MEC Enhanced Plan Options
MEC Enhanced Preferred Plan
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
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
Summary of Additional Benefits
Summary of Pharmacy Benefits
Pricing
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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