SelectHealth Med Gold 1000 | 2022 Small Employer Health Plan

SelectHealth plans offer coverage for hospital, medical, preventive care, and surgical expenses incurred as a result of a covered accident or illness. It also offers health plans to small groups, small businesses, small employers, or entrepreneurs.

*plan pricing displayed here is based on 40 yr old male in Salt Lake County with no tobacco use. Pricing will vary based on age, location, and tobacco use. Need 2 employees to enroll in this business health plan.

Below is the list coverages that are covered 100% regardless of deductible

• Annual Wellness Checkup
• Virtual Visits
• Preventive Care and Immunizations
• No-deductibles Office Visits

Below is the list of coverages this health plan offers after the deductible is met

• Primary Care Provider (PCP) (with $30 co-pay)
• Secondary Care Provider (SCP) (with $50 co-pay)
• Urgent Care Services (with a $50 co-pay)
• Inpatient Hospital Services (20% co-insurance)
• Outpatient Services (20% co-insurance)
• Emergency Room (with $350 co-pay)
• Chiropractic 10 visits per year (with $20 co-pay)
• Rx Deductible ($600/$1200)

The SelectHealth Small Employer Plan is a Qualified Health plan and provides essential health benefits outlined by the Affordable Care Act.

These benefits include:

• Ambulatory patient services (outpatient care you get without being admitted to a hospital)
• Emergency services
• Hospitalization (like surgery and overnight stays)
• Pregnancy, maternity, and newborn care (both before and after birth)
• Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
• Prescription drugs
• Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
• Laboratory services
• Preventive and wellness services and chronic disease management
• Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits)

Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state’s requirements.