PREVENTATIVE CARE & WELLNESS
In order to comply with the shared responsibility provision individual mandate, all Americans must maintain health insurance that is deemed minimum essential coverage, unless they qualify for an exemption. Plans that qualify as minimum essential coverage include employer sponsored plans, individual major medical plans (including new ACA-compliant plans, grandfathered plans, or pre-2014 plans that have been extended into 2014), TRICARE, Medicare, most Medicaid plans, and CHIP, among others.
Policies that are not major medical coverage and not regulated by the ACA (including discount plans, limited-benefit plans, critical-illness plans, accident supplement plans, and dental/vision plans) do not count as minimum essential coverage.
To understand what Minimum Essential Coverage (MEC) is, watch our video explanation
MINIMUM ESSENTIAL COVERAGE
| EXCLUSIVE OFFERING |
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| We have an exclusive platform for self-employed individuals with minimum essential coverage |
| WHAT IS MEC? |
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| It’s the minimum amount of coverage an individual is required to have according by the Affordable Care Act “Obamacare”. |
| MEC COVERAGE |
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| MEC Coverage defines that male receive 63 wellness/preventative service and female 67. |
| Satisfies internal Revenue Code 4980H(a) also known as the individual mandate. |
| WHAT TYPE OF SERVICES DOES THIS COVER? |
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| Wellness Screenings for annual physical and well-women visits. |
| Vaccinations Including Flu shots, Hepatitis A & B, Tetanus and many others. |
| Counselling Services for: Healthy diet, Tobacco and alcohol misuse, obesity, Skin Cancer and STD prevention. |
| UNDER WRITING OFFER |
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| Guaranteed Acceptance. |
| No-Copay / No-Deductibles. |
| No out-of-pocket expenses for In-Network service |
| ADDITIONAL INFORMATION |
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| PPO Network : MultiPlan. |
| Coverage is available in 48 States. (Excludes Alaska & Hawaii) |
| Participants receive annual reporting as proof for creditable coverage. |
| RATES AND TIERS |
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INDIVIDUAL
$68.50/month
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INDIVIDUAL + SPOUSE
$121.85/month
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INDIVIDUAL + CHILD
This Coverage is for participant and 1 child. If there are two children the participant would need family coverage $112.15/month
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FAMILY
$164.50/month
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| GROUP PLANS |
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Group plans are also available with minimum of 10.
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| MORE INFO |
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For more information on Coverage options
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100% COVERED SERVICES*
| COVERED PREVENTIVE SERVICES FOR CHILDREN |
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NEWBORN AND CHILDREN
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TEENS
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VACCINATION
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GENERAL
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| COVERED PREVENTIVE SERVICES FOR ADULTS (Age 18 and older) |
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| SCREENINGS Blood pressure, Cholesterol, Diabetes, Obesity, Depression, Alcohol misuse, Tobacco use, Abdominal Aortic Aneurysm (men age 65-75), Colorectar cancer (age 50-74), Lung cancer (for age 55-80 who smoke 30 packs per year), Hepatitis B & C, HIV, Syphilis |
| VACCINATION Hepatitis A & B, Herpes Zoster, Human Pappillomavirus, Influenza(flu shot), Measles, Tetanus, Pertussis, Mumps Rubella, Meningococcal, Vericella, pneumococcal, Diptheria |
| COUNSELING Healthy diet, Tobacco, Alcohol misuse, Obesity, Skin cancer behavioral (for age 18-25 with fair skin), Sexually transmitted Infection (STI) prevention |
| OTHER SERVICES Asprin use for men (age 45-79) and fro women (age 55-79) to prevent CVD when prescribed by a physician, Fall prevention to include physical therapy and Vitamin D supplementation (age 65+), Tobacco cessation interventions |
| COVERED PREVENTIVE SERVICES FOR WOMEN (Including Pregnant Women) |
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| SCREENINGS Cervical Cancer, Gonorrhea, HIV, Syphilis, Chlamydia, Tobacco, GRCA genetic testing (for women at higher risk), Domestic interpersonal violence, Breast cancer, mammography(age 40+), Breast cancer testing + medication (for women of higher risk), and Osteoporosis (age 65+) |
| COUNSELING Sexually transmitted Infection (STI), HIV, Tobacco, Alcohol misuse, Obesity BRCA, Domestic interpersonal violence, Breast cancer chemo prevention, Well women visits to obtain recommended preventive services |
| CONTRACEPTION AND PREGNANCY Food and drug administration approved contraceptive methods, Sterilization procedures, and patient education and counselling, not including abortifacient drugs, Folic acid supplements (When prescribed by a physician for a women who may become pregnant), Bacteriuria screening, Gestational diabetes screening (after 24 weeks). Asprin (for pregnant women at high risk for preeclampsia), Rh incompatibility screening + followup testing, Hepatitis B screening, Anemia (on a routine basis for a pregnant women), Breast feeding counseling, Expanded Tobacco counseling / Interventions. |
