CONSUMER DIRECTED HEALTHCARE FOR GROUPS

MightyWELL Benefits

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The Most Competitive Group Rates in the Industry

Coverage TypeAge 20222527Age 30323537Age 3839

Employee Only

$165$165$165$170$177$183$193$206$213$220

Employee & Spouse

$314$314$314$323$336$350$369$397$411$425

Employee & 2 Chlidren

$352$352$352$356$363$370$379$393$399$406

Family of 4

$500$500$500$509$523$536$555$583$597$611
Coverage TypeAge 40424547Age 50525557Age 6063

Employee Only

$227 $245 $275 $294 $331 $362 $410 $453 $520 $590

Employee & Spouse

$439 $476 $535 $580 $648 $701 $783 $857 $973 $1,094

Employee & 2 Chlidren

$419 $432 $461 $481 $517 $548 $596 $639 $706 $776

Family of 4

$652 $662 $722 $766 $834 $887 $969 $1043 $1159 $1280

Preferred Plan Benefits

Mighty

WELL Preferred Plan Benefits

Doctor Visit & Pharmacy Benefit

  • Pays $120 for 18 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 Colonoscopy
  • Pays $160 for X-Rays, Diagnostic and $80 per Labororatory
  • Benefit starts 60 days after policy Effective Date

Outpatient Surgery Benefit

  • Pays Outpatient Surgical Facility $3,500 under general anesthesia or $1,500 local anesthesia
  • Pays 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 Room
  • Pays Hospital ICU $4,500 per day for 20 days per calendar year
  • Pays 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 Accident
  • Major Accident Pays by Schedule up to policy Maximum $500,000
  • Ambulance air or ground pays up to $11K of Actual Expenses pe Accident
  • Pays $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 Child
  • Pays up to an Additional $250,000 in Actual Treatment Expenses
  • Coverage for Internal Cancer, Heart Attack, Stroke, Organ Transplant & Renal Failure
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Doctor Visit & Pharmacy Benefit

  • Choose your Doctor from All US Licensed Physicians
  • Pays $120 for 18 visits per Insured per calendar year, includes 6 chiro. visits - No Deductible or Copay
  • Pays $150 for 2 Specialists visits per calendar year
  • Generic Drugs $20 per day Brand Name Drugs $40 per day

Preventative Wellness Care Benefit

  • Benefit starts 60 days after policy Effective Date
  • Pays $250 for Mammograms per calendar year & $500 for a Colonoscopy
  • Pays Additional $250 for other Preventative Services per calendar year

Surgery Benefit

  • Pays for Outpatient & Inpatient Surgeries
  • Pays Outpatient surgical facility $3,500 under general anesthesia or $1,500 local anesthesia
  • Pays Surgeons and Anesthesiologists based on RBRVS code (1x, 2x or 3x)

Hospital Inpatient Benefit

  • Hospital per day benefit up to $4,500 for Injury and $3,000 for Sickness
  • Hospital ICU benefit up to $4,500 per day for 20 days per calendar year
  • Optional 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 Accident
  • Major Accident Pays by policy schedule up to the Maximum of $500,000
  • Ambulance air or ground pays up to $11K of Actual Expenses

Catastrophic Diagnosis Benefit

  • Pays a Lump Sum upon diagnosis up to $40K per Adult and $10K per child
  • Pays up to $250K Additional for Actual Treatment Expenses per calendar year
  • Coverage for Internal Cancer, Heart Attack, Stroke, Organ Transplant, Renal Failure

MightyWELL Partners

PHCS Extended Network for Additional Savings

Unlimited Service by Web and Phone 24/7

Patient Advocate and Bill Negotiation

Save on Medications, Wellness Adherence Support

MIGHTYWELL’S PARTNERS

PHCS Extended Network for Additional Savings

Unlimited Service by Web and Phone 24/7

Patient Advocate and Bill Negotiation

Save on Medications, Wellness Adherence Support

Our Goal: Save American Business Mighty BIG

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