MINIMUM ESSENTIAL COVERAGE & HOSPITAL INDEMNITY PLANS - Transamerica
Taking care of your health starts by having coverage you know you can count on when you need it most. Whether you are looking for a plan that covers routine essential care and satisfies the Affordable Care Act (Obamacare) mandate or you need coverage for hospital stays or surgery, we have several options available to meet your needs.
Minimum Essential Coverage (MEC) Plan
This plan covers 100% of routine preventive services as defined by CMS under the Affordable Care Act, as long as you use an in-network provider. Click the link below to find a FirstHealth network provider in your area www.firsthealthlbp.com
Learn more about the preventive services covered under the plan List of covered preventive services
Hospital Indemnity Plans
There are three hospital indemnity plans for you to choose from all from TransChoice, administered by The Boon Group. The amounts shown in the chart represent the fixed amounts the plan pays for services based on a fee schedule. Enrolling in one of the hospital indemnity plans alone does not meet the minimum essential coverage requirement according to the Affordable Care Act (ACA).
Depending on the plan you select, you may be able to receive additional benefits
Cost of the Plan Options
MEC- First Health network of providers
MEC- List of covered preventive services
Hospital Indemnity - Caremark prescription drug discount program
Hospital Indemnity - Transamerica
Important: This program allows employees to deduct premiums from their paychecks on a pre-tax basis. This will reduce your taxable income and help you save on FICA, federal, state, and local taxes. The pre-tax deductions apply to all coverages. By enrolling in these coverages you must maintain your coverage for the entire plan year unless you have a qualifying event: marriage, divorce, birth of child, death of dependent, etc.
There are three hospital indemnity plans for you to choose from all from TransChoice, administered by The Boon Group. The amounts shown in the chart represent the fixed amounts the plan pays for services based on a fee schedule. Enrolling in one of the hospital indemnity plans alone does not meet the minimum essential coverage requirement according to the Affordable Care Act (ACA).
MEC- First Health network of providers
MEC- List of covered preventive services
Hospital Indemnity - Caremark prescription drug discount program
Hospital Indemnity - Transamerica
Important: This program allows employees to deduct premiums from their paychecks on a pre-tax basis. This will reduce your taxable income and help you save on FICA, federal, state, and local taxes. The pre-tax deductions apply to all coverages. By enrolling in these coverages you must maintain your coverage for the entire plan year unless you have a qualifying event: marriage, divorce, birth of child, death of dependent, etc.
Summary Plan Descriptions govern the benefit plans. Any information outlined on this website or any documents found on this site are for informational purposes and will not govern the plan.