Exclusive Offering - Contact me to learn more
2024 Preventive Reimbursement Benefit Maximums and Eligible Services
Basic Wellness Services | $4500 (annual maximum)
Annual Wellness Exams (up to three per year)
Well Child Exam (including routine immunizations)
Gynecological Exam (well woman visit aged 21 and over)
Flu, Shingles and Pneumonia Vaccinations
Annual Preventive Mammogram (including Breast Ultrasound or MRI following a preventive mammogram)
- Covered once annually from age 40-80
Colorectal Cancer Screening:
- Age range: 45 - 80 (covered from age 40 if 1st degree relative has positive history of colon cancer)
- Screening Type: Procto/Sigmoidoscopy every 5 years. Cologuard every 3 years.
- Colonoscopy is an eligible screening type
Bloodwork Screenings:
- Lipid Panel (Cholesterol and triglycerides)
- Comprehensive Metabolic Panel (CMP)
- Complete Blood Count (CBC) with differential test
- Thyroid Panel TSH (Thyroid Stimulating Hormone) with reflex to T4 if abnormal
- Routine Comprehensive Urinalysis (UA)
- Hemoglobin A1C (HgbA1C)
- Vitamin D Level
PSA for men age 50-75 Start at age 40 if 1st degree relative has positive history of prostate cancer
Bone Density Screening Post-menopausal women, every 2-3 years
Heart Screening: C-Reactive Protein (CRP) & Homo cysteine levels for those with strong personal history or 1st degree relative history of
heart disease or those of South Asian or Pacific Island origins.
Reimbursement max of $4,500 per member- per year on membership
Vision
Preventive Vision Exam
Up to $250 per year - per member
Dental Exams, Cleanings, Sealants
Preventive Dental Exam, Sealants, Cleaning and Fluoride Treatment
Up to $250 per member - per year
DPC Reimbursement
DPC Reimbursement
DPC Reimbursement
Reimbursement Monthly
Individual $70/month
Couple $140/month
Adult & Child(ren) $120/month
Family $160/month
*Applies to Memberships with DPC option only
Physical Health
DPC Reimbursement
DPC Reimbursement
Gym Membership
Fitness Training (on-line or in-person)
$250 annual maximum per member - per year
Mental Health
DPC Reimbursement
Mental Health
Mental Health / Substance Abuse evaluation, and counseling
Up to $3,000 per member - per year
Smoking Cessation
Nutritional Health
Smoking Cessation
Covers counseling, cost of medication, hypnotherapy, or other cessation program
Up to $500 per member - per year
IUA Protection
Nutritional Health
Smoking Cessation
Up to $5,000 annually on 3rd IUA (documentation must be submitted for review)
Nutritional Health
Nutritional Health
Nutritional Health
Nutritional/Meal Planning (on-line or in-person) Weight Loss/Weight Gain Counseling and Support
$500 annual maximum per member -per year
Lab Testing
Hospital and Medical Advocacy
Pharmacy Cost Control
Protect your privacy and have more control over your health by ordering your own lab work. Save thousands on clinical tests available without a doctors prescription.
Members can choose where to get their blood drawn at over thousands of participating locations nationwide including Quest, Lab Corp and more
Pharmacy Cost Control
Hospital and Medical Advocacy
Pharmacy Cost Control
Members are able to save 10-80% on most prescriptions at over 60,000 retail pharmacies nationwide.
Members can also have a 30+ day supply shipped directly home for the
monthly cost of $19.99 for a member only and $29.99 for a family
Hospital and Medical Advocacy
Hospital and Medical Advocacy
Hospital and Medical Advocacy
Patient Advocacy is more than just a guide, they are your partners in your healthcare journey.
They assist in understanding medical diagnosis and treatment options.
They ensure that you are informed about your rights
They help communicate with healthcare professionals
They help navigate and understand medical bills.
TeleHealth
Healthcare Provider Quality Research Tools
Healthcare Provider Quality Research Tools
Unlimited Doctor appointments for as low as $29. Telehealth, Video prescription refills, In person care, UTI consults, ED consults, Mental Health consults & urgent care visits
*Restrictions apply including: lab orders in NJ, NY, ME, AZ
Controlled substance prescriptions
Worker's comp paperwork
Healthcare Provider Quality Research Tools
Healthcare Provider Quality Research Tools
Healthcare Provider Quality Research Tools
When you or your family needs care, you need tools to find the right physician or center of excellence.
Nationwide access to affordable Imaging
Healthcare Provider Quality Research Tools
Nationwide access to affordable Imaging
Same day - next day appointments
Median cost for an MRI is just $301
2000 plus imaging centers nationwide.
No matter where you live, there is likely an imaging center near you.
Vitamins & Supplements
Natural Beauty Products
Natural Beauty Products
30 Percent off of over 20,000 items and over 200 name brands such as
Life Extension, Metagenics, Pure Encapsulations and so much more!
Natural Beauty Products
Natural Beauty Products
Natural Beauty Products
It truly matters what you absorb through your skin. You will have access to the cleanest, highest grade products at 30 percent off!
Essential Oils
Natural Beauty Products
Essential Oils
You do not need to join an MLM tin order to save on pure essential oils. They are now accessible to you at 30 percent off!
Natural Home Cleaning & Water Purification
Natural Home Cleaning & Water Purification
Natural Home Cleaning & Water Purification
Members will have access to the highest quality products for water purification as well as natural home cleaning supplies at the lowest possible cost.
End of Life & Funeral Expenses
Natural Home Cleaning & Water Purification
Natural Home Cleaning & Water Purification
Up to 10K per adult member on membership
Up to 2.5K for any dependent child on membership.
One year uninterrupted membership required.
Concierge Care
Natural Home Cleaning & Water Purification
Concierge Care
Your membership includes a healthcare concierge on call from Monday - Friday 9am - 5pm EST
Contact me for more information
The Ultimate compliment to a DPC (Direct Primary Care) Membership!
Full protection for any new illness, accident or injury after joining with no maximums.
Allopathic and alternative medical expenses. No Networks. World wide protection.
No physician, healthcare provider or center of excellence will be beyond your reach!
Please contact me for pricing and to learn more.You will be pleasantly surprised!
MPB.Health DIRECT
Preventative Services Included with MPB.Health DIRECT
Commencing Day 1 of membership
- One outside visit worth up to $175 - no waiting period
- Pap smears will be considered fully shareable when billed alongside the annual provider visit.
- Alternately, use your outside visit for any service or care, including vision or dental, mental health visit, etc.
Commencing after 6 months of membership
- Annual Screening Mammograms - 6 month waiting period - cap at $600 and no network concerns - Age 40 - 2D or 3D. The exam, appointment and evaluation as part of the screening counts towards the $600 limit. High risk members under the age of 40 may be considered with prior approval. If findings warrant an ultra sound, this may be considered for sharing with prior written approval.
- Screening Colonoscopy - 6 month waiting period - cap at $5,000 - no network concerns - Age 45 - available every 10 years. 5K includes screening, anesthesia, diagnostic texting, biopsies and pathology performed as a part of the screening.
- For high risk members under age 45, colon screening may be eligible for screening with prior approval
- Home colorectal cancer screening tests such as high sensitivity gFOBT (guaiac fecal occult blood test), FIT (fecal immunochemical test), and sDNA -FIT (stool DNA with fecal immunochemical test) are shareable beginning at the age of 45 and after six (6) months of continuous membership with preventive services.
- The gFOBT and FIT are shareable once every twelve (12) months; sDNA-FIT is shareable once every three (3) years up to $500 for the test.
- Childhood Well visits & Immunizations to age 18 - 6 month waiting period (unless pregnancy was also shared - then no waiting)
- Well baby Visits at: Birth, Month 1 and Months 2, 4, 6, 9, 12, 15,18,30 and 36.
- VIEW PDF BROCHURE HERE
MPB.Health SECURE
MPB.Health SECURE Membership - includes:
Commencing Day 1 of membership
- Meets all state mandates - (NJ, CA, VT, RI, DC require SECURE HSA or SECURE with Co-Pay )
- Eligibility: Self employed, Independent subcontractors or individuals that generate income from other non traditional (W2) sources..
- Full Affordable Care Act Preventative care and services included at no cost and no waiting period and no network restrictions
- Health Savings Account Compatible - see details below
- Preventative screening and services
Highlights of Preventative Services
- Annual Preventative Exams - Annually for adults.
- Well baby per baby schedule - 6 visits during the first year of life, 7 times between yr 1-4
- Annual Paps and Screenings for STDs for women age 21 to 65
- Mammograms - 2D - Every 2 years for women 50 and over (As recommended by a provider for women 40 to 49 or women at higher risk)
- Colonoscopy - 45 years and older Screening frequency depends on your risk and family history and which screening test you choose, stool test or colonoscopy
- Bone Density screening for all women over age 65 or women age 64 and younger that have gone through menopause
- Cholesterol - Lipid panel
- Diabetes screening
- Hepatitis B & C screening, HIV Screening
- Generic Birth Control Methods are included at no cost
- No cost for ongoing Generic Statins or Aspirin
- Immunizations including: Chickenpox, Diphtheria, Flu, Hepatitis A, HPV, Measles, Mumps, Rubella, Meningococcal, Whopping Cough (Pertussis), Tetanus and Shingles vaccine
- This is not an exhaustive list. MPB.Health SECURE includes All items identified as per the government - exactly like any other marketplace plan. Genetic Testing is not included
- More info - visit healthcare.gov/preventative
- Use the PHCS MultiPlan Network - this is by far the easiest and best path for the community as these rates have been per-negotiated.
- If you do not see your provider in Network, MPB Health has a back up solution. They also allow for out of network. Simply tell your provider to call the number on the back of the card. The costs for anything listed under healthcare.gov/preventative will be shared without a member co-pay or balance bill.
- Full list again here: healthcare.gov/preventative
- Be sure to keep preventative visits strictly
- VIEW PDF BROCHURE HERE
Health Savings Account
HSA Compatibility with MPB.Health SECURE
- Money set into a HSA is never taxed and grows tax free
- Can be used for medical expenses - pre-tax or, taken as income after age 65. This is like a IRA for Medical Savings as well as retirement income.
MPB.Health SECURE Plan offers you a
Fantastic Opportunity to Contribute to a Health Savings Account
Current contribution / Shelter limits are:
$3,850 for Individuals
$7,300 for Couples or Families
Additional $1,000 if you are over age 55
Open the account during the tax year
Make a contribution by April 15, 2024 for a deduction in 2023
Two Resources for you - Or check your bank
It is a normal brokerage account with some restrictions
(not super risky investments like shorting a stock)
Money markets, stocks, etc are all options
No minimums Simple Set up - Done within Minutes
Next step - Individuals, Couples & Families
Next step - Individuals, Couples & Families
Next step - Individuals, Couples & Families
Start up and yearly renewal costs: Individuals
- MPB.Health requires a one-time membership fee of $125
- Annual Renewal of $25
NEXT STEPS
- Individuals - Please schedule a time on my Calendly link or call me at 845-641-9123 to speak about further 1:1 questions or concerns
ENROLLMENT:
- Please schedule an enrollment appointment - either zoom or phone support is provided to afford a seamless and efficient enrollment experience
- Please schedule a time on my Calendly link or call me at 845-641-9123 to arrange this.
- Please have your Social Security Numbers ready (Only required for MPB.Health SECURE Membership)
- Membership costs are best handled by a monthly Automatic Withdrawal. Please have your bank’s Routing and Account number to set up automatic withdrawal.
- Membership costs can be paid by a credit card. There is a 3 percent charge for this payment method.
- Members may change how they contribute to their membership (credit card or automatic withdrawal) at anytime
Next step- Employers & Businesses
Next step - Individuals, Couples & Families
Next step - Individuals, Couples & Families
Start up and costs for businesses:
Min 3 memberships for Employer Account
- $200 List bill and landing page
- No enrollment or renewal fees for employees of business accounts
Why MPB.Health is a natural fit for businesses
- Attract and retain employees
- 401(K) is an additional optional Add on
- All Employees using Secure can have an HSA
- All employer groups have their own company landing page with logo
- Complimentary quote
- Employers will benefit from an easy List bill arrangement
- Employers can optionally choose to contribute funds for their employees membership
- Merely having the MPB.Health memberships in place with an easy payroll deduction option is perceived as a benefit
- Pay List Bill easily and quickly with the click of a button
- Employees have the option to maintain their memberships after leaving your employ
- Employer List bill agreement must be completed by the 10th of the month preceding anticipated start date & enrollments by the 20th preceding start date
NEXT STEPS
- Employers - Please schedule a time on my Calendly link or call me at 845-641-9123
- We will set up the List Bill Agreement, employer education & commence enrollments.
