Benefit Upgrade Booklet Final
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AMERICAS #1 HEALTHCARE BRIDGE PLAN<br />
OFFERING AFFORDABLE EMPLOYEE HEALTH OPTIONS<br />
PHYSICIANS | PRESCRIPTION RX | DENTAL<br />
| & MORE
WE ARE COMMITTED TO PROVIDING<br />
PROFESSIONAL HEALTHCARE OPTIONS THAT DIRECTLY<br />
IMPROVE YOUR EMPLOYEES DAY TO DAY MEDICAL ACCESS.<br />
Services to help Businesses retain valuable employees through affordable comp plan integration<br />
Over the past 3 years we have seen a drastic change within the HealthCare insurance industry and<br />
how it relates to businesses just like yours. Owners and CFOs alike have expressed concern over<br />
rising costs of health insurance premiums along with the ACA/ObamaCare mandates being forced<br />
on them during a struggling economy. Companies are being forced to take alternative actions to<br />
mitigate these rising costs such as moving their employees to part time and dropping all healthcare<br />
options they offer.<br />
We are finding that when companies are receiving ACA / ObamaCare insurance quotes for their<br />
employees, they are seeing an average 14% increase in premium cost every year. At that point what<br />
does the company that employs workers within the 10K-25K per year sector do? Most companies<br />
cannot afford to spend an additional 4-5K per year on an ACA insurance plan for each one of those<br />
employees…so what are the options?<br />
We have the answer! <br />
“We measure our performance according to the impact that<br />
we have in driving your employee retention forward.”
Affordable Bridge Program<br />
$30.00 per month/employee.<br />
$60.00 include employees spouse<br />
+$5/$10 include 3/6 dependents<br />
enrollment subject to $20<br />
enrollment fee per employee<br />
monthly / annual options available<br />
Monthly Product Services<br />
24 Hour Access to Physicians by phone at no cost<br />
Prescription Rx / 60K pharmacies nationwide<br />
Aetna Dental Network Access<br />
Vision /Lasik<br />
Hearing services<br />
Labs / Blood & Diagnostics<br />
Specialty Radiology CT/ PET / MRI & more.<br />
Chiropractic<br />
Diabetic supplies & management<br />
Participation Options<br />
You will have the option of what amount of the <strong>Benefit</strong> <strong>Upgrade</strong> cost<br />
you would like to cover when offering this plan to your employees. You<br />
can pay for the entire amount or a portion of the cost associated. You<br />
will also have the option to cover the employees dependents at a rate of<br />
$5 more for up to 3 dependents or $30 more per month to cover a spouse.<br />
Employer Responsibility<br />
Unlike traditional insurance plans, when your employee leaves the<br />
company their plan will discontinue. They can choose to purchase it<br />
again on their own if they would like. You have no responsibility to<br />
continue providing the plan once the employee leaves the company.
SERVICES<br />
• 24 Hour access to Physicians by phone at no cost<br />
• Prescription Rx - 60K locations - All major pharmacies<br />
DUIS AUTEM VEL EUM IRIURE DOLOR IN<br />
• Aetna Dental Network Access - 158K locations<br />
HENDRERIT IN VULPUTATE VELIT ESSE.<br />
• Vision & Lasik - 40K locations<br />
• Labs & Diagnostic Imaging<br />
• Specialty Radiology - MRI / CT / PET scan & more<br />
• Chiropractic<br />
• hearing<br />
• & much more<br />
did you know that each year…<br />
• 43% of americans don't go to the doctor because of cost<br />
• 28% do not fill their prescriptions due to high prices<br />
• 1 out of every 5 people go without dental help when needed<br />
most people do not realize how profoundly large these numbers<br />
are. the fact that millions of people, many within americas<br />
workforce forego the help they need simply because they<br />
cannot afford to.<br />
how many of your employees do you feel are affected by these<br />
numbers and do you think they would benefit from this plan?
“<br />
Support for you and<br />
your Employees<br />
through knowledge,<br />
commitment, and<br />
unmatched service<br />
”<br />
<strong>Final</strong>ly, an affordable bridge program you can stand<br />
behind…because every employee deserves care & support<br />
with their daily needs.<br />
POSTNATAL CARE<br />
“<br />
it is said that a company is only as<br />
”<br />
great as the people who value it<br />
the most
Chiropractic<br />
With the ChooseHealthy program<br />
you will have access to over 31,000<br />
credentialed practitioners to assist<br />
in all of your chiropractic needs.<br />
members receive a standard 25%<br />
reduced rate on all services<br />
provided from participating<br />
providers.<br />
5432 Any Street West, Townsville, State 54321<br />
in addition all members receive<br />
555.543.5432 phone | 555.543.5433 fax<br />
additional savings on all<br />
supplements, vitamins, homeopathic<br />
treatments, and much more.<br />
Vision & Lasik<br />
Members save off retail price<br />
through the superior savings<br />
discount plan. save on everything<br />
from exams, eyeglasses, contact<br />
lenses, and LASIK services. With over<br />
40,000 locations nationwide,<br />
purchasing single vision lenses will<br />
cost you only $40 on average now.<br />
This is a sought after and highly<br />
valued part of the benefit upgrade<br />
plan. this product offers unlimited<br />
usage with zero restrictions.<br />
Hearing<br />
Hearing Loss is the 3rd most<br />
common Health problem affecting<br />
americans today. Members receive<br />
30-60% off their hearing aid<br />
purchase in addition to the<br />
following services at no additional<br />
charge:<br />
Routine Hearing test<br />
One year supply of Batteries<br />
3 year warranty - loss/damage<br />
6 follow up visits<br />
Diabetic Care/DME<br />
Through the Better Living Now<br />
program, members receive an average<br />
20-40% specialty savings on<br />
everything from durable medical<br />
Equipment and Supplies.<br />
This program offers easy access to<br />
state of the art products that ship<br />
directly to your door for little to<br />
no cost for shipping. quit paying<br />
retail for your medical equipment<br />
and take advantage of these savings.
Individual HealthCare Options<br />
24 Hour access to doctors by phone with<br />
zero out of pocket cost per consult<br />
Access to board certified physicians 24 hours a day / 365 days a year. If you or<br />
anyone in the family has the flu/cold/pink eye/etc you simply call the doctor,<br />
give them your symptoms, they will diagnose you and send a prescription to<br />
your local 24 hr pharmacy. unlimited usage all at zero cost per visit.<br />
Dental by Aetna<br />
Did you know that 1 out of every 5<br />
people go without receiving the<br />
dental work they need due to cost?<br />
with 158K locations they will have<br />
access to the help they need.<br />
Average cost with your <strong>Benefit</strong><br />
<strong>Upgrade</strong> Membership:<br />
Prescription Rx<br />
The Prescription Rx part of this<br />
card will save you up to 65% at over<br />
160K locations nationwide along<br />
with our 90 day mail order program.<br />
Here are a few examples of common<br />
medications we found through our<br />
drug pricing website option:<br />
Periodic Oral Exam: $32<br />
Exam with full tooth filling: $92<br />
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X-rays/Bitewings/Four films: $38<br />
Sealant: $32<br />
Lisinopril 5mg: $7.59<br />
ATORVASTATIn 10mg: $10.81<br />
AMLODIPINE 5mg: $6.92<br />
SIMVASTATIN 10mg: $8.70<br />
AMOXICILLIN 250mg: $8.93<br />
Radiology & Imaging<br />
Members save 50%-75% off all services<br />
including but not limited to: MRIs,<br />
CTs, Ultrasounds, Myelograms,<br />
Arthrograms, PET scans, and much<br />
more. Over 3000 centers nationwide.<br />
We have clients that have insurance<br />
use this because their insurance plan<br />
requires you to meet your deductible<br />
before any benefits are given for<br />
radiology. This plan can help!<br />
Lab & Diagnostic Testing<br />
DLS offers a wide variety of<br />
important health and wellness blood<br />
tests at discounted prices, saving<br />
members 10%-80% of regular retail<br />
pricing at over 3000 certified labs<br />
nationwide.<br />
Enjoy privileged rates on everything<br />
from a single blood test to a<br />
comprehensive wellness screening.
Frequently Asked Questions<br />
Commonly asked questions from<br />
business owners<br />
Q: Is there an open enrollment period?<br />
A: No. You have the ability to enroll at any time as long as your state<br />
is actively accepting new business applications. We close out each<br />
state when 600 businesses have enrolled. We do this so that each<br />
business has our 100% support and attention through the initial<br />
process.<br />
Q: Is this an ACA Insurance plan?<br />
A: No this is not an A typical Insurance plan. This is a Discount<br />
Medical Provider Organization. Meaning all services within this<br />
product offer specialty contracted rates for services. The reduced<br />
rate is given at the time the employee is at the participating provider.<br />
Q: What type of Company is this product good for?<br />
A: This plan is perfect for the company that either does not offer any<br />
HealthCare options or will be dropping their current plans due to<br />
the increase in premiums and lack of budget.<br />
Q: Can I expect to see an increase in monthly plan cost ?<br />
A: We typically see increases of 5-6% every 24 months due to economic<br />
inflation. The plan pricing is guaranteed at the rate you purchased<br />
for the first 18 months, regardless of an increase during the middle<br />
of your term.
Monthly Payment Option<br />
When choosing the monthly plan the business is responsible for 1. the employees monthly plan along with 2. The employee<br />
enrollment fees<br />
Example: 150 Employees<br />
Month 1 Plan Membership cost: $4,500 ( based on all individual plans )<br />
Enrollment Fees : $3,000<br />
Total Month 1: $7,500<br />
Each Month Thereafter: $4,500<br />
Total Yearly Cost: $57,000<br />
Yearly Payment Option<br />
If you choose to pay for the memberships up front you will be receiving two additional benefits. 1. Your employees enrollment fee<br />
will be waived. 2. You will receive one months membership fees free. This is based on a<br />
1 year agreement.<br />
If you have employees that leave and are replaced, the new employee will have their <strong>Benefit</strong> <strong>Upgrade</strong> plan starting the 1st of the<br />
month and the old employees plan will terminate. If you grow in size, your additional plans will be month to month until your fiscal<br />
year renewal where they can be added. If your company shrinks in size, the company will credit you dollar for dollar when you<br />
renew your annual agreement.<br />
Example: 150 Employees<br />
Yearly Plan Memberships cost: $54,000 ( based on all individual plans )<br />
Enrollment Fees : $0.00 (waived)<br />
Yearly Agreement Discount: -$4,500 (one month all membership dues )<br />
Total yearly paid up front: $49,500<br />
YEARLY TOTAL FOR 150 EMPLOYEES<br />
PAID MONTHLY: $57,000<br />
YEARLY TOTAL FOR 150 EMPLOYEES<br />
PAID ANNUALLY: $49,500<br />
Participation Options<br />
You will have the option of what amount of the <strong>Benefit</strong> <strong>Upgrade</strong> cost you would like to cover when offering this plan to your<br />
employees. You can pay for the entire amount or a portion of the cost associated. You will also have the option to cover the<br />
employees dependents at a rate of $5 more for up to 3 dependents or $30 more per month to cover a spouse.<br />
Employer Responsibility<br />
Unlike traditional insurance plans, when your employee leaves the company their plan will discontinue. They can choose to purchase<br />
it again on their own if they would like. You have no responsibility to continue providing the plan once the employee leaves the<br />
company.
Why offering this plan could mean<br />
more to your employees than you think…<br />
We would like to take a minute and share a story with you about a<br />
woman who wrote us about her experience with the <strong>Benefit</strong> <strong>Upgrade</strong><br />
Plan. Please take a moment to read below in hopes that it will help you<br />
understand how this plan assists people who cannot afford typical<br />
insurance coverage.<br />
Hi,<br />
My name is Sheryl. I wanted to write your company to express how happy<br />
I am about your benefit upgrade program. About a month ago my sister told<br />
me about a plan that she had purchased as I was discussing a dental issue<br />
that I was having with my daughter. My oldest needed two wisdom teeth<br />
pulled and a tooth capped and we had been putting off having it done<br />
because we did not have health / Dental insurance. We tried temporary<br />
fixes and had been saving up and still could not afford the procedure. The<br />
money just was not there.<br />
After finding out about the plan and how Aetna discount dental is included<br />
we contacted our dentist and the contracted discount rate took hundreds off<br />
the price and allowed us be able to afford to have the procedure done. I<br />
started using the prescription benefits also and it is saving me almost $100<br />
out of pocket each month. I wanted to just say how wonderful this service<br />
has been. you guys truly are a lifesavor :)<br />
Sheryl, FL<br />
Now let me ask you, do you think you have<br />
someone like Sheryl working for you?
A letter from the owner<br />
I wanted to take a moment to share the story of how the benefit<br />
upgrade program was conceptualized and brought to life. For years<br />
our insurance firm heard the same frustrations from individuals,<br />
along with small and large businesses. We consistently ran into the<br />
same issue with companies who wanted to offer their employees a health<br />
benefit plan but could not afford a standard major medical policy.<br />
So we sat back and asked ourselves if there was a way to create a bridge<br />
plan that assisted employees with their day to day needs while<br />
maintaining a level of affordability for the business owner? Could we<br />
combine benefits that offered Rx, doctors, dental, and more for a price<br />
between $30-$90 per household? The answer was YES. After 2 years of<br />
working with the office of insurance regulation, along with<br />
nationwide companies like Aetna, we created a plan unlike anything on<br />
the market.<br />
I feel honored to have been part of this collaboration, We have created<br />
something very special and look forward to the future growth and<br />
success of this product we have worked so tirelessly on.<br />
John T. Jack<br />
Owner/CEO<br />
Life is short.<br />
Build things<br />
that matter
www.<strong>Benefit</strong><strong>Upgrade</strong>.com