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.
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.
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TPA & Medical License in all 50 States
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Dedicated Healthcare Consultants with Live Support
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Assigned Client Success Advocate for every Client
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No Medical Underwriting
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Competitive Commissions
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Nationwide Plan Availability
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Easy Enrollment & Seamless Renewals
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BenAdmin Integrations Available
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ACA Compliant Plans
Help us find the best plan for you.
Select your coverage:
EverydayCARE® Routine Care
everyday care for you and your loved ones
Employee Only
EverydayCARE® Hospitalization
everyday care for you and your loved ones
Employee Only
EverydayCARE® Hospital PLUS
everyday care for you and your loved ones
Employee Only
$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 with 48 Hour Pre-Authorization |
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(Basic)
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(Standard)
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(Expanded)
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$0 copay Mental Health Tele-Counseling with 48 Hour Pre-Authorization |
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Rx & Immunizations - View Formulary Copays may vary depending on pharmacy location, quantity, and dosage |
(Basic)
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(Standard)
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(Expanded)
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Specialist Consults & Care $50 member responsibility5 with 48 Hour Pre-Authorization |
Care Navigation Only Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations 100% Member Responsibility |
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$50 member responsibility5 MRI, PET, CT scans, ultrasound, mammogram and other imaging with 48 Hour Pre-Authorization |
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Hospital Care - Inpatient & Outpatient6 Individual - plan year
$2,000 initial member responsibility Family - plan year
$4,000 initial member responsibility Emergency Room $500 + 20% member responsibility |
(Non-Embedded Member Responsibility)
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(Non-Embedded Member Responsibility)
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Excluded Services7 Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care and specialty and non-formulary medications |
Care Navigation Only Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations 100% Member Responsibility |
Additional chemotherapy $30,000 sharing limit8 Dialysis $10,000 sharing limit8 Skilled nursing $5,000 sharing limit8 Air ambulance $5,000 sharing limit8 Pre-existing exclusions apply 12 month look back |
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ACA Compliance Satisfies Penalty A (MEC) |
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Minimum Employer Contribution Satisfies Penalty A (MEC) |
100% of Primary Member Only
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50% of Primary Member Only
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Minimum Employer Participation |
50% of Full-Time Employees
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Virtual Primary Care (24/7/365)
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In-Office Primary & Urgent Care
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Pediatric Care
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Annual Adult Physical3 & Well Child3
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Chiropractic (12 free visits per year)
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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
with 48 Hour Pre-Authorization
$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
Care Navigation Only
Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations
100% Member Responsibility
Excluded Services7
Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care and specialty and non-formulary medications
ACA Compliance
Satisfies Penalty A (MEC)
Minimum Employer Contribution
100% of Primary Member Only
Minimum Employer Participation
50% of Full-Time Employees
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Virtual Primary Care (24/7/365)
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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
with 48 Hour Pre-Authorization
$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
Specialist Consults & Care
$50 member responsibility5
with 48 Hour Pre-Authorization
$50 member responsibility5
MRI, PET, CT scans, ultrasound, mammogram and other imaging
with 48 Hour Pre-Authorization
Hospital Care - Inpatient & Outpatient6
Individual - plan year
$2,000 initial member responsibility
20% co-share | $4,000 out-of-pocket max4
(Non-Embedded Member Responsibility)
Family - plan year
$4,000 initial member responsibility
20% co-share | $6,000 out-of-pocket max4
(Non-Embedded Member Responsibility)
Emergency Room
$500 + 20% member responsibility
(Non-Embedded Member Responsibility)
Excluded Services7
Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care and specialty and non-formulary medications
Care Navigation Only
Appointment preparation, coordination, navigation, alternative funding management, and pre-negotiations
ACA Compliance
Satisfies Penalty A (MEC)
Minimum Employer Contribution
50% of Primary Member Only
Minimum Employer Participation
50% of Full-Time Employees
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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
with 48 Hour Pre-Authorization
$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
Specialist Consults & Care
$50 member responsibility5
with 48 Hour Pre-Authorization
$50 member responsibility5
MRI, PET, CT scans, ultrasound, mammogram and other imaging
with 48 Hour Pre-Authorization
Hospital Care - Inpatient & Outpatient6
Individual - plan year
$2,000 initial member responsibility
20% co-share | $4,000 out-of-pocket max4
(Non-Embedded Member Responsibility)
Family - plan year
$4,000 initial member responsibility
20% co-share | $6,000 out-of-pocket max4
(Non-Embedded Member Responsibility)
Emergency Room
$500 + 20% member responsibility
(Non-Embedded Member Responsibility)
Excluded Services7
Pre-existing conditions, organ transplants, dialysis, skilled nursing, advanced psychiatric care and specialty and non-formulary medications
Additional chemotherapy
$30,000 sharing limit8
Dialysis
$10,000 sharing limit8
Skilled nursing
$5,000 sharing limit8
Air ambulance
$5,000 sharing limit8
Pre-existing exclusions apply
12 month look back
ACA Compliance
Satisfies Penalty A (MEC)
Minimum Employer Contribution
50% of Primary Member Only
Minimum Employer Participation
50% of Full-Time Employees
Brokers and Empolyers Love Redirect Health
See how simple and affordable healthcare plans are changing small businesses.
Get More Information
Address
2020 N Central Ave
Suite 400
Phoenix, AZ 85004
Phone
- 1 This program is an ERISA self-funded insurance plan managed by Redirect Health. See program guide for details. Routine care can always be $0 when Redirect Health prepares your appointment. 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.
- 2 Any doctor who accepts the Redirect Health Usual, Customary & Reasonable (UCR) Agreement can be in-network.
- 3 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.
- 4 Deductible, coinsurance and copay counts toward max out-of-pocket on eligible benefits only.
- 5 Maximum allowable is 140% of Medicare allowable.
- 6 A Redirect Health medical professional will interact with specialist on the members behalf.
- 7 Pre-authorization REQUIRED for ALL NONEMERGENCY Care.
- 8 See Summary Plan Document (SPD).
- 9 ALE Minimum contribution is the greater of 50% of employee only or 8.39% (2024).