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employee benefit programs
 employer health benefits
health benefits peo

Medical Expense / Hospital Indemnity Reimbursement Plan Through PML

This coverage is designed to help participants offset the cost of their healthcare costs. Some of the benefits include first dollar coverage, no deductibles, and no coinsurance. In addition, there are no pre-existing condition limitations and maternity coverage is included. However, this coverage is limited. It is not intended to be construed as major medical coverage.



Premier Basic
Medical Benefits Reimbursable Amount Reimbursable Amount
Office Visit $60/ visit up to $360/ year $50/ visit up to $300/ year
Diagnostic / Lab / X-Ray $60/ visit up to $300/ year $30/ visit up to $300/ year
Wellness Care $150/ visit up to $150/ year $50/ visit up to $150/ year
Hospital Confinement $800/ day; $500 day max $100/ day; $500 day max
Intensive Care $1,600/ day first 30 days
$800/ day thereafter		 $200/ day first 30 days
$100/ day thereafter
Emergency Room $75/ visit up to $300/ year $75/ visit up to $300/ year
Accident $2,500/ occurrence $500/ occurrence
Substance Abuse Care $400/ day up to 30 days/ year $50/ day up to 30 days/ year
Mental Health Care $400/ day up to $5,000/ year $50/ day up to $5,000/ year
Surgical Benefits $1,000/ year N/A
Skilled Nursing Facility $350/ day up to 60 days/ stay $50/ day up to 60 days/ stay


Prescription Drug Benefits By MemberHealth Inc.

Preferred Generic Drugs $5 for a typical 30 day supply up to $400/ month or $4,800/ year
Preferred Brand Name Drugs Discounts averaging 19% off the wholesale price
Non-Preferred Generic & Brand Name Drugs Discounts averaging 19% off the wholesale price


Life and Accidental Death and Dismemberment

Employee $5,000 Life / AD&D (Amounts reduce by 35% at age 65 and by an additional 35% each 5 year period thereafter.
Spouse $2,500 Life Only


Generic Drug Card - Stand Alone Rx Benefit

* $5 for each 30 day supply of generic prescriptions
* $15 for a 90 day supply of generic prescriptions through mail order
* Discounts for preferred and non-preferred brand name and generics
* $20 for a 30 day supply of bran name oral contraceptives
* $400 monthly max / $4,800 annual max
* Participants will receive a Preferred Drug List or Formulary

Other Covered Prescription Items:

Acne drugs (i.e. Retin-A) - Allergens - Anabolic Steroids - Androgens - Anorexiants - Antiemetics - Antineoplastics - Antivirals, Antiretrovirals, Antiinfectives (i.e. Amebicides, Anthelminthics) - Antimalarials Antiprotozoals, - Antituberculosis drugs and Leprostatics. - Atypical Antipsychotics - Blood and Blood Plasma - Compound Drug - Cosmetic Agents - Diagnostic Agents, reagents - Drugs used to treat substance abuse (i.e. Revia, Antabuse) - Aricept - Brand Name anti-Parkinson (i.e. Mirapex, Permax, Requip) - Fertility/Infertility agents - Growth Hormone - Hair growth stimulants (i.e. Propecia) - Immunosuppressive Agents - Impotence Agents - Injectables - Insulin and Diabetic Supplies - Minerals and Electrolytes - Non-Legend Drugs - Nutritional Supplements and Vitamins - Oral Antifungals - Hemophiliac factors - Smoking Cessation products - Topical Fluoride preparations - Biologicals (including allergy tests) - Migraine preps (i.e. triptans) - Brand Name NSAIDS (including Cox-II) - Brand Name sleep agents (i.e. Ambien, Sonata)


PEO Company


 health, benefits, employee, leasing, peo, employee leasing
 health, benefits, employee, leasing, peo, employee leasing
Select A Benefit Below For More Information

Medical Plan Overview   

Flexible Blue High Deductible Health Plan   

Health Savings Account   

PPO Options   

Emergency Care   

Prescription Benefits   

Medical Expense / Hospital Indemnity Plan   

Dental Benefits   

Vision Benefits   

Life & Short Term Disability   

401K   

Women's Health & Cancer Rights Act   

Benefit Summaries   

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