Small Group Benefits

Health plan package starting at $213 a month!  

 


Save by combining coverage that you can customize.

Employees can mix and match the coverage.  No participation requirements or waiting periods.  Rates shown are the full monthly rates.  Employers can contribute any amount.
Select the plans you wish to have for your company benefit offering by using the "Add to Cart" button in the "Select Plan" tab for each plan accordion.


 


First, choose your base health plan.

Base health plans provide benefits for the most commonly utilized services such as doctor visits and prescriptions.  Pick the coverage that fits your needs.


Base Health Plans

Preventive Basic

Preventive Care Services

100% coverage for preventative services outlined by the healthcare laws as outlined by healthcare.gov.

Network

Plan provides access through the PPO nationwide network PHCS.  We also can work with any provider even if not in network.

Telemedicine

Have access to a doctor 24/7 without a copay!  Unlimited consultations.  Learn more about TelaDoc.

Office Visits
TelaDoc $0 Copay (unlimited visits)
Prescription Coverage
Blink Health Rx Discount Plan Included
Monthly Rates
Employee Only $80
Employee + Spouse $110
Employee + Children $110
Employee + Family $150
Select Plan

Preventive Advanced

Preventive Care Services

100% coverage for preventative services outlined by the healthcare laws as outlined by healthcare.gov.

Network

Plan provides access through the PPO nationwide network PHCS.  We also can work with any provider even if not in network.

Telemedicine

Have access to a doctor 24/7 without a copay!  Unlimited consultations.  Learn more about TelaDoc.

Office Visits
TelaDoc $0 Copay (unlimited visits)
Primary Physician Office Visit $20 Copay (max 3 per year)
Specialist Office Visit $50 Copay (max 3 per year)
Urgent Care $50 Copay (max 3 per year)
Other Copay's
Diagnostic X-ray and Lab $50 Copay (max 5 per year)
Cat-Scan, MRI or Outpatient Testing $200 Copay (2 per year)
Prescription Coverage
Blink Health Rx Discount Plan Included
Optum Rx Benefits 2018 Rx Formulary
Tier 1 – Low Cost $1 Copay
Tier 2 – Generics 10% Co-Insurance
Tier 3 – Preferred Brand 20% Co-Insurance
Tier 4 – Non-Preferred 1 40% Co-Insurance
Tier 5 – Specialty 10% Co-Insurance
Tier 6 – Non-Preferred 2 20% Co-Insurance
Monthly Rates
Employee Only $150
Employee + Spouse $240
Employee + Children $240
Employee + Family $325
Select Plan

 


Second, choose catastrophic coverage.

Get catastrophic coverage to protect against the big health costs that sometimes come up.  This is the coverage you need for hospital stays, emergency room, surgeries and more.


Health Share

What is a health share?

A health share is a community of like minded people pooling money for medical expenses.  By joining a health share you obtain financial protection against catastrophic medical expenses.  Health shares are not insurance and that is why it works so well.

Initial Unsharable Amount

$1,000 IUA*

*The Initial Unshareable Amount (IUA) is the amount a member pays out-of-pocket on a per Need/Incident basis before it is fully shared with the health share community.

Member Information

See Sedera Health's member guidelines

Monthly Rates
Age Over 30 Under 30
Employee Only $166 $133
Employee + Spouse $386 $341
Employee + Children $328 $279
Employee + Family $520 $468

Additional Tobacco charge of $45 monthly.

Select Plan


 

Finally, choose your other benefit options.

Both dental plans are on a national PPO dental network.  The Copay Plan has set copay for every dental service while the The PPO Plan has the traditional coverage tiers.
The vision plan allows you to work with any vision provider.  Provider can submit claims or member can submit claim for reimbursement.


Dental Plans

The Copay Plan

Copay
Deductible

No deductible!

Annual Limit

No annual limit!

Network

See provider network for SecureCare dental plan.

Additional Information
Monthly Rates
Employee Only $20.27
Employee + Spouse $36.25
Employee + Children $41.60
Employee + Family $53.13

*Rates include $2.50 monthly association processing fee.

Select Plan

The PPO Plan

Coverage Tiers
Preventive Tier 1 100%
Basic Services Tier 2 80%
Major Services Tier 3 50%

*Rates include $2.50 monthly association processing fee.

Deductible

Calendar year deductible of $50 per person, $150 for the family.  Deductible applies to Tier 2 and 3.  Deductible does not apply to Tier 1 services.

Annual Limit

$1,500 annual limit.

Network

See provider network for SecureCare dental plan.

Additional Information
Monthly Rates
Employee Only $36.65
Employee + Spouse $67.38
Employee + Children $85.11
Employee + Family $109.50

*Rates include $2.50 monthly association processing fee.

Select Plan


Vision Plan

Copay List
Eye Health Exam $10
Spectacle Lenses $10
Anti-Reflective Coating (Standard | Premium | Ultra) $35 / $48 / $60
Progressive Lenses (Standard | Premium | Ultra) $0 / $40 / $90
Scratch Protetion Plan: Single Vision | Multifocal LensesVisionworks $20 / $40
Frame Allowance
Standard Allowance Up to $150
Contact Coverage
Allowance Up to $150 & 15% off balance
Standard Evaluation Included
Specialty Evaluation Up to $60 & 15% off balance
Disposable Contacts 8 boxes/multi-packs
Replacement Contacts 4 boxes/multi-packs
Medically Necessary Contacts Included
Network

Plan includes Davis Vision Network.  Out of network reimbursements available for some services.

Monthly Rates
Employee Only $8.42
Employee + Spouse $14.61
Employee + Children $13.58
Employee + Family $20.45

*Rates include $1 monthly association processing fee.

Select Plan


 

Confirm Benefit Selections

See below selected plans for your company benefits.  To change your selections, scroll up and "Add to Cart" the benefits you would like under "Select Plan".  Clear all to start over.



Ask questions if you have them or register!