Grow Your Agency with Affordable Healthcare

It’s time to talk about a better solution to healthcare. There’s no better way to gain new clients while helping them save money on healthcare costs.

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The Redirect Health Difference

Redirect Health is the best way for employers, doctors and brokers to make healthcare simple and truly affordable for every employee.

  • TPA & Medical License in all 50 States

  • Dedicated Healthcare Consultants with Live Support

  • Assigned Client Success Advocate for every Client

  • No Medical Underwriting

  • Competitive Commissions

  • Nationwide Plan Availability

  • Easy Enrollment & Seamless Renewals

  • BenAdmin Integrations Available

  • ACA Compliant Plans

Help us find the best plan for you.

Plan Comparison

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 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

Pre-authorization REQUIRED

$0 copay Mental Health & Tele-Counseling

Pre-authorization REQUIRED

$0 copay Mental Health & Tele-Counseling

Pre-authorization REQUIRED

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

with 48 Hour Pre-authorization

$50 copay Specialist Consults & Care

with 48 Hour 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

with 48 Hour Pre-authorization

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

with 48 Hour 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

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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

Brokers and Empolyers Love Redirect Health

See how simple and affordable healthcare plans are changing small businesses.

Get More Information

Address

13430 N. Scottsdale Road

Suite 200

Scottsdale, AZ 85254

Phone

888-688-4734

Email

sales@redirecthealth.com

  • 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.