Easy & Truly Affordable Healthcare

Benefit Focus Group is committed to helping you live your best life. Redirect Health will help you get the care you need while spending less.

Plan Comparison

EverydayCARE® Hospitalization

Plan
Comparison

EverydayCARE®1
Hospitalization

EverydayCARE®1

Employee Only

Employee Only

$434

Employee Only

$157

Employee + Spouse

Employee + Spouse

$857

Employee + Spouse

$282

Employee + Child(ren)

Employee + Child(ren)

$888

Employee + Child(ren)

$282

Employee + Family

Employee + Family

$1,254

Employee + Family

$418

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 PHCS logo Practitioner Only

(or add a doctor prior to visit)

Multiplan PHCS logo Practitioner Only

(or add a doctor prior to visit)

Multiplan PHCS logo 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

$434

Employee Only

$157

Employee + Spouse

Employee + Spouse

$857

Employee + Spouse

$282

Employee + Child(ren)

Employee + Child(ren)

$888

Employee + Child(ren)

$282

Employee + Family

Employee + Family

$1,254

Employee + Family

$418

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

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.

Group of employees

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.

Group of employees

Retain Your Best People

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

Group of employees

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.