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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.

Manage your Roster > Cap Out-of-Pocket Costs > Build your job candidate growth pool

Pricing Guide (monthly)	EverydayCARE®¹ Routine Care	EverydayCARE®^1,2 Hospital	EverydayCARE®^1,2 Hospital PLUS
Member Only	$164	$453	$562
Member + Spouse	$294	$895	$1119
Member + Child(ren)	$294	$927	$1157
Member + Family	$436	$1310	$1627

Invest in Your Team’s Health:
Smarter Benefits That Deliver

EverydayCARE® makes healthcare simple and affordable for small and mid-size businesses. Give employees 24/7 access to care—without high premiums or hidden costs. The result: stronger hiring, lower turnover, and benefits that fit your budget.

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EverydayCARE®¹
Routine Care

EverydayCARE®^1,2
Hospital

EverydayCARE®^1,2
Hospital PLUS

Member Only	$164	$453	$562
Member + Spouse	$294	$895	$1119
Member + Child(ren)	$294	$927	$1157
Member + Family	$436	$1310	$1627

Everyday 1to1® Platform

Your Company’s 24/7 Medical Director

Virtual Primary Care (24/7/365) In-Office Primary & Urgent Care Pediatric Care Annual Adult Physical³ & Well Child Chiropractic (12 free visits per year) X-rays $0 copay Virtual and In-Network Office Visit with 48 Hour Pre-Authorization $20 copay⁴ Out-of-Network Office Visit with 48 Hour Pre-Authorization $50 copay⁵ In-Network or Out-of-Network Visit without 48 Hour Pre-Authorization
$0 copay Labs - View Labs with 48 Hour Pre-Authorization	(Basic)	(Standard)	(Expanded)
$0 copay Mental Health Tele-Counseling with 48 Hour Pre-Authorization
Rx & Immunizations - View Formulary Copays may vary depending on pharmacy location, quantity, and dosage with 48 Hour Pre-Authorization	(Basic)	(Standard)	(Expanded)
$0 copay Virtual Specialist Curbside Consult⁶ with 48 Hour Pre-Authorization

Specialist Consults & Care $50 copay⁵ with 48 Hour Pre-Authorization $100 copay⁵ without 48 Hour Pre-Authorization (PHCS Network - Practitioner)	Everyday 1to1® CareLogistics™ - Get the healthcare you need without spending more than you should - Appointment scheduling, Referrals, Navigation - Negotiations, Alternative funding mgmt. Cost of Services is 100% Member Responsibility
Advanced Imaging $50 copay⁵ MRI, PET, CT scans, ultrasound, mammogram and other imaging with 48 Hour Pre-Authorization
Hospital Care - Inpatient & Outpatient⁷ Individual - plan year $2,000 deductible \| 20% coinsurance $4,000 out-of-pocket max⁴ Family - plan year $4,000 deductible \| 20% coinsurance $6,000 out-of-pocket max⁴ Emergency Room $500 copay + 20% coinsurance		(Non-Embedded Deductible)	(Embedded Deductible)
Excluded Services⁸ Organ transplants, dialysis, skilled nursing, residential treatment facilities, and specialty and non-formulary medications.	Everyday 1to1® CareLogistics™ - Get the healthcare you need without spending more than you should - Appointment scheduling, Referrals, Navigation - Negotiations, Alternative funding mgmt. Cost of Services is 100% Member Responsibility		Dialysis, Residental Treatment Facilities & Skilled Nursing Included

Multiplan PHPCS Practitioner Only Network

(or add a doctor 48 Hours prior to visit)⁹

EverydayCARE®¹
Routine Care

Member Only - $164

Member + Spouse - $294

Member + Child(ren) - $294

Member + Family - $436

Your Company’s 24/7 Medical Director

Virtual Primary Care (24/7/365)
In-Office Primary & Urgent Care
Pediatric Care
Annual Adult Physical³ & Well Child³
Chiropractic (12 free visits per year)
X-rays

$0 copay

Virtual and In-Network Office Visit

with 48 Hour Pre-Authorization

$20 copay⁴

Out-of-Network Office Visit

with 48 Hour Pre-Authorization

$50 copay⁵

In-Network or Out-of-Network Visit

without 48 Hour Pre-Authorization

$0 copay

Labs - View Labs

with 48 Hour Pre-Authorization

(Basic)

$0 copay

Mental Health Tele-Counseling

with 48 Hour Pre-Authorization

Rx & Immunizations - View Formulary

Copays may vary depending on pharmacy location, quantity, and dosage
Discount program - prices may vary depending on pharmacy location, quantity & dosage with 48 Hour Pre-Authorization

(Basic)

$0 copay

Virtual Specialist Curbside Consult⁶

with 48 Hour Pre-Authorization

Everyday 1to1® CareLogistics™

- Get the healthcare you need without spending more than you should

- Appointment scheduling, Referrals, Navigation

- Negotiations, Alternative funding mgmt.

Cost of Services is 100% Member Responsibility

Excluded Services⁸

Organ transplants, dialysis, skilled nursing, residential treatment facilities, and specialty and non-formulary medications.

Multiplan PHPCS Practitioner Only Network

(or add a doctor 48 Hours prior to visit)⁹

EverydayCARE®^1,2
Hospital

Member Only - $453

Member + Spouse - $895

Member + Child(ren) - $927

Member + Family - $1310

Your Company’s 24/7 Medical Director

Virtual Primary Care (24/7/365)
In-Office Primary & Urgent Care
Pediatric Care
Annual Adult Physical³ & Well Child³
Chiropractic (12 free visits per year)
X-rays

$0 copay

Virtual and In-Network Office Visit

with 48 Hour Pre-Authorization

$20 copay⁴

Out-of-Network Office Visit

with 48 Hour Pre-Authorization

$50 copay⁵

In-Network or Out-of-Network Visit

without 48 Hour Pre-Authorization

$0 copay

Labs - View Labs

with 48 Hour Pre-Authorization

(Standard)

$0 copay

Mental Health Tele-Counseling

with 48 Hour Pre-Authorization

Rx & Immunizations - View Formulary

Copays may vary depending on pharmacy location, quantity, and dosage
Discount program - prices may vary depending on pharmacy location, quantity & dosage with 48 Hour Pre-Authorization

(Standard)

$0 copay

Virtual Specialist Curbside Consult⁶

with 48 Hour Pre-Authorization

Specialist Consults & Care

$50 copay⁵

with 48 Hour Pre-Authorization

$100 copay⁵

without 48 Hour Pre-Authorization (PHCS Network + Practitioner)

Advanced Imaging

$50 copay⁵

MRI, PET, CT scans, ultrasound, mammogram and other imaging with 48 Hour Pre-Authorization

Hospital Care - Inpatient & Outpatient⁷

Individual - plan year

$2,000 deductible | 20% coinsurance
$4,000 out-of-pocket max⁴

(Non-Embedded Deductible)

Family - plan year

$4,000 deductible | 20% coinsurance
$6,000 out-of-pocket max⁴

(Non-Embedded Deductible)

Emergency Room

$500 copay + 20% coinsurance

(Non-Embedded Deductible)

Excluded Services⁸

Organ transplants, dialysis, skilled nursing, residential treatment facilities, and specialty and non-formulary medications.

Everyday 1to1® CareLogistics™

- Get the healthcare you need without spending more than you should

- Appointment scheduling, Referrals, Navigation

- Negotiations, Alternative funding mgmt.

Cost of Services is 100% Member Responsibility

Multiplan PHPCS Practitioner Only Network

(or add a doctor 48 Hours prior to visit)⁹

EverydayCARE®^1,2
Hospital PLUS

Member Only - $562

Member + Spouse - $1119

Member + Child(ren) - $1157

Member + Family - $1627

Your Company’s 24/7 Medical Director

Virtual Primary Care (24/7/365)
In-Office Primary & Urgent Care
Pediatric Care
Annual Adult Physical³ & Well Child³
Chiropractic (12 free visits per year)
X-rays

$0 copay

Virtual and In-Network Office Visit

with 48 Hour Pre-Authorization

$20 copay⁴

Out-of-Network Office Visit

with 48 Hour Pre-Authorization

$50 copay⁵

In-Network or Out-of-Network Visit

without 48 Hour Pre-Authorization

$0 copay

Labs - View Labs

with 48 Hour Pre-Authorization

(Expanded)

$0 copay

Mental Health Tele-Counseling

with 48 Hour Pre-Authorization

Rx & Immunizations - View Formulary

Copays may vary depending on pharmacy location, quantity, and dosage
Discount program - prices may vary depending on pharmacy location, quantity & dosage with 48 Hour Pre-Authorization

(Expanded)

$0 copay

Virtual Specialist Curbside Consult⁶

with 48 Hour Pre-Authorization

Specialist Consults & Care

$50 copay⁵

with 48 Hour Pre-Authorization

$100 copay⁵

without 48 Hour Pre-Authorization (PHCS Network + Practitioner)

Advanced Imaging

$50 copay⁵

MRI, PET, CT scans, ultrasound, mammogram and other imaging with 48 Hour Pre-Authorization

Hospital Care - Inpatient & Outpatient⁷

Individual - plan year

$2,000 deductible | 20% coinsurance
$4,000 out-of-pocket max⁴

(Embedded Deductible)

Family - plan year

$4,000 deductible | 20% coinsurance
$6,000 out-of-pocket max⁴

(Embedded Deductible)

Emergency Room

$500 copay + 20% coinsurance

(Embedded Deductible)

Excluded Services⁸

Organ transplants, dialysis, skilled nursing, residential treatment facilities, and specialty and non-formulary medications.

Dialysis, Residental Treatment Facilities & Skilled Nursing Included

Multiplan PHPCS Practitioner Only Network

(or add a doctor 48 Hours prior to visit)⁹

1 This program is an ERISA self-funded insurance plan managed by Redirect Health. This overview is intended only as an illustration of the benefit design. Refer to actual Summary of Plan description (SPD) for actual coverage, limitations and exclusion provisions.
2 Special enrollment requirements apply in order to qualify for Specific Deductible Waivers. Medical Questionnaires may be required.
3 Routine physical exam; gynecological exam; screening mammogram; PAP smear; prostate testing (PSA); routine lab and immunizations; and all other ACA required Preventive Screening with pre-authorization.
4 Eligible benefits subject to deductible and copay count toward max outof-pocket.
5 Maximum allowable charge is 140% of Medicare allowable or as negotiated by Redirect Health but not to exceed UCR.
6 A Redirect Health medical professional will interact with specialist on the member’s behalf.
7 Preauthorization REQUIRED for ALL NON-EMERGENCY care or no benefit will apply.
8 See SPD.
9 Any doctor who accepts the Redirect Health Usual, Customary and Reasonable (UCR) Agreement can be in-network.