Base Plan

Inpatient Benefits

First, Second and Third Day in Hospital

$300 Per Day

Daily Hospital Room Benefit

$100 per day (days 4–60)

Inpatient/Outpatient Surgery

Not Included

Inpatient Mental Illness

Covered

Physician Office Visit (Per Day Benefit)

Not Included

Emergency Room

Not Included

Critical Illness Lump Sum

Not Included

In-Network Preventive Services

Covered at 100%
No deductible
Per ACA guidelines

Out-Of-Network Preventive Services

Not covered

Prescriptions

$10 Generic Drugs
$20 Preferred Brand
$40 Non-Preferred Brand

Plus Plan

Inpatient Benefits

First, Second and Third Day in Hospital

$400 Per Day

Daily Hospital Room Benefit

$200 per day (days 4–60)

Inpatient/Outpatient Surgery

$500/$250

Inpatient Mental Illness

Covered

Physician Office Visit (Per Day Benefit)

$25 per visit, 2 visits per person (max 4 per
family) per year

Emergency Room

$150 per visit, 2 visits per person (max 4 per
family) per year, illness and accident

Critical Illness Lump Sum

$5,000 upon diagnosis

In-Network Preventive Services

Covered at 100%
No deductible
Per ACA guidelines

Out-Of-Network Preventive Services

Not covered

Prescriptions

$10 Generic Drugs
$20 Preferred Brand
$40 Non-Preferred Brand

More About Your Medical Plan

Both Associate Choice plans provide complete coverage for preventive care. Preventive care covers services such as physical
exams, well child care, immunizations, screening mammograms, and PSA tests along with many other services to keep you healthy. For a list of preventive care services which are covered by the plans, visit
www.healthcare.gov/preventive-care-benefits/

MEC Plans Explained

Telemedicine with 1.800MD

1.800MD provides 24/7/365 access to a national network of US board-certified physicians who can resolve many medical issues via phone or online video consultations. Contact 1.800MD at 800.530.8666 or 1800MD.com

Learn More



Pharmacy Benefits

Questions? Contact the RxBenefits Member Services Team at 800.334.8134 or RxHelp@rxbenefits.com. Use the Member Portal Website procarerx.com

Learn More

Ready to Enroll or Have Questions?

If you are ready to enroll or have questions about the plans outlined here, call our dedicated enrollment call center at (314) 563-2211 for assistance. The call center is open between 9am-6pm EST, Monday – Friday.