FlexWork medical plans
With flexible plan designs and a broad network, a quality health plan and healthier workforce start here.
Broadest coverage, highest cost
Minimum Value Plans
A high-deductible group Minimum Value Plan (MVP) where meeting ACA Part B compliance is the main objective.
- Coverage for network office visits, labs and imaging, emergency and urgent care visits, outpatient surgery and inpatient admissions
- May be ideal for staffing companies that want a separate plan for full-time intermittent contract staff (employer subsidies required)
- Specialized benefits platform can administer tabular rates, provide weekly administration and manage all ACA under-30-hour/over-30-hour tracking
- Can be paired with an enhanced hospital indemnity plan to help defray deductible costs
- Fully insured, ASO and level funded options
Mid-level coverage, mid-level cost
Limited Medical Minimum Essential Coverage Plans
A mid-actuarial value group medical plan designed for everyday health care needs.
- First-dollar coverage copays (no deductibles or coinsurance)
- Limited coverage for network office visits, labs and imaging, urgent care visits, outpatient surgery and inpatient admissions
- Emergency visits covered in and out of network
- $0 additional cost for all services defined as preventive and mandated by the ACA
- Lower premiums than major medical
- Employees retain eligibility for ACA subsidies if they do not enroll in the plan
- Level funded only
Helping members understand and use their benefits
FlexWork plans give members the tools and services they need for answers and support through access to a website and call center where they can:
- Check current and past claim status
- Review benefits, coverage and costs in order to make more informed decisions about their care
- Talk 1-on-1 with a service representative
- Discover programs and resources that may help them get healthier
- Find network doctors, hospitals and prescription coverage