Product Detail
Elite Care w/ Rx + Hospital Indemnity
Elite Care w/ Rx + Hospital Indemnity
- Preventive services and wellness care 100% covered.
- Hospital Indemnity benefit helps pay for out-of-pocket costs associated with being hospitalized
- Copays apply for primary care, specialist & urgent care visits, along with diagnostic testing
- Virtual health benefits include telemedicine with $0 copay for routine medical care
- Access to a dedicated clinical navigator – find highly rated doctors, review medical bills and resolve disputes, access quality ratings and more
Click here for Elite Care w/ Rx + Hospital Indemnity Plan Summary
Click here for a Summary of Benefits and Description of Coverage
Click here for a Welcome Letter and List of Preventive Services
MEC Value Pricing
|
Member |
$215.00 |
|
Member + Spouse |
$375.00 |
|
Member + Child(ren) |
$364.00 |
|
Member + Family |
$515.00 |
Affordable healthcare designed to fit your budget, your healthcare needs, and remain ACA Compliant.
A Minimum Essential Coverage (MEC) plan satisfies the ACA penalty by offering 100% coverage on preventative and wellness care.
Our Elite Care Plans are high value plans, which include all the coverage of a Wellcare Plan, but with much richer benefits to create a usable and affordable plan that is much closer to traditional health insurance - without the high cost.
The Elite Care w/Rx + HI plan includes Hospital Indemnity benefits that can help pay for out-of-pocket costs associated with being hospitalized in addition to your medical coverage, and can give you more of a financial safety net for unplanned expenses brought on by a hospital stay. Payments are made directly to you, even if you did not actually incur any out-of-pocket expenses.
Benefits Overview:
|
Annual Deductible |
$0 |
|
Out-of-Pocket Maximum |
$1,850 Individual / $3,700 Family |
|
Wellness and Preventative |
Covered at 100% |
|
Primary Care Visits |
$15 copay - unlimited |
|
Specialist Visits |
$15 copay - unlimited |
|
Urgent Care Visits |
$50 copay - unlimited |
|
Laboratory Services |
$50 copay - unlimited |
|
X-Rays |
$50 copay - unlimited |
|
Rx Benefits |
Generic: Tier 1: $10, Tier 2: $25 Brand Rx: $50, Tier 2: $75 |
Search for in-network providers near you:
- Click this link
- Click “Select Network”
- Select “PHCS”
- Select "Specific Services"
- Add your zip code, and search by provider type or facility
Members enrolled in Elite Care w/Rx + HI will also receive an exclusive MEC Companion card, receive discounts on benefits like dental, vision, durable medical equipment, diabetic supplies, pet care, fitness, and more.
Click here for a telemedicine overview
