Healthy Essentials PLUS at Lifestyle Health Plans

HealthyEssentials Plus - MEC

The Lifestyle HealthyEssentials Plus plan is designed to be a minimum essential benefit plan with the addition of primary care office visit coverage. Minimum Essential Coverage Plans are designed to provide 100% coverage for the 64 preventive and wellness services as designated by Centers for Medicare and Medicaid Services (CMS). Employers that employ 50 or more full-time (or full-time equivalent) employees are required as of January 1, 2016 to provide at least a Minimum Essential Coverage group health benefit plan to comply with the Affordable Care Act (ACA).

Key Features:

  • Provides coverage for the 64 preventive and wellness services for Minimum Essential Coverage.
  • Primary Care Physician Coverage with office visit copay.
  • First dollar coverage – no deductibles or co-insurance.
  • No medical underwriting required.
  • No waiting periods.
  • No pre-existing condition limitations.
  • Designed to be integrated alongside a Lifestyle Health Minimum Value Plan (MVP) and buy up plans.

Unlike any other preventive / wellness service plan on the market today, HealthyEssentials Plus plan participants enjoy the following enhanced benefits:

64 Preventive and Wellness Services

Includes 15 covered preventive services for Adults (ages 18 and older), 23 covered preventive services for Women (including pregnant women), and 26 covered services for children. Click here for more information.

Physician Office Visit Coverage

Includes Primary Care Physician Coverage with a $20 office visit copay (Max 6 visits / plan year).

LifestyleMD Telemed Consultations

Access to licensed physicians 24/7/365 via phone or e-mail, available as an integrated benefit at $0 Copay for HealthyEssentials plan participants.

Employee Discount Portal

Integrated into our HealthyEssentials program is access to DirectHealth Mall, a unique employee discount program designed to save plan participants money.

PPO Network Discounts

Through our PPO network partnerships, HealthyEssentials plan participants have access to network discounts on major medical services.

The information outlined above provides the general plan of benefits designed into the HealthyEssentials Plus MEC plan offering. Detailed descriptions, eligible expenses, and exclusions are described in the Summary Plan Description. 

1.

Select Your Plans

Select plans that meet your company's needs.

  • 16 Standard Plans
  • MEC, MVP and Buy Up
  • Dental and Vision Plans

2.

Be Healthy

Personalize program and activities for your group.

  • Assess Health Risks
  • Personalized Program of Healthy Actions

3.

Get Rewarded

Enjoy a lower deductible, reward perks, the works!

  • Deductible Credits
  • Credit Match Program
  • Bonus Buck Incentives