MEC and MVP Plan Strategies

MEC/MVP Plans from Workforce Benefits America

At Surprisingly Affordable Costs . . .

PPACA TAX AND BENEFIT COMPLIANCE PLANS

What's a MEC plan?

  • Covers 100% of Preventive and Wellness care
  • Available to employer groups > Down to 10 eligible lives
  • Reinsurance mitigates employer’s risk
  • Can be funded with any combination of employer and employee funds

Optional Plan Additions?

  • Limited Benefit Indemnity plan
  • Additional Supplemental Health products

Anticipated Program Outcomes . . . 

  • Savings compared to traditional major medical plans
  •  Lower cost point for entry into offering insurance options
  •  Provides built-in employer expense predictability

Benefits to Employees

  • First dollar coverage
  •  Easy access to PPO network providers and discounts
  • Full flexibility in a changing environment

MVP Solution Components

What is an MVP Plan?

  • Covers 100% of Preventive and Wellness care (MEC)
  • Meets a “minimum value” of 60% actuarial value
  • Provides inpatient benefits
  • Provides extensive benefits for outpatient care
  • Includes a substantial co-pay prescription benefits
  • If partially self-funded, is not required to meet all ACA and State mandated requirements
  • Solves for all penalties (if “affordable”)
  • Affordable option that may require minimal contribution

Optional Plan Additions

  •  Additional Supplemental Health products 

Anticipated program outcomes 

Savings compared to traditional major medical plans

  • Lower cost point for entry into offering insurance options
  • Provides built-in employer expense predictability

Benefits to employees

  • Compliant and affordable