Wellness benefits are typically covered in full by a Qualified Health Plan under the Affordable Care Act or through Medicare programs. This benefit provides a cash benefit to you for receiving routine wellness care even when your major medical plan pays for physician’s charges. The wellness benefit does not have a provider network, so you may see any doctor for your wellness care – even someone outside of your major medical plans provider network.
Benefit pays a daily amount selected at enrollment for a covered person associated with wellness visits and diagnostic testing as defined in the policy certificate.
One Simple, Very Important Health Insurance Phrase People Don’t Know About
What are metal plans? The Affordable Care Act (ACA) introduced “metal plans”—Bronze, Silver, Gold, and Platinum—to help consumers compare coverage options based on the level of cost-sharing they offer. Each plan covers a set percentage, meaning policyholders are responsible for paying a portion of all healthcare costs out-of-pocket. Understanding the cost balance and the annual […]
6 Nov, 2024
How Supplemental Insurance Can Complement ACA Plans
FlexBenefits supplemental insurance products are designed to go hand-in-hand with Affordable Care Act (ACA) plans FlexBenefits works by providing additional financial protections for individuals who may still face significant out-of-pocket medical expenses. Although ACA plans offer essential health benefits and protect against major medical costs, there are still upfront high deductibles, copays, and coinsurance, which […]
25 Oct, 2024
Why FlexBenefits?
By Brian Dow, President When asked why we created FlexBenefits, the answer is clear: to address the growing burden of out-of-pocket expenses faced by many individuals in various health plans. This issue is not limited to the individual ACA market but extends to the Medicare Advantage market and the small group markets. Deductibles continue to […]
15 Aug, 2024