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
We have an exclusive platform for self-employed individuals with minimum essential coverage
WHAT IS MEC?
It’s the minimum amount of coverage an individual is required to have according by the Affordable Care Act “Obamacare”.
MEC COVERAGE
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?
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
Guaranteed Acceptance.
No-Copay / No-Deductibles.
No out-of-pocket expenses for In-Network service
ADDITIONAL INFORMATION
PPO Network : MultiPlan.
Coverage is available in 48 States. (Excludes Alaska & Hawaii)
Participants receive annual reporting as proof for creditable coverage.
RATES AND TIERS
INDIVIDUAL
$68.50/month
INDIVIDUAL + SPOUSE
$121.85/month
INDIVIDUAL + CHILD
This Coverage is for participant and 1 child. If there are two children the participant would need family coverage
$112.15/month
FAMILY
$164.50/month
GROUP PLANS
Group plans are also available with minimum of 10.
MORE INFO
For more information on Coverage options

100% COVERED SERVICES*

COVERED PREVENTIVE SERVICES FOR CHILDREN
NEWBORN AND CHILDREN

  • Newborn Screenings: Hearing, Hemoglobinopathies / Single cell, Cogenital Hypothyroidism, phenylketonuria (PKU), other services: Iron suppliments (up to 12 months, when prescribed), Gonorrhea prophylactic mediation
  • Child Screenings: Visual Acuity (age 3-5), Dental caries prevention (age 6 months-5)
TEENS

  • Newborn Screenings: HIV, Hepatitis B, Depression (age 12+), Sexualy transmitted infection (STI) prevention counseling and screening, Skin cancer behavioral counseling (age 10+ with fair skin)
VACCINATION

  • (From birth-age 18): Hepatitis A& B, Human Pappillomavirus, Influenza (flu shot or intransal), Measles, Mumps Rubella, Tetanus, Vericella, Pneuumococcal, Diaptheria, Menningococcal, Pertussis, Rotavirus, Hemophilus Influenza type B, Inactivated Poliovirus
 GENERAL

  • Screenings: Obesity (Counseling included, ages 6+), Tobacco (Counseling cessation intervention included)
COVERED PREVENTIVE SERVICES FOR ADULTS (Age 18 and older)
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)
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.

BECOME AN AGENT







[recaptcha]

OUR CARRIERS

INTERESTED IN BECOMING AN AGENT?

BECOME AN AGENT

CONTACT US

AGENT RESOURCES

CLICK HERE