TO PAY OR NOT TO PAY
What are the deductible options for MEDVALUE?
2K, 4K, and 6K these are doubled for family plans.
What license must you have to sell this Product?
Health
Life is not required but the agent must be licensed in the state where the sale occurs
Do you know what type of plan is this?
High-deductible ERISA plan
Bonus: Includes Minimal Essential Coverage (MEC)
What Network is utilized for the MEDVALUE Plan?
First Health Network
Plans that include discount programs offered through National Discount Network
A Marketplace Plan that provides subsidies or cost-sharing reduction
What is the copay for primary care physician, specialist, and urgent care visits?
$50 Copay
4 visits per benefit year maximum is combined for PCP office visits, Specialist Office visits, and Urgent Care visits. 2 Visits before Deductible, 2 after Deductible
Are you required to be appointed for this product?
No
Do you know what Association is tied to this plan?
EMA
Does MedValue Cover Services that are received out of network?
No, No, No
ERISA plans that require completing eligibility questioning during the enrollment process
Guarantee Issued
What is the copay for emergency services after the deductible is met ?
$500
The copay is waived if admitted 1 visit/yr
What is the Age Band for Adult Eligibility?
18-64
Do you know who helps navigate patient assistance programs available in members area?
Patient Assistance Program
(subject to availability)
What kind of services can you receive under this network.
ERISA high-deductible plans with copays
A plan that covers all treatments, services, and supplies
What is the Copay for Generic RX?
$0
Preventive Generic is covered prior to meeting deductible. Standard Generics are covered after deductible
What is the Age Band for Dependent Eligibility?
1-25
D you know what benefit helps to negotiate unexpected medical costs.
Medical Bill Negotiator
What Kind of Network is....
National PPO Network
ERISA plans that offer MEC and Professional Service benefits
Designed to replace comprehensive health insurance
What is the Copayment for Outpatient & Inpatient Surgery after the deductible is met?
$500 Outpatient Copay
$1,000 Inpatient Copay
1 surgery per benefit year; Elective Surgeries not covered and prior authorization is required.
What is the latest date plan may go effective in a month
25th
Do you know who the telemedicine provider is and what the copay is for the telemedicine benefit?
RelyMD for a $0 copay
In order to find an in-network doctor, urgent care center, hospital or other provider what would I utilize?
The Provider Search Tool
High-deductible ERISA plans
Major Medical, Comprehensive Insurance, or Employer Group Insurance plans