Welcome Christian Church Freedom to Choose versus government mandates Coverage Honoring Your Values Clients are #1 Again Restore the Patient Doctor Relationship Transparent Medical Prices Welcome Christian Church Coverage to Suit Your Values Make You the Client #1 Again Restore The Patient Doctor Relationship Show Honest Transparent Procedure Prices Compare ACA to a MightyWELL Consumer Directed Health Plan ACA vs MightyWELL Current BCBSProposed MWPlans2323Rate EE$444$191Family$1,491$732NetworkBCBSAll DocsCopay$25 - $45$0Yr Prem$224,508$98,976 BCBS current MightyWELL proposed Plan Participants2323 Monthly Rates $444 EE $844 ES $932 EC $1,491 Family$191 EE $400 ES $295 EC $732 Family NetworkAnthem BCBSAll Doctors + MutiPlan PHCS Deductible - Outpatient $1000 - $3,000$0 Outpatient General Dr. Visit$25 Copay$120 Paid Each Visit / $0 Copay 18 per year Specialist Dr. Visit$45 Copay$150 Paid Benefit / $0 Copay 2 per year Accident Minor$1000 Deductible$4000 per event No Deductible Deductible - Inpatient$1,000 - $3,000 20% Co-ins$3,000 - No Co-ins Annual & Lifetime MaximumUnlimited (usual & customary)$500,000 $5,000,000 Monthly Premium $18,709$8,248 Annual Premium$224,508$98,976 Proposed Annual Savings $125,532 Proposed Annual Premium Savings: $125,532 Mighty WELL Preferred Plan Monthly Rates Age 20-2526272829303132333435363738394041424344Male$156 $159$161$163$165$167$171$174$177$181$184$190$198$205$213$220$229$229$246$258Female$165$168$170$172$175$177$180$183$187$190$193$200$206$213$220$227$236$245$255$265 Age4546474849505152535455565758596061626364Male$268$281$293$305$318$331$347$362$378$394$410$431$453$475$497$520$543$567$590$613Female$275$285$295$305$315$325$336$347$358$369$381$396$412$428$444$460$478$495$513$530 Child Rates: First Child $112 per month Additional Children $74 per month Example Quote:Primary Age 47Spouse 44First Child Second Child Third ChildTotal Monthly PremiumMonthly Premium$293$265$112$74$74$818 Example Rates: Preferred, Non-Tobacco use Subject to underwriting One time $50 Underwriting Fee on all Applications Print Rates Apply Now Lifetime Policy Maximum $5 Million Three Calendar year Maximums: $250K, $500K, $1 Million Multiple Benefit Levels to Choose from: Value, Preferred, Premier Unique Zero Deductible, Copay, Coinsurance on all Outpatient Benefits Guaranteed Renewal to Age 65 Flexible Hospital Inpatient Deductibles to match budget: $0 – $10K Annual Premium Increases 3% or less last 6 years Available for Individuals and Groups Preferred Plan Features Outpatient Deductible – $0 Inpatient Deductible – $3K (hospital stay 24hr minimum) Benefits designed to match medical procedure costs Stable Rates – 3% annual increase Guaranteed renewal to age 65 Lifetime Maximum $5 Million For Individuals & Groups Preferred Benefits Overview Doctor Visit & Pharmacy BenefitChoose your Doctor from All US Licensed PhysiciansPays $120 for 18 visits per Insured per calendar year, includes 6 chiro. visits - No Deductible or CopayPays $150 for 2 Specialists visits per calendar yearGeneric Drugs $20 per day Brand Name Drugs $40 per day Preventative Wellness Care BenefitBenefit starts 60 days after policy Effective DatePays $250 for Mammograms per calendar year & $500 for a ColonoscopyPays Additional $250 for other Preventative Services per calendar year Surgery BenefitPays for Outpatient & Inpatient SurgeriesPays Outpatient surgical facility $3,500 under general anesthesia or $1,500 local anesthesiaPays Surgeons and Anesthesiologists based on RBRVS code (1x, 2x or 3x) Hospital Inpatient BenefitHospital per day benefit up to $4,500 for Injury and $3,000 for SicknessHospital ICU benefit up to $4,500 per day for 20 days per calendar yearOptional First Hospital Admission $6,350 Lump Sum - per calendar yr, 24 hr stay required Accident & Emergency Benefit Minor Accident Pays $4,000 of Actual Expenses for up to 45 days from the AccidentMajor Accident Pays by policy schedule up to the Maximum of $500,000Ambulance air or ground pays up to $11K of Actual Expenses Catastrophic Diagnosis BenefitPays a Lump Sum upon diagnosis up to $40K per Adult and $10K per childPays up to $250K Additional for Actual Treatment Expenses per calendar yearCoverage for Internal Cancer, Heart Attack, Stroke, Organ Transplant, Renal Failure Click for print-friendly version Plan Benefits Overview Mighty WELL Preferred Plan Doctor Visit & Pharmacy Benefit Pays $120 for 20 Visits per Insured per calendar year, includes 6 chiropractor visits Pays $150 for 2 Specialists visits per calendar year Pays Generic Drugs $20 per day Brand Name Drugs $40 Wellness Preventative Care Benefit Pays $250 For Annual Checkup Pays $250 for Mammograms per calendar year & $500 for a ColonoscopyPays $160 for X-Rays, Diagnostic and $80 per LabororatoryBenefit starts 60 days after policy Effective Date Outpatient Surgery Benefit Pays Outpatient Surgical Facility $3,500 under general anesthesia or $1,500 local anesthesiaPays Surgeons and Anesthesiologists based on CPT code (1x, 2x or 3x) Pays MRI, CAT Scan PET $500 per Inpatient & Hospital Benefit Pays Hospital $4,500 per day for Injury and $3,000 for Sickness- General RoomPays Hospital ICU $4,500 per day for 20 days per calendar yearPays Skilled Nursing Facility $1,500 per day Accident & Emergency Benefit Minior Accident Pays up to $4K of Actual Expenses for up to 45 days from the AccidentMajor Accident Pays by Schedule up to policy Maximum $500,000Ambulance air or ground pays up to $11K of Actual Expenses pe AccidentPays $300 for Urgent or Emergency Care 2 times per year Non-Accident Catastrophic Diagnosis Benefit Pays a Lump Sum upon diagnosis up to $40,000 per Adult and $10,000 per ChildPays up to an Additional $250,000 in Actual Treatment ExpensesCoverage for Internal Cancer, Heart Attack, Stroke, Organ Transplant & Renal Failure MightyWELL Partners PHCS Extended Network for Additional Savings Visit Unlimited Service by Web and Phone 24/7 Visit Patient Advocate and Bill Negotiation Visit Save on Medications, Wellness Adherence Support Visit Print Rates Apply Now View Rates Apply Now