AFFORDABLE HEALTHCARE SOLUTIONS 
 



Your association's solution to the high cost of healthcare!

  • We simplify what has become so complex
  • A high-end, affordable healthcare solution 
  • Help your members meet ACA regulations
  • Less than 1/2 US Small Businesses offer Healthcare
  • Choice of affordable healthcare options
  • Four (4) Year “Rate Lock” - Rate stability in a very unstable market
  • Cost sharing plans for significant and catastrophic health expenses
  • Lower healthcare costs by as much as 60%

Participants choose either the Basic MEC Plan (HDHP) or the Advantage Plan and then pair it with the Cost Sharing Plan that best fits their needs and age.

ACA Compliant packages that include 100% coverage for all 18 preventative services for adults, 26 services for women, and 27 services for children.  Two Preventative Care Plan options and a Medical Cost Sharing Program that cover:

Preventative Care Primary & Specialists Laboratory & Imaging Prescription Drugs
Urgent Care Catastrophic Costs Hospital Expenses Telemedicine


The CAI Healthcare Program is Affordable, Accessible, and Effective!

 

 

CHOOSE THE APEX ADVANTAGE PROGRAM + MEDICAL COST SHARING

Apex Advantage provides 100% coverage for preventive care, copayments for small and medium cost medical expenses, and prescription coverage.

View 2018 Rate Sheets for Apex Advantage + Medical Cost Sharing

Preventative Care:
21 Preventive Care services for Adults
28 Preventive Care services for Women
31 Preventive Care Services for Children

Copayments for additional services:
Primary Care: $20 Copay max 3 visits per calendar year
Specialists Copay: $50 Copay, max 3 visits per calendar year
Urgent Care: $50 Copay, max 3 visits per calendar year
Lab and Imaging: $50 Copay (By Date of Service), max, 5 services per calendar year
*CT Scan or MRI: $200 Copay, max 1 service per calendar year

 Prescription Coverages:
Tier 1: Low Cost Generic: $1 Copay
Tier 2: Generic: 10% Coinsurance
Tier 3: Preferred Brand: 20% Coinsurance
Tier 4: Non-Preferred Brand: 40% Coinsurance
Tier 5: Preferred Specialty, Generic and Brand: Plan pays 90% to a max benefit of $150 
Tier 6: Non Preferred, Generic and Brand: Plan pays 80% to a max benefit of $250

 

 

 

 

 

CHOOSE THE APEX HDHP / BASIC MEC (WITH HSA) + MEDICAL COST SHARING

Apex HDHP / Basic MEC plan provides 100% coverage for preventive care services and a framework for a Health Savings Account (HSA).

View 2018 Rate Sheets for Apex HDHP/Basic MEC + Medical Cost Sharing

Preventative Care:
21 Preventive Care services for Adults
28 Preventive Care services for Women
31 Preventive Care Services for Children

Provides Framework for HSA
Deductible: $3,000 Member/ $6,000 Member
+ Family
80/20 Coinsurance
Max Out-of-Pocket: $6,750 Member /
$13,300 Member + Family
HSA Eligible
Covered Medical Services under HDHP
+ Primary Care Office Visits
+ Urgent Care Visits
+ Laboratory Services		 Tax Advantaged Medical Savings Account:
Contributions are 100% deductible
Employee and employer can contribute pre-tax
Withdrawals for qualified medical expenses
never taxed
Interest earned grows tax-deferred
Unused funds roll over at year-end

Qualified Medical Expenses:
Dental
Vision
Prescription
Doctor Visits

Annual Contributions Levels for 2018:
$3,450 Individual
$6,900 Families
Individuals 55+ can contribute an additional
$1,000

Two Great Ways for your Association to Offer the CAI Healthcare Program!


Watch an Educational Webinar -    (View Now)
Great Information about the new Healthcare Program

Email CAI West Florida Chapter - (Inquire Now)
Questions? Email Us or

Call - 888-994-4979

Enroll Now -
 www.1enrollment.com/WFLCAI
 

Learn More:


Our Partners: