SMA Services, Inc. Benefit

Major Medical

A major medical health insurance plan meets the minimum essential benefit standards of the Affordable Care Act (ACA), while also providing benefits for a broad range of inpatient and outpatient health-care services. It is generally long-term designed to cover a majority percentage of the medical costs someone would typically pay in a given year. Major medical insurance typically covers: prescription drugs, preventive/wellness services, chronic disease management, pediatrics, emergency, hospitalization, mental health/addiction services, ambulatory services, pregnancy, maternity, newborn care, laboratory services, and rehabilitative services.

Features

  • Level Funded plan designs;
  • Integrated cost containment;
  • Integrated wellness/ Virtual Primary Care;

Benefits

  • Unused claims money is returned to participants;
  • Saves average group 15% against fully insured;
  • Added cost savings to the plan.

Major Medical Insurance Inquiry

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