MEC and Limited Medical Plans

MEC and Limited Medical Plans are all about access-easy, low-hurdle access to the healthcare system otherwise unattainable for many employees. The MEC plan covers Preventive Services, Primary Care & Specialist Visits, Lab & X-Ray while the Limited Medical Plan, not comprehensive like major medical plans, help defray some of the out-of-pocket costs associated with major medical plans.

MEC PLUS PLAN

Plan Features

  • National Provider Network
  • No participation or contribution requirements
  • Satisfies ACA State Individual Mandate
  • Strictly copays, no deductibles
Benefits MEC Plus
Preventive Services: Covers 100%
Rx Discount Plan: Included
Telehealth Program Included
Primary Care Visits $15 copay
Specialist Visits $15 copay
Urgent Care $50 copay
Laboratory Services & X-Ray $50 copay
Prescription Drugs $5 copay

Preventive Services Covered at 100%

  • Annual wellness exam
  • Screening for blood pressure, cholesterol, diabetes, cancer, hepatitis,
    urinary tract infection, hearing, vision, depression, obesity, osteoporosis,
  • Colonoscopy, mammography
  • Immunization vaccines
  • Flu shot
  • Oral health risk assessment
  • HP DNA testing
  • Behavior assessment
Monthly Cost MEC Plus
Employee Only: $95.00
Employee + Spouse: $190.00
Employee + Children: $190.00
Family: $285.00

LIMITED MEDICAL PLAN

Plan Features

  • Covers Wellness and Preventive Services at 100%
  • Employees can use any provider
  • Primary care and specialist office visit benefit included
  • Benefits include outpatient surgery and inpatient hospitalization
Benefits Plan 2
Preventive Services: Covers 100%
Hospital Room & Board: $500 /Accident; $50/Sickness per day
Outpatient Surgery: $750 per day (per surgical schedule)
Primary Care Visits $60 per day (max 4 per year)
Specialist Visits $60 per day (max 4 per year)
Urgent Care $50 per day (max 1 per year)
Laboratory Services $40 per day (max 4 per year)
Prescription Drugs Generic $25 (Max 12 days per year)

Hospital Admission for Specified Condition

  • Heart Attack – $1,500 Benefit (max 1 per year)
  • Stroke – $1,000 Benefit (max 1 per year)
  • Cancer – $2,000 Benefit (max 1 per year)
  • Accidental Injury – $1,000 Benefit (max 1 per year)
  • Childbirth – $1,000 Benefit (max 1 per year)
Monthly Cost Limited Medical
Employee Only: $90.35
Employee + Spouse: $289.89
Employee + Children: $369.60
Family: $482.00

CONTACT

  30200 TELEGRAPH ROAD,
STE 222
BINGHAM FARMS, MI 48025

  800-536-2230

  info@frachisebenefitsusa.com

  248-851-3668

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