SelectHealth Med Gold 500 | 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.
Health Plan Features
Below is the list coverages that are covered 100% regardless of deductible
Annual Wellness Checkup
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 (30% co-insurance)
Outpatient Services (30% co-insurance)
Emergency Room (with $350 co-pay)
Chiropractic 10 visits per year (with $20 co-pay)
Rx Deductible ($50/$150)
Qualified Health Plan
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)
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)
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)
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.