Better Benefits as We Work Together

Our employees are critical to our success.  We want to offer health benefits that cover your health triangle.  

Our plan now has tools that will help to ensure you are getting the care you need at the doctors you choose at fair rates.  

 Good Health Benefits Are as Simple as Buckets

HOW WE KEEP $$$ IN YOUR CLAIMS FUND….



Each month, dollars go into your company claims fund bucket. When medical events happen, dollars leave the bucket.

 

The better we are at not allowing health insurance to overcharge for our medical needs, the more dollars that stay in the buckets. Rates stabilize.

 

More dollars can stay with you, our valued employees via lower premiums or more HSA dollars.

1. Use Your Same Preferred Doctors & Facilities (Open Access Plans)

2. Save Significant Dollars with HCap’s Mack and Care Coordination

3. Keep Dollars and Grow Your Health Savings Accounts

4. Keep Lower Premium Rates Year to Year

"OPEN ACCESS PLANS" REPLACE EXPENSIVE NETWORK PLANS

Rather than being steered to care via expensive networks, all providers, and all hospitals are options for your care. 

MEET MACK! OUR PERSONALIZED AI TOOL

Mack, our AI tool, empowers you with options for the care you need. (see below for more details.)

CARE COORDINATING SAVES YOU BIG $$$

A simple phone call to Care Coordination, puts them to work for you to ensure you are paying the fair price for your healthcare. Care Coordinating lets you take advantage of provider self-pay rates as well as providing you the funds to pay in advance using your company's claims funds. (see below for more details).

COMPETITION IN HEALTH CARE

Without network constraints and because of Mack, you are empowered with information of all of the potential avenues to get the care you need. MRI's and Prescriptions to Stiches and Maternity are now shoppable, benefiting you and your company's claims fund. Innovative, less expensive options for care are available, and Mack will assist you in finding them! (see below for more details).

Built-In Care Navigation

Meet Mack! – Your AI Health Plan Assistant

There’s a Smarter Way to Navigate Healthcare

HCap’s AI healthcare assistant, Mack, helps you get the right care, at the right time, from the provider or facility you choose—while helping reduce financial stress and improve your healthcare experience.Mack can also help you find cost-effective care options in your area and guide you through the process. It’s as simple as making a phone call and using this included service to help coordinate your care.

And Mack can even help you choose the HCap plan that best fits your needs for the year ahead.

Examples of Innovative Options That You Now Can Use with Mack!

Urgent Care

Diabetic Supplies

Imaging

Prescription/Rx

Mental Health

Care Coordination

Call Mack Before You Get Care To Learn About Care Coordination!

You choose the doctor. You choose the facility. We help you get a better price.  Care Coordination gives you access to Self-Pay Rates, helping you avoid unnecessarily high healthcare costs and potentially saving you and your Claims Fund significant money. Copay Plan? We can provide a debit card to pay your provider upfront at the Self-Pay Rate.                  HSA Plan?— simply ask for the Self-Pay Rate, that you want to pay today and pay the provider with your HSA Card.

Same care. Your choice. A better price.

Use Care Coordination to save thousands of dollars and you are guaranteed not to have a balance bill.

Chose your Plan

Comprehensive Combo Plans

Rates for 65 years + available upon request

Included Mental Health

Confidential access to licensed therapists and counselors via virtual sessions. 
12 Included Sessions for each person covered in your household.  Covers anxiety, depression, stress management, grief, relationship concerns, & more. Includes digital self-care tools for mindfulness & emotional wellness between sessions.

Care+ Series Most Like Traditional Options

Care + Plans (Copay and HSA)

Similar to other insurance offerings that tend to have a higher premium,  a deductible, and a potential for either an HSA or a Copay Plan.  These plans have the best Rx Coverage of all offered plans.  All preventive is 100% covered.  Open Access Plans, so no network restrictions and guaranteed no balance bill if you use Care Coordination. 

The more expensive option but may be the best option if needing the best Rx coverage and want a plan that works like a more traditional plan.   

Rates Shown are Illustrative Only.  Actual Care+ rates require company employee underwriting and will likely be less than shown depending on number of employees enrolled and their specific health needs.

Powerful & Helpful Rx Coverage

Questions about costs of specific prescriptions? Click Below

Voluntary Add-Ons to Any Plans

3 Great Virtual Services Bundled at One Low Monthly Rate

Employee Only – $31/mo   Employee + Spouse/Children/Family – $57/mo

Psychiatry (Rx Scripts)

 Connect with board-certified psychiatrists for evaluation, diagnosis, and treatment quickly, discreetly, and from anywhere in the U.S.  Services include psychiatric evaluations and medication management covering anxiety, depression, ADHD, PTSD, bipolar disorder, OCD and more.  Typically available within 15 days for non urgent needs.

Weight Health

Comprehensive weight management support including nutrition counseling, personalized meal planning, physician-prescribed medications and fitness coaching w/ FitOn Access. Reach and maintain healthy weight goals with ongoing provider support.  Can be tailored to one individual or the entire family.

Dermatology

Accessing a dermatologist shouldn’t take months, require a referral, nor demand time off work. You get fast, direct access to board-certified dermatologists from anywhere in the U.S.  Appointments typically available under 15 days, covering acne, eczema, psoriasis, rosacea, hair loss, suspicious moles and more.

NOW THAT YOU’RE ENROLLED…

It’s time to make the most of your Health & Wellness Benefits! Below, Explore the tools, resources, and easy info available to help you take charge of YOUR health and well-being.

Health Savings Accounts = Tax Savings Accounts

Your plan may include a Health Savings Account.  Contributions can be made to this account per the chart below.  Some contributions may be included in your health plan.  Some contributions may be included due to your healthy behaviors through Doable Wellness.  You can take full advantage of your HSA by adding additional contributions per the limits below.  All HSA Contributions are tax free and can be used for any qualified medical expenses (click below).

Health Equity Bank Contact Info

Member Services 1 (866) 346-5800 or www.healthequity.com