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
Plan
|
EverydayCARE®1
|
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 Contribution50% of Employee Only4 |
Minimum Employer Contribution100% of Employee Only4 |
|
Minimum Employee Participation
|
Minimum Employee Participation50% of Eligible Employees |
Minimum Employee Participation50% of Eligible Employees |
|
Multiplan
|
Multiplan
|
Multiplan
|
|
ACA ComplianceSatisfies Penalty A (MEC) & Penalty B (MVP) |
ACA ComplianceSatisfies Penalty A (MEC) & Penalty B (MVP) |
ACA ComplianceSatisfies Penalty A (MEC) Penalty A Only |
|
Routine Care - Use the app
$0 copay Virtual and In-Network
Office Visits
|
Routine Care - Use the app
$0 copay Virtual and In-Network
Office Visits
|
Routine Care - Use the app
$0 copay Virtual and In-Network
Office Visits
|
|
$0 copay Labs |
$0 copay Labs |
$0 copay Labs |
|
$0 copay Mental Health & Tele-CounselingPre-authorization REQUIRED |
$0 copay Mental Health & Tele-CounselingPre-authorization REQUIRED |
$0 copay Mental Health & Tele-CounselingPre-authorization REQUIRED |
|
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 & Carewith 48 Hour Pre-authorization |
$50 copay Specialist Consults & Carewith 48 Hour Pre-authorization |
Specialist Consults & CareCare Navigation Only
|
|
$50 copay MRI, PET, CT Scans, Ultrasound and other imagingwith 48 Hour Pre-authorization |
$50 copay MRI, PET, CT Scans, Ultrasound and other imagingwith 48 Hour Pre-authorization |
MRI, PET, CT Scans, Ultrasound and other imagingCare Navigation Only
|
|
Hospital Care - Inpatient & OutpatientIndividual - (non-embedded) plan year
Family - (non-embedded) plan year
Emergency Room
|
Hospital Care - Inpatient & OutpatientIndividual - (non-embedded) plan year
Family - (non-embedded) plan year
Emergency Room
|
Hospital Care - Inpatient & OutpatientCare Navigation Only
|
|
Excluded Services3Organ transplants, dialysis, skilled nursing and specialty & non-formulary medications |
Excluded Services3Organ transplants, dialysis, skilled nursing and specialty & non-formulary medications Care Navigation OnlyAppointment preparation, coordination, navigation, alternative funding management, and pre-negotiations |
Excluded Services3{{ excludedServTxt }} Care Navigation Only
|
|
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 Contribution50% of Employee Only4 |
Minimum Employer Contribution100% of Employee Only4 |
|
Minimum Employee Participation
|
Minimum Employee Participation50% of Eligible Employees |
Minimum Employee Participation50% of Eligible Employees |
|
See how simple and affordable healthcare plans are changing small businesses.
13430 N. Scottsdale Road
Suite 200
Scottsdale, AZ 85254