OptiMed Products Available for Online Quoting
GAP
Secondary insurance supplemental to major medical that reimburses many employee out-of-pocket expenses. Numerous configurations available with guaranteed issue and options for voluntary contribution, inpatient-only benefits, a prescription drug rider, HSA compatibility, MNSA benefits, and numerous customizable elements to achieve an attractive cost:benefit ratio.
LEVEL FUNDED HEALTH PLAN
A level-funded plan based upon a partially self-funded platform with stop-loss protection that eliminates excessive, uncertain claim liability. Funds remaining in claims reserve at year’s end refunded 100%.
MINIMUM ESSENTIAL COVERAGE (MEC)
A self-funded plan covering preventive services with optional reinsurance protection against claim liability. It can be upgraded to add coverage for common medical services (MEC Edge) or expanded with more services plus prescription drug coverage (E-MEC).
PDF DOWNLOADS: – MEC – MEC EDGE – ENANCED MEC
LIMITED MEDICAL
A guaranteed issue indemnity health plan available to employees who work a minimum of 15 hours per week.
OPTIMED ADVANTAGE
Non-insurance benefits that provisde discounted prices on various health-related services such as MRI and CT scans, dental, vision, chiropractic and more. These discounts are accessed through a mobile app.
LIFE
A covered employee receives a lump-sum benefit should he/she sustain a covered accidental loss, or their beneficiary receives benefit at employee’s death. If diagnosed with a terminal illness, a portion of the death benefit may be payable during employee’s lifetime.
HOSPITAL
Provides a per-day benefit for inpatient confinement in a hospital due to a nonoccupational accident or illness. Payment is made directly to the employee regardless of other health insurance coverage.
ACCIDENT
Provides payment for medical expenses due to a nonoccupational accidental injury. Payment is made directly to the employee regardless of other health insurance coverage.
LONG TERM DISABILITY
Provides a temporary source of monthly income when an employee has an accident or illness that prevents them from working.
SHORT TERM DISABILITY
Provides a temporary source of weekly income when an employee has an accident or illness that prevents them from working.
DENTAL
Per-person deductible of $50 (waived for preventive services) and $150 family deductible, plan covers 80 percent after deductible for basic services, and 100% for diagnostic and preventive (each in or out of network) up to a yearly maximum of $1,500 per covered person.
VISION
Coverage for annual exams and helps pay for vision correction lenses: contacts or glasses with their accompanying frames. Also includes access to the VSP® Vision Choice Network.
RX (PRESCRIPTION DRUGS)
Generic-only and Generic plus Brand plans that give members access to 100% of chain and 90% of independent pharmacies nationwide. Guaranteed Issue to large and small business clientele including all active employees and their dependents.
