December 29, 2016
AgencyAliera Healthcare has put together the best of two programs: Aliera MEC solution and Unity HealthShare Hospitalization and Surgery Cost sharing. This two part offering provides the most flexible and cost effective program in the market today, while at the same time remaining independent of insurance. Neither program is insurance, yet ACA exemption applies for both individuals and families alike.
AlieraCare
| Coverage | Premium | Plus | Value |
|---|---|---|---|
| Non-AffiliatedPractitioner only | Not Available | Not Available | Not Available |
| Primary Care | 5 PCP Visits | 3 PCP Visits | Preventive Only |
| Urgent Care | 2 Visits | 1 Visit | Not Available |
| Labs & Diagnostics | 100% @PCP % UC | 100% @PCP % UC | 100% @PCP % UC |
| X-Rays | $25 read fee | $25 read fee | Preventive Only |
| Telemedicine | Included | Included | Included |
| Prescription | Rx-Valet | Rx-Valet | Rx-Valet |
| UNITY COST SHARING (HCSM) | |||
|---|---|---|---|
| MSRA* | $5,000 | $7,500 | $10,000 |
| Non-AffiliatedMSRA*Practitioner only | 50% of allowed charges (no cap) | 50% of allowed charges (no cap) | 50% of allowed charges (no cap) |
| Hospitalization | $500,000 per incident | $250,000 per incident | $150,000 per incident |
| In-patient Surgery | 100% After MSRA | 100% After MSRA | 100% After MSRA |
| Out-Patient Surgery | 100% After MSRA | 100% After MSRA | 100% After MSRA |
| Emergency Room | $300 MSRA | $500 MSRA | Not Available |
| Specialty Care | $75 MSRA | Not Available | Not Available |
| Cancer | $500,000 Max | $150,000 Max | Not Available |
| Maternity | $5,000 max. normal delivery; $8,000 max. medically necessary C-section | Not Available | Not Available |
| Annual Maximum Limit | Not Applicable | $500,000 | $250,000 |
| Lifetime Maximum Limit | $1,000,000 | $1,000,000 | $1,000,000 |
| End of Life- Sharing | $10,000 | $2,500 | Not Available |