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EMPLOYEE BENEFITS
Essential Medical Care
With Essential Medical Care, providing quality healthcare coverage for your employees doesn't have to break the bank.
Our healthcare benefit plans prioritize Everyday Benefits that your employees need and want, without the inflated cost of traditional Major Medical coverage.
Plus, our plans are designed specifically to meet Affordable Care Act compliance standards. Choose Essential Medical Care for a responsible and affordable employee benefits solution.
I
WELLCARE
- 100% Wellness & Preventative - Telehealth Primarycare - Rx Discount Plan
III
VALUECARE
- 100% Wellness & Preventative - Primary Care Visits (3 per year w/$15 copay) then network discount. - Specialist Visits (network discount) - Urgent Care (3 per year w/$50 copay) then network discount. - Labs & X-Rays (network discount) - Telehealth Primary Care - Behavior Telehealth ($50 first 3 visits, then $85) - Rx Benefits $15/$30/$50/$75
V
ELITECARE
- 100% Wellness & Preventative - Primary Care Visits $15 copay) - Specialist Visits ($15 copay) - Urgent Care ($50 copay) - Labs & X-Rays ($50 copay) - Telehealth Primary Care - Behavior Telehealth ($50 first 3 visits, then $85) - Rx Benefits $15/$30/$50/$75
II
PRIMECARE
- 100% Wellness & Preventative - Primary Care Visits (3 per year then network discount) - Telehealth Primary Care - Behavior Health ($50 first 3 visits, then $85) - Rx Benefits ($15/$30/$50/$75)
IV
OPTIMACARE
- 100% Wellness & Preventative - Primary Care Visits $15 copay) - Specialist Visits (network discount) - Urgent Care ($50 copay) - Labs & X-Rays (network discount) - Telehealth Primary Care - Behavior Telehealth ($50 first 3 visits, then $85) - Rx Benefits $15/$30/$50/$75
VI
MEC & MVP
- ZERO Enrolllment Requirement on MVP - Meets Minimum Value & Affordabilty requirements - $6,500 Deductible - 100% Preventative/Wellness - Telehealth - Primary Care/Specialist Visuts - Urgent Care/Specialist Visits - ER Services - Diagnostic Services including Labs, X-Rays and other imaging - Inpatient Hosptial Services including Physician Fees - Rx Benefits $15/$30/$50/$75 *Must pair with two Essential Medical Care options for A & B compliance (minium requirements on MEC)
Compliance & Administrative Services
The Affordable Care Act requires that applicable large employers (ALEs) provide minimum essential coverage (MEC) to full-time eligible employees otherwise face a hefty penalty for non-compliance. Ensure that you comply with the Affordable Care Act by providing your full-time eligible employees with our Essential Medical Care (MEC) penalty "A" compliant solutions or our Minimum Value Plan (MVP) penalty "A" & "B" compliant plans.
These plans come with a variety of administrative services provided by Pacific Group Benefit's Third Party Administrator SBMA, which are specifically designed to make managing your plan as easy and stress-free as possible, allowing you to focus on other important aspects of your business
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Cobra Administration
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Census Enrollment
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Benefit ID Cards
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Employer/Employee plan management portal
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Bilingual enrollment material
