MEC Enhanced Plan Options

MEC Enhanced Preferred Plan

ACA Qualifying Minimum Essential Coverage - PREFERRED

The MEC Enhanced plans provide 100% ACA preventive coverage at in-network providers as well as copays for outpatient
services such as doctor visits, labs, x-rays, and more at PHCS Limited Benefit Plan Network providers. The plan provides
prescription drug copays and access to telemedicine consultations as well.

  • ACA qualifying plan for Minimum Essential Coverage (MEC)
  • Covers all 63 preventative and wellness services
  • Copay only plan.  No deductible or out-of-pocket maximum
  • Week-to-week coverage
  • Premiums are collected pretax

MEC Enhanced Elite Plan

ACA Qualifying Minimum Essential Coverage - ELITE

In addition to the services highlighted in the MEC Enhanced Preferred Plan, the MEC Enhanced Elite plan includes a daily benefit toward in-patient services like emergency room visits, anesthesia,
surgery, and intensive care. This daily benefit does not require use of an in-network provider; however, you do have access to the PHCS Limited Benefit Plan Network www.multiplan.com/awp. When you use an in-network provider, a discount will be applied to your bill in addition to your daily benefit, decreasing the amount you pay out-of-pocket. 

  • ACA qualifying plan for Minimum Essential Coverage (MEC)
  • Covers all 63 preventative and wellness services
  • Daily benefit toward non-preventive in-patient medical services incurred in or out-of-network
  • No deductible or out-of-pocket maximum
  • No additional out-of-pocket for services with a copay
  • Week-to-week coverage
  • Premiums are collected pretax

Plan Information

Summary of Basic Coverage

Basic Care MEC Preferred and Elite

 

Summary of Additional Benefits

Additional Care MEC Preferred and Elite

 

Summary of Pharmacy Benefits

Pharmacy MEC Preferred and Elite

 

Pricing

Rates Preferred and Elite

 

Notes

This serves as a summary of your benefit plan only.

Please refer to your Summary Plan Description for actual coverage, limitation and exclusion provisions.

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