Comprised Of Two Separate Components
“Super” MEC Plan
- Pre-tax component of the plan through auto-enrollment
- Reduces payroll and FICA taxes to both the employer and employee
- Every enrollee will receive Super MEC Plan Coverage, members have full access to in person physician office and urgent care services, prescriptions, and preventive care services, as set forth in the plan.
- Benefit claim payments are paid directly to providers for treatment provided to members.
- Accordingly, there are no tax implications for the member or the employer Plan Sponsor.
Health Population Management Plan
- Post-tax component of the plan.
- Funded exclusively with after/post tax dollars
- This plan generates CPT codes that corresponds with a claim and a nontaxable insurance payment to the employee (just like any other accident, hospitalization or cancer defined benefit policy)
- This payment is properly excludable from the member’s gross income under Section 104(a)(3).
Post Tax Qualifying Triggers
Watch Video and Complete Clinical Quiz CPT 96161
Complete Assessments and Risk Resolution Guidelines CPT 96161
Watch Video and Complete Clinical Quiz CPT 96161
Keeping Your Back Healthy / Depression / Pre-diabetes / Managing Your Weight / Guide to Physical Activity / Relaxation Exercises / Smoking Cessation/ Stages of Change / How Your Heart Works
Coaching With RN
CPT 98967
Complete Wellness Modules CPT 98969
Complete Assessments and Risk Resolution Guidelines CPT 96161
Watch Video and Complete Clinical Quiz CPT 96161
Nutrition / Stress / Fitness / Tobacco Cessation
- Biometric Screening
CPT 80047-86849
- Visit with Telemedicine Provider
CPT 99091
Complete Assessments and Risk Resolution Guidelines CPT 96161
Complete Assessments and Risk Resolution Guidelines CPT 96161
Complete Assessments and Risk Resolution Guidelines CPT 96161
Health Risk Assessment with Health Source Score / Health Source Wellcentive / Absenteeism & Presenteeism / Quality of Life / Readiness to Change/ Health Utilization / Alcohol / Overweight
/ Sedentary Lifestyle / Stress / As applicable based on risk
Coaching with Doctor or Physician
CPT 98967