Apex MEC (Minimum Essential Coverage) - Preventative Care through Apex / Pinnacle
Your ID cards are accessed from the Health Wallet app. See flyer to the right and presentation below.
This plan will cover your preventative care at 100% and also provides the framework for an HSA banking account. Also, if you enroll in the MEC plan you will qualify for a 7.25% discount on your Sedera membership. You do need to stay in network for your preventative care. All preventative care mandated by ACA is covered. You can see a complete list here.
PHCS network search instructions:
●Go to www.multiplan.com
●Click on Find a Provider in the upper right corner
●Click on the green Select Network button & choose PHCS
●Click the green Select Network box
●Choose PHCS in the pop-up box
●Select Preventive Services Only
Telemedicine - You will also access telemedicine through MD Live on this app.
We will be moving to Options Plus effective 12/1/21. This will have the same network but is an enhanced plan with better customer service. Watch for details towards the beginning of November.
Cost Sharing Plan
Sedera is a cost sharing community that will share the cost of the large events in life.* The Sedera plan doesn't have a network. Please reference the Sedera materials and view the video presentations below for details.
There is no ID for this plan and no network. You will present yourself as a cash payer and start a "Need" on the member portal if the total goes over your chosen IUA (Initial Unshareable Amount). See "Sedera Select + Presentation" link below.
7.25% for having the MEC plan
14.5% if you have a qualified personal Direct Primary Care membership (proof required). Contact HR if you have a DPC (Direct Primary Care) Click here to search.
*Pre-existing limitations apply.
See how to enroll above.
We are moving our dental to Dental Select.
Click on the link below to see the full dental summary.
Dental Select Vision Plan
DID YOU KNOW?
Guest & Brady offers voluntary vision coverage through the VSP network to help pay for eye exams, prescription glasses and contact lenses. See summary below.
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