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$1 Million Annual Max Plan

$5 Million Lifetime Max

Who is the ideal client for our Max Plan?

  • Someone who is healthy
  • Someone who needs a robust yet lower cost plan
  • Someone who likes having more up-front, first dollar coverage
  • Someone who does not need an ACA compliant plan (most states)
  • Someone who does not mind caps or limits due to current health being good
  • Someone who wants to save up to 60% on their current healthcare benefits premiums

Save BIG Money on your healthcare benefits!

OUR MAX PLAN

$1.0 Million / $5.0 Million Plans
$1M/$5M - 250
$250 Individual Deductible 
$500 Family Accumulated Deductible
$1M/$5M - 500
$500 Individual Deductible 
$1,000 Family Accumulated Deductible
$1M/$5M - 750
$750 Individual Deductible 
$1,500 Family Accumulated Deductible
Family Accumulated Deductible:
All charges, for all family members, that are subject to a deductible are combined in the Family Accumulated Deductible.  Once the family, in total, reaches the Family Accumulated Deductible (i.e. $500, $1,000 or $1,500) amount, all family members will have met the deductible for the benefit year.
Important Updates From Our Previous Max Plan Options:
Allergy:
  • Injections:  Limited to 25 injections per benefit year and subject to a $25 copay, after deductible, per injection
  • Visits/Testing: are limited to 4 visits per benefit year.
  • $100 copay per visit after the deductible
Copays:
  • are applied after the deductible has been satisfied
Dependent Children:
  • Eye Exams and Glasses/Contact Lenses are not covered
  • Visual Acuity Screening is covered during Annual Exams
  • Dental Check-ups are not covered
Diabetic Supplies/Equipment:
  • Utilizing DiaThrive is $35/month
  • Non-DiaThrive has a $250 maximum benefit per benefit year, after deductible
Infusion/Injection Drugs and Chemotherapy/Radiation:
  • Maximum annual benefit: $50,000 per benefit year (combined)
Mental Health Hospital Services:
  • Inpatient hospitalizations covered, with a $250 copay after the deductible
  • Outpatient hospital/partial day stays are not covered
Pregnancy/Maternity Benefits:
  • All fees are capped at $15,000 total payable (must be precertified) per plan guidelines, per plan year
  • There are copays and deductibles applied to the delievery itself (hospitalization)
  • Any services outside routine pregnancy related hospital services;other benefit section may apply
Telemedicine:
  • Utilizes the MyLiveDoc platform
  • $0 Copay or Deductible
10 Primary Care / Specialist Visits:
*Annual Wellness Exams are excluded from the 10-visit limitation.
Services provided at a Medical Professional's office (physical/virtual/telephone) is considered a "visit".  This includes, but not limited to:
  • Cardiac Rehab
  • Chiropractic
  • Internal Medicine
  • Mental Health
  • OB/GYN
  • Physical, Speech and Occupational Therapy
  • Primary Care Physicians
  • Urgent Care
Pharmacy Benefits:
Pharmacy benefits are available through the Telemedicine platform: MyLiveDoc.  $0 copay on Generic and Preferred Brand Name Drugs.  MyLiveDoc has over 1,000 drugs available at no cost.  Visit mylivepharmacy.com for a formulary listing.
For a Plan Comparison and Complete Summary of Benefits and Coverage
Includes 2024/2025 Pricing
(Includes our amazing pricing!)
Why you need to enroll!
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