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Published byCameron Carson Modified over 9 years ago
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Welcome!
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Who is IAC? Established 1978 Member of the IHC Group since 2006 Specializing in the development, marketing and administration of fully insured health plans Leader in forward-thinking plan designs Reliable claims payment history www.iacusa.com
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$1.3 billion in assets 1 million customers Three carriers rated “A-” (Excellent) by A.M. Best NYSE: IHC More than 25 years of life, health and stop-loss insurance experience www.ihcgroup.com
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New Generations Portfolio Overview Insured by Standard Security Life Rated A- Excellent by A.M. Best
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Offering the coverage you deserve. Variety of plans Affordable, flexible plan options Choice of prescription drug benefits $1 million calendar year and $5 million lifetime maximums More than 70 PPO networks
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Deluxe Plan $40 office visit copay Deductibles range from $1,000 to $25,000 50%, 70% or 80% coinsurance Out-of-pocket maximum ranges from $2,000 to $10,000 For individuals looking for traditional, comprehensive coverage
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Advantage Plan $40 office visit copay Deductibles range from $1,000 to $25,000 80% coinsurance Two separate out-of-pocket maximums $3,000 for medical services and supplies $6,000 for surgery and hospitalization An affordable alternative to the Deluxe Plan that offers lower premiums without sacrificing benefits Save 38%
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Premier Plan $40 office visit copay $4,000 or 8,000 out-of-pocket maximum $250, $500 or $1,000 daily deductible 100% coinsurance after the daily deductible is met! A smart health plan designed to keep premiums low without exposing clients to high deductibles Save 18 - 50%
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Copay Plan $500 or $1,000 deductible Once the in-network deductible is met, all covered services are covered by copays $4,000 or $8,000 out-of-pocket maximum Inpatient surgical services and confinement copay of $500 is per day, and is the only copay that applies to the out-of-pocket maximum An affordable plan for clients that prefer the predictability of copays Save 10 - 20%
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Value Plan Deductibles range from $2,500 to $25,000 80% coinsurance $6,000 out-of-pocket maximum Peace-of-mind coverage with maximum affordability
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Value Plan Maximum limitations on some services: $40 office visit copay, limit 2 visits per year $40 Dx lab or x-ray copay, limit 2 per year $20,000 calendar-year maximum for outpatient surgery $500 calendar-year maximum for outpatient diagnostic imaging Mental/nervous/chemical dependency benefits Chiropractic care Ambulance Peace-of-mind coverage with maximum affordability Save 52%
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High Deductible Health Plan Individual deductibles range from $1,800 to $5,250 Family deductibles range from $3,600 to $10,500 Coinsurance options of 100% or 80% Out-of-pocket max for the 80% coinsurance option is $5,250 individual, $10,500 family A consumer-directed health plan that offers the opportunity to invest in a health savings account (HSA) Save 22 - 50%
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The Individual Can Choose An HSA With IAC’s Vendor OR Can Choose Their Own HSA Provider. American Health Value is IAC’s HSA provider. Learn more about them at www.americanhealthvalue.com
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You Choose an affordable prescription drug option! Option 1Option 2Option 3 Discount drug programRx applies to deductible and coinsurance Generic: $30 copay Formulary, non- formulary and specialty drugs available with discount card Option 4Option 5Option 6 Generic: $30 copay Formulary, non-formulary and specialty drugs subject to the deductible and coinsurance Generic: $30 copay $500 Rx ded. Formulary: $50 Non-formulary: $75 Specialty: $100 Generic: $30 copay $1,000 Rx ded. Formulary: $50 Non-formulary: $75 Specialty: $100
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When should plan participants use TelaDoc? When the primary care physician is not available For non-emergency medical issues, questions or concerns Prescription refills Short-term, limited refills only No DEA-controlled substances When the participant is traveling and needs medical care TelaDoc is a convenient and economical way for participants to receive routine medical care.
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Preventive care is included with every IAC Health Plan 100% coverage, not subject to deductible & coinsurance: Routine cervical cytological screening (Pap) Mammography Subject to deductible & coinsurance: Prostate and colorectal cancer screening Child-wellness screening
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Improve access to preventive care with an optional wellness benefit. 100% benefit up to $250 or $500 Per insured per calendar year at in-network providers No waiting period! Includes: Routine physical exams and diagnostic testing Well-child screening Prostate cancer screening Colorectal cancer screening Flu shots
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IAC Personal Health Plans cover more than just the basics. Optum ® 24-Hour NurseLine Wellsource ® Personal Wellness Profile ™ Access to the ASH Network ™ of naturopaths, dieticians, chiropractors and alternative health providers LabOne Select ® MyHealthCompass.com ®
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Extend coverage with our optional benefits. Secure DentalOne EyeMed Vision Care Supplemental accident coverage Life insurance 24-hour occupational coverage 18-month rate guarantee
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You have 24/7 online access to your health plan. View claim payment status View EOBs Request a new ID card Request certificate of creditable coverage Submit name changes Links to value-added health plan services
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Questions?
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Let’s See if you Qualify Open Quote EZ Desktop Software now
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