Note: The prices above are for Medical Cost Sharing and Member Services as of September 1st, 2018. It does not include any costs associated with a Minimum Essential Coverage plan that would be needed to create ACA compliance (employer groups over 50)
Note: If the Member has a relationship with the Direct Primary Care (DPC) Provider, Sedera will provide a discounted monthly share rate. Please see below.
Note: Initial Unshareable Amount (IUA) is the amount a Member pays out-of-pocket on a per Need/Incident basis before it is eligible to be fully shared with the Community.
Any of your employees who choose to pair their membership with either a local or an eligible virtual Direct Primary Care Practice are able to participate at a reduction in their monthly costs.
Note: A Sedera Select Employer Group can include employees with Standard as well as Preferred monthly share costs.
* IUA stands for Initial Unshareable Amount which is the amount a member pays on a per Need or Incident basis before sharing through the community begins.
A "Need" the collection of all (total) medical expenses surrounding a new accident, illness or condition.
Sedera Households with one or more tobacco users contribute an additional $75.00 per month. If the member who is a tobacco user is over the age of 50, then Medical Needs for that Member are limited to $25,000 for each of the following four disease categories: Cancer, Heart conditions, COPD and Stroke. See Section 8.A. of the Sedera SELECT Guidelines for more information.
The prices above are for Health Care Sharing and its related Member Services and do not include any costs related to a MEC type plan or funding for an Health Savings Account (HSA), Health Reimbursement Account (HRA), or Flexible Spending
Direct Primary Care
Any employee who is a member of a Direct Primary Care practice can join Sedera Select with Preferred Pricing.
The DPC can either be a Virtual Direct Primary Care such as:
*A Local DPC
Each employee who qualifies can access Tier 3 pricing
ICHRA - EAP is a healthcare solution for employers that addresses both employer mandates and compliments Sedera while allowing for all employee situations and needs. This has just become an option as of January 2020 and offers a very comprehensive and inclusive option for employees.
INTERESTED IN LEARNING MORE?
SO FAR 70 + LARGE EMPLOYER GROUPS HAVE JOINED IN THE PAST 4.5 MONTHS AND THE MOMENTUM IS BUILDING.
IT IS BEST TO USE THIS TIME PRIOR TO OPEN ENROLLMENT TO LEARN ABOUT ICHRA AND EAP AND HOW YOU CAN LITERALLY SAVE 20-30 PERCENT YEAR ONE AND MUCH MORE ON A 5 YEAR PROJECTION
(YOUR EMPLOYEES TYPICALLY SAVE 50 PERCENT - ESPECIALLY IF THEY HAVE FAMILY ON THEIR HEALTHCARE )WITH INCREASED EMPLOYEE PARTICIPATION AND SATISFACTION.
A customized proposal on how you can expand coverage to more employees and lower costs with a better health solution - available upon request!
The first step is to complete an employee census - link below
This census allows us to tailor a solution unique to your workforce.
Please provide salary or wage information for each eligible employee
Please also provide the following information about your current group health plan:
*current plan summary
*current premiums (and renewal rates, if available)
*contributions (employer and employee share of premiums for all four tiers)
*details of any employer FSA, HSA or HRA funding
Within 48 hours of receiving this information from you
we will prepare a customized proposal and schedule a time to review.
Please see brochure and Excel Template for your proposal below
Give them incredible healthcare!
In Preferred monthly share costs!
Allow me to leverage the resources I have to elevate your employees healthcare!