Plan Specifications
     THERE IS AN AFFORDABLE CARE ACT TAX PENALTY FOR 2018 BUT NONE STARTING 1/1/2019
     WELLFIT WELLNESS Platform - Managed by My Academy of Health Excellence
     PREVENTIVE CARE SERVICES - No cost colonoscopies for members 50 or over, mammograms, and childhood immunizations (excluding flu shots) and vaccinations. No other preventive care services mandated by the Affordable Care Act are covered
     NETWORK - Open Access Network; can use any provider who accepts cash payment for any service under the program, including sharable preventive care services mentioned above and large medical expenses listed to the right
     MONEY MANAGEMENT - Health Matching Account (HMA) optional
Self-Directed Healthcare
    Large Medical Expenses -

     Contain with Medical Cost Sharing Powered by Sedera Health
     Initial Unshared Amount (IUA) Options - Choice of $500, $1000, $1500, $2500, or $5000
     Maximum Number of IUA's Annually - 3 per individual/5 per membership unit
     Prescription Drugs - normal sharing rules apply for curative medications; 120 days for maintenance medications (blood pressure, cholesterol,etc.)
     Pre-Existing Conditions - 36 month look-back: no coverage for 1st 12 months; $15K 2nd year; $30K 3rd year; unlimited thereafter
     Maternity Benefits - $5K IUA for normal deliveries and $7.5K for non-emergency/elective C-sections; conception must have occurred after membership per section 9 of the Guidelines
     Therapies and TMJ - range from $1.5K to $2.5K/Need under Section 8 of the Guidelines
     Psychiatric and Behavioral Health - $5K inpatient maximum/Need; $1.5K outpatient/Need under Section 8 of the Guidelines
     Tobacco Use - $75 surcharge per membership unit. If age 50 or over, $25K sharing restriction for cancer, stroke, heart conditions and COPD
     Sharing Limits - No annual or lifetime limits unless restricted by Sections 8 or 9 of the Guidelines
Enroll Today!
Call 877-734-3884
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