Save up to 30%+ on healthcare benefits for yourself, your family, your small business with

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DISCLOSURES
PrimeCare Plus plan combines both insured and non-insured healthcare benefits in the plan. Everyday medical care (non-emergency or catastrophic) is facilitated through the Multiplan PHCS network of physicians and facilities; there are no benefits are provided out of network for these services. Comprehensive care benefits under this plan are facilitated through a medical share plan; these are not insured benefits. The comprehensive care portion of this plan has limitations and exclsuions specific to pre-existing medical conditions. The look-back period for pre-existing conditions is 24 months from the effective date of the plan.

OUTPATIENT PHYSICIAN LOOKUP - Find A Provider

1. Under "PHCS NETWORK", choose PHCS Specific Services
2. click "SELECT and SEARCH" button
3. enter physician name, facility, or zip code, then click "SEARCH" button

PRESCRIPTION DRUG LOOKUP - Rx Drug Lookup

COMPREHENSIVE CARE BENEFITS There is no network requirement for comprehensive care benefits and needs.

MEDICAL CONDITIONS EXISTING PRIOR TO MEMBERSHIP
Members have a waiting period for medical conditions that existed before the membership start date. A pre-existing medical condition limitation is applied based on the first date of active membership. Any illness or injury for which a person has had any of the following occur within 24 months prior to the effective date of the membership is considered pre-existing: Been Examined, Taken Medication, Had Symptoms, Or Received Medical Treatment.

Pre-existing for Cancer
Any testing, preventive treatments, prophylactics, or medications that were taken by the Member 36 months prior to the start date of a previously diagnosed cancer will result in a recurrence or related recurrence of that type of cancer being considered a pre-existing condition.

Exceptions That Are Not Considered Pre-existing
High blood pressure, high cholesterol, hyperthyroidism, hypothyroidism, and type 2 diabetes will not be considered pre-existing conditions if it’s controlled, and the member has not been hospitalized for the condition 12 months before enrollment.

Pre-Existing Condition Phase-in Period
Pre-existing conditions have a phase-in period wherein sharing is limited. Members have a one-year waiting period from the initial enrollment date before pre-existing conditions are eligible. After the first year, pre-existing Sharing Requests are eligible with a sharing limit that increases each membership year.

Eligible amounts for pre-existing conditions:
• Year One: $0 (waiting period)
• Year Two: $30,000 maximum per Sharing Request
• Year Three: $60,000 maximum per Sharing Request
• Year Four: $150,000 maximum per Sharing Request
• Year Five: The sharing maximum is removed for all pre-existing conditions.