Intro to America's Choice

Presenter: Stephen Tucker

Co-Founder of America's Choice Health Plans

Training conducted via MS Teams on october 24, 2023

Available in:

AK, AL, AR, AZ, CO, CT, DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, WI, WV, WY

NOT AVAILABLE IN:

HI, WA, OR, CA, VT, NH

Network:

Metal Tiers (Major Medical)

PLAN NAME

Key plan details

plan network

Summary of benefits (SOB)

$500 Deductible Titanium

Reference Based Pricing

The $500 Titanium Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $500 / $1,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: $25 / $40

Urgent Care Copay / ER Visit: $60 / Deduct/Co-Ins

Teladoc CoPay: $5

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

$1000 Deductible diAMOND

Reference Based Pricing

The $1000 Diamond Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $1,000 / $2,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: $25 / $40

Urgent Care Copay / ER Visit: $60 / Deduct/Co-Ins

Teladoc CoPay: $5

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

$1500 Deductible PLATINUM

Reference Based Pricing

The $1500 Platinum Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $1,500 / 3,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: $25 / $40

Urgent Care Copay / ER Visit: $60 / Deduct/Co-Ins

TeladocCoPay: $5

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

$2500 Deductible gold

Reference Based Pricing

The $2500 Gold Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $2,500 / $5,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: $25 / $40

Urgent Care Copay / ER Visit: $60 / Deduct/Co-Ins

Teladoc CoPay: $5

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

$3500 Deductible silver

Reference Based Pricing

The $3500 Silver Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $3,500 / $7,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: $25 / $40

Urgent Care Copay / ER Visit: $60 / Deduct/Co-Ins

Teladoc CoPay: $5

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

$5000 Deductible bronze

Reference Based Pricing

The $5000 Bronze Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $5,000 / $10,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: $25 / $40

Urgent Care Copay / ER Visit: $60 / Deduct/Co-Ins

Teladoc CoPay: $5

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

$7350 Deductible Copper

Reference Based Pricing

The $7350 Copper Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $7,350 / $14,700

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: $25 / $40

Urgent Care Copay / ER Visit: $60 / Deduct/Co-Ins

Teladoc CoPay: $5

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

Metal Tiers (Major Medical) with hsa

PLAN NAME

Key plan details

plan network

Summary of benefits

$2500 Deductible hsa

Reference Based Pricing

The $2500 HSA Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $2,500 / $5,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: 20% After Deductible

Urgent Care Copay / ER Visit: 20% After Deductible

Teladoc CoPay: 20% After Deductible

Teledoc Behavioral Health CoPay: 20% After Deductible

PHCS Practitioner & Ancillary

$3500 Deductible hSa

Reference Based Pricing

The $3500 HSA Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $3,500 / $7,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: 20% After Deductible

Urgent Care Copay / ER Visit: 20% After Deductible

Teladoc CoPay: 20% After Deductible

Teledoc Behavioral Health CoPay: 20% After Deductible

PHCS Practitioner & Ancillary

$5000 Deductible hsa

Reference Based Pricing

The $5000 HSA Plan includes the below copays, deductibles, and out of pocket maximums as well as $0 copay wellness, 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $5,000 / $10,000

Out of Pocket Max: $7,350 / $14,700

Office / Spec Visit Copay: 20% After Deductible

Urgent Care Copay / ER Visit: 20% After Deductible

Teladoc CoPay: 20% After Deductible

Teledoc Behavioral Health CoPay: 20% After Deductible

PHCS Practitioner & Ancillary

MEC/INDEMNITY PLANS

PLAN NAME

Key plan details

plan network

Summary of benefits

americas choice 500

Indemnity Plan

The America's Choice 500 Plan includes the below copays, $0 deductible, and out of pocket maximums as well as 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $0

Annual/lifetime max: $500,000 / $2,500,000

Office / Spec Visit Copay / Urgent Care

Copay: $50 / 10 Visit Max

ER Visit: $250 Copay

Teladoc General Med: $0 Copay

Teladoc Dermatology CoPay: $45

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

americas choice 250

Indemnity Plan

The America's Choice 250 Plan includes the below copays, $0 deductible, and out of pocket maximums as well as 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $0

Annual/lifetime max: $250,000 / $1,250,000

Office / Spec Visit Copay / Urgent Care

Copay: $50 / 10 Visit Max

ER Visit: $250 Copay

Teladoc General Med: $0 Copay

Teladoc Dermatology CoPay: $45

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary

Americas choice 100

Indemnity Plan

The America's Choice 100 Plan includes the below copays, $0 deductible, and out of pocket maximums as well as 24/7 telemedicine, mental health, Wholeistic™ health coaching, fitness benefits, identity protection and much more.

Deductible – Ind/Fam: $0

Annual/lifetime max: $100,000 / $500,000

Office / Spec Visit Copay / Urgent Care

Copay: $50 / 10 Visit Max

ER Visit: $250 Copay

Teladoc General Med: $0 Copay

Teladoc Dermatology CoPay: $45

Teledoc Behavioral Health CoPay: $25

PHCS Practitioner & Ancillary