Popular Articles

  1. What Are My Covered Benefits?

    While your coverage depends on the plan you choose, certain things are always covered on plans sold on the Marketplace: Doctors visits, including well woman visits, care when you’re sick, and checkups to stay healthy. Emergency room trips. Hos...
  2. Am I eligible for original Medicare?

    You're eligible for Original Medicare, or Part A and Part B, if you: Are 65 or older. Are disabled. Eligible after 24 months on disability. Have end-stage renal disease. Am I eligible for Medicare Advantage? What if I'm still covered at wo...
  3. What is a Balance Plan?

    Balance plans are level-funded plans, which means your costs will never exceed a predetermined amount. This allows you to budget effectively. Balance plans also combine our experienced staff and administration for traditional Self-Funded plans wit...
  4. What is the Part D late enrollment penalty?

    The Part D late enrollment penalty is a an amount added to your Part D monthly premium because you didn't sign up for drug coverage when it was available to you. If you go without a Part D plan or a Medicare Advantage plan with drug coverage for 6...
  5. What do I pay for Medicare Part D?

    For a Medicare Part D plan, you'll pay: A set monthly premium. A Part D deductible (if applicable). Copayments or coinsurance for your drug costs. All your other Medicare or Medicare Supplement costs. Medicare Part C plans may include Medicare...
  6. What is Medicare Part B?

    Medicare Part B is also called medical insurance, and it covers certain care from doctors, outpatient care, medical supplies and preventive care. Services like flu shots. Clinical research. Ambulances. Durable medical equipment. Mental healthc...
  7. What is a Self-Funded Plan?

    With a S elf-Funded plan , you keep the risks and rewards of paying for your employees' healthcare. In comparison, F ully-Insured plans pass the risk and rewards on to the insurance company in exchange for a fixed premium. Save Money Companie...
  8. How do I change or terminate my plan?

    If you wish to  terminate  your plan,  please contact customer service using the phone number  on your ID card.  Different plan types have different termination  procedures,  and our customer service team can  assist  you with  terminati...
  9. FAQ's

  10. What is a Biosimilar?

    A biosimilar is a highly similar product to the original biologic medication already approved by the Food and Drug Administration (FDA). Biosimilars are made with the same types of natural products and administered in similar ways. Biosimilars have ...