MEC CHOICE + HI

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MEC CHOICE + HI

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Subscription Term = 1 Month

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Spouse Information

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Child Information

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MEC Choice + Hospital Indemnity - Options Plus
  • ACA compliant, affordable health coverage
  • 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
  • Access to Rightway Healthcare.  With Rightway, you have a dedicated (real, live) health guide that can help you find the best doctor and book your appointment, get upfront pricing on medical visits, review and dispute bills, answer your health insurance questions, and more. With this simple-to-use-app, your health guide is there to answer all of your healthcare questions, no matter how big or how small.  You can use Rightway for free as part of your benefit purchase.

Click here for a Summary of Benefits and Description of Coverage

Click here for a list of covered preventive services

 

MEC Value Pricing

Member

$204.00

Member + Spouse

$353.00

Member + Child(ren)

$344.00

Member + Family

$492.00

 

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 MEC CHOICE Plans are high value plans, which include all the coverage of a basic MEC 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 MEC CHOICE + 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:

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

$0 for preventive blood work, otherwise $50 copay

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 MEC CHOICE + 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. 

How to use your SBMA Medical and Rx coverage

Click here for Rx Formulary

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