Annual Member Care Share Amounts (AMCS)
Note: works like a deductible
|
Options to choose from between $1,000 - $12,000 for individuals and $2,000 -$24,000 for families
|
Options to choose from between $5,000 - $10,000 for individuals and $10,000 -$20,000 for families
|
|
Choose a provider from an extensive network: PHCS PPO, CVS MinuteClinic, Amwell, BetterHelp
|
Limited to CVS MinuteClinic, BetterHelp and the PHCS PPO for hospitalization
|
Annual Physicals & Preventive Health Exam
|
$0 member responsibility for any network healthcare provider
|
$0 member responsibility for CVS MinuteClinic services only
|
|
24/7 virtual urgent care available through Amwell Medical Group with $0 member responsibility
|
24/7 virtual urgent care available through Amwell Medical Group with $0 member responsibility
|
Virtual Behavioral Health Counseling
|
Up to 10 visits shared through program membership
|
Up to 10 visits shared through program membership
|
|
|
|
Primary Care Physician Consultations
|
|
Not eligible
CVS MinuteClinic can support certain services
|
|
|
|
Behavioral Health Counseling (in-person)
|
|
|
Labs - Quest Diagnostics or LabCorp of America
|
|
|
|
|
AMCS applies; only eligible when ordered by CVS MinuteClinic, Urgent Care, Emergency Departments or performed during hospitalization
|
|
|
$25 Consultation Fee, eligible for urgent care, emergencies and hospitalizations
|
|
|
AMCS applies, eligible for urgent care, emergencies and hospitalizations
|
Acupuncture or Chiropractic
|
$75 consultation fee, up to 12 visits each per year
|
|
Physical, Occupational & Speech Therapy
|
$75 consultation fee, up to 10 combined visits per year
|
|
|
|
|
|
$500 consultation fee
AMCS applies if admitted
|
$750 consultation fee
AMCS applies if admitted
|
|
|
|
Maternity Care (pre & postnatal care, delivery, & newborn care) - 1st 24 Months of Membership
|
Once AMCS is met, pays up to $15,000 from shared contributions
|
|
Maternity Care (pre & postnatal care, delivery, & newborn care) - After 24 Months of Membership
|
100% paid from shared contributions once AMCS is met
|
|
FDA-Approved Prescriptions
|
Fee depends on drug formulary; $3,500 Annual Maximum
|
Fee depends on formulary; only eligible for Generic and Standard Brand medications with a $2,500 Annual Maximum
|
Dental & Vision Discount Programs
|
Discount program included free with membership
|
Discount program included free with membership
|
Wellness Perks and Discounts: Noom, FitBod, RightNow Media, HelloFresh, Active&Fit Direct
|
1-year subscription to Noom, Fitbod, and RightNow Media, 1-year HelloFresh discount, and access to Active&Fit direct for just $28/mo included with membership (valued at $780)
|
1-year subscription to Noom, Fitbod, and RightNow Media, 1-year HelloFresh discount, and access to Active&Fit direct for just $28/mo included with membership (valued at $780)
|
|
Want comprehensive healthcare sharing support to manage all that life throws their way
|
Want support for limited medical care, focused on care they may commonly use
|