $100)

$50 copay Specialist Consults & Care

$50 copay Specialist Consults & Care

Specialist Consults & Care

Care Navigation Only

$50 copay MRI, PET, CT Scans, Ultrasound and other imaging

$50 copay MRI, PET, CT Scans, Ultrasound and other imaging

MRI, PET, CT Scans, Ultrasound and other imaging

Care Navigation Only

Hospital Care - Inpatient & Outpatient

Individual - (non-embedded) plan year

Family - (non-embedded) plan year

Emergency Room

Hospital Care - Inpatient & Outpatient

Individual - (non-embedded) plan year

Family - (non-embedded) plan year

Emergency Room

Hospital Care - Inpatient & Outpatient

Care Navigation Only

Excluded Services3

Excluded Services3

Care Navigation Only

Excluded Services3

Care Navigation Only

Employee Only

$415

Employee Only

$150

Employee + Spouse

Employee + Spouse

Employee + Child(ren)

Employee + Child(ren)

Employee + Family

Employee + Family

Plan
Comparison

EverydayCARE®1
Hospitalization

$0 copay Virtual and In-Network Office Visits
with Pre-Authorization

$20 copay^ Out-of-Network Office Visit
with Pre-Authorization

$50 copay2 In-Network or Out-of-Network Visit
without 48 Hour Preparation/Pre-authorization

$0 copay Virtual and In-Network Office Visits
with Pre-Authorization

$20 copay^ Out-of-Network Office Visit
with Pre-Authorization

$50 copay2 In-Network or Out-of-Network Visit
without 48 Hour Preparation/Pre-authorization

$0 copay Virtual and In-Network Office Visits
with Pre-Authorization

$20 copay^ Out-of-Network Office Visit
with Pre-Authorization

$50 copay2 In-Network or Out-of-Network Visit
without 48 Hour Preparation/Pre-authorization

Hospitalization^*

Prescription Discount Program¹

Right Care at
the Right Price