Employers, please see plan information below, and contact us to request a quote for your organization.
How do I know which plan will is best for me?
Platinum -Consider this option if you are middle age or older or have chronic disease issues (diabetes, asthma, high blood pressure, etc.)
Premium -Consider this option if you are a middle age, active individual with intermittent medical needs
Preferred -Consider this option if you are young and healthy
|Primary Care Visits*||Up to 3 ^||Up to 3 ^||Up to 4 ^|
|Routine age-appropriate immunizations and vaccines ^||Included||Included||Included|
|Screening Mammogram including Tomosynthesis#||Included||Included||Included|
|Cervical Cancer Screen**#||Included||Included||Included|
|Complete Blood Count||Annually||Annually||Annually|
|Basic Metabolic Panel||Annually||Annually||Annually|
|Hepatic Function Panel||Annually||Annually||Annually|
|Hemoglobin A1c||Up to 2||Up to 2||Up to 2|
|Prostate specific antigen (PSA)#||Annually||Annually||Annually|
|Vitamin D level||Annually||Annually||Annually|
|Hepatitis C Screening#||Included||Included||Included|
|Sexually-transmitted disease screening||Included||Included||Included|
|Lead Screening (in children)#||Included||Included||Included|
|Venipuncture (required for screening services)||Included||Included||Included|
|Bone Density Scan#||Not Covered||Included||Included|
|Screening Colonoscopy#||Not Covered||Included||Included|
|Basic X-Ray||Not Covered||1||3|
* Primary care visits include Family Medicine, Internal Medicine, Internal Medicine-Pediatrics, Pediatrics, Express Care, Retail (Discount Drug Mart Clinics)
^ For members under 2 years old, well-child visits will be covered according to the American Academy of Pediatrics guidelines. Therefore, these member may have up to 6 visits covered in the Preferred and Premium tiers, and up to 8 visits in the Platinum tier.
** Cervical cancer screens done by a gynecologist will be covered as long as performed during a coded preventive visit.
# Indicated by age appropriate guidelines and testing frequencies. For more information, visit www.cdc.gov/vaccines/index/html
Other diagnostic services, not listed above, including imaging and pathology, will not be covered under this plan but will be provided at preferred discount pricing.
Pending other insurance coverage, additional services needed will be provided and preferred discount pricing. Some notable excluded services: emergency medicine, maternity care, specialty providers, surgical services, physical/occupational therapy, speech therapy, dental care and inpatient services.
Payment is due on/before the 7th of the month, or $10 late fee will be assessed. Requires 12-month coverage commitment with one-time registration fee.