Benefits associated with MEC Basic, MEC, MEC Plus and MEC Plus Advantage plans. All plans provide a 4-YEAR RATE CAP.
Each of the plans exceed the Minimum Essential Coverage requirements employers are required to meet, in order to avoid Penalty A under PPACA (“Obamacare”)
When an employer chooses Apex MEC Plus Advantage plan, employees receive:
• TELADOC 24/7 (Multilingual)
• 6-Tier Pharmacy Benefits (Welldyne Rx)
• Primary Care Visits (3 per plan year)
• Specialists Visits (3 per plan year)
• Urgent Care Visits (3 per plan year)
• MRI and CT Scan Benefits (max 1 CT or MRI per plan year)
• X-Ray and Lab Benefits (5 per plan year)
Additionally:
• Guaranteed issue product
• Minimum group size of 4 employees
• No participation requirements
• Employer can contribute 0% - 100% of premium
• COBRA services are included in the premium
• 1094 forms are filled out at no additional charge
• If member exceeds 3 primary care, 3 specialists and/or 3 urgent care visits,
member will receive PHCS network discount
• All Apex MEC's are section 125 - self funded plans
• ITIN & H-2A qualifies for benefit membership