Connecting People to Affordable Healthcare

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    • Home
    • Benefit Programs
    • Education & Enrollment
    • MEC Menu
    • Advantage MV Plan
    • Premium MV Plan
    • Max MV Plan
    • Minimum Value 6500
    • Support
    • Resources

  • Home
  • Benefit Programs
  • Education & Enrollment
  • MEC Menu
  • Advantage MV Plan
  • Premium MV Plan
  • Max MV Plan
  • Minimum Value 6500
  • Support
  • Resources

Minimum Essential Coverage Menu

EliteCare

OptimaCare

OptimaCare



Wellness & Preventative Covered at 100%   

Rx Discount Plan Included   

Telemedicine $0 copay   

Virtual Behavioral Health $50 copay | 3x/year then $85  

Primary Care Visit - $15 copay  

Specialists Visits -   $15 copay

Urgent Care -   $50 copay

Laboratory Services -    $50 copay

X-Rays -    $50 copay

Generic Rx Tier 1: $15 copay | Tier 2 $30 copay   

Brand Rx Tier 1: -  $50 copay | Tier 2 $75 copay 

24/7/365 Telehealth Included   

benieWALLET Included   

Behavioral Health  $50 fee max 3 x per year    

OptimaCare

OptimaCare

OptimaCare



Wellness & Preventative Covered at 100%   

Rx Discount Plan Included   

Telemedicine $0 copay   

Virtual Behavioral Health $50 copay | 3x/year then $85  

Primary Care Visit - $15 copay  

Specialists Visits -   Network Discount

Urgent Care -   $50 copay

Laboratory Services -   Network Discount

X-Rays -   Network Discount

Generic Rx Tier 1: $15 copay | Tier 2 $30 copay   

Brand Rx Tier 1: -  $50 copay | Tier 2 $75 copay 

24/7/365 Telehealth Included   

benieWALLET Included   

Behavioral Health  $50 fee max 3 x per year    

ValueCare

OptimaCare

ValueCare


 

Wellness & Preventative Covered at 100%   

Rx Discount Plan Included   

Telemedicine $0 copay   

Virtual Behavioral Health $50 copay | 3x/year then $85

Primary Care Visits $15 copay   

Specialists Visits Network Discount   

Urgent Care $50 copay (3 x per year) then network discount    

Laboratory Services - Network Discount

X-Rays -   Network Discount

Generic Rx Tier 1: $15 copay | Tier 2 $30 copay   

Brand Rx Tier 1: -  $50 copay | Tier 2 $75 copay

24/7/365 Telehealth Included   

benieWALLET Included   

Behavioral Health  $50 fee max 3 x per year   

PrimeCare

PrimeCare

ValueCare



 Wellness & Preventative Covered at 100%   

Rx Discount Plan Included   

Telemedicine $0 copay   

Virtual Behavioral Health $50 copay | 3x/year then $85 

Primary Care Visits - $15 copay (3 per year) then network discount  

Specialists Visits -   NA

Urgent Care -   NA

Laboratory Services -   NA

X-Rays -   NA

Generic Rx Tier 1: $15 copay | Tier 2 $30 copay   

Brand Rx Tier 1: -  $50 copay | Tier 2 $75 copay

24/7/365 Telehealth Included   

benieWALLET Included   

Behavioral Health  $50 fee max 3 x per year 

WellCare

PrimeCare

WellCare



Wellness & Preventative Covered at 100%   

Rx Discount Plan Included   

Telemedicine $0 copay   

Virtual Behavioral Health - NA

Primary Care Visits Must use Telemedicine   

Specialists Visits - NA

Urgent Care - NA

Laboratory Services - NA

X-Rays -   NA

Generic Rx -  NA

Brand Rx -  NA

24/7/365 Telehealth Included   

benieWALLET Included   

Behavioral Health - NA    

LOW COST • GREAT FLEXIBILITY • SAFETY FROM ACA PENALTY "A"

The plans outlined are ONLY compliant with Employer Penalty “A” as outlined by ACA. 

They also satisfy the individual mandate penalty in applicable states.  

Find out more

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