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Guaranteed Issue: Acceptance of your employees is guaranteed.

No Pre-existing Conditions: Regardless of past health history, your employees are eligible and will not be subject to any pre-existing conditions limitations or exclusions.

No Coordination of Benefits: Plans pay in addition to any other coverage that the employee may have and benefits can be paid directly to the insured or the provider.

Fully Insured: Medical Benefits are fully insured. In addition, OptiMed qualifies under ERISA and complies with Section 125 (cafeteria) and COBRA.

Maternity Benefit: Maternity is covered as any other illness.

Universal Rates: Provides both a voluntary or non-voluntary rate structure that is the same regardless of demographics, industry or location.

Assignment of Benefits: Benefits for doctors' office visits and in patient hospital stays can be assigned to the provider or paid directly to the insured.

Easy to Understand and Use: OptiMed's defined benefit structure clearly outlines the benefits payable for services rendered, thus eliminating the confusion of co-pays, co-insurance and reasonable and customary charges.

Friendly, Convenient Customer Service: Dedicated Account Customer Service Representatives are available to assist in benefit enrollment, finding network providers, and helping solve claim issues. In addition, Spanish-speaking customer service representatives are available.

Access to National PPO Network: While the insured can go to the provider of their choice, a national preferred provider network is included that offers discounted services. Locating a provider is quick and simple.

 


The OptiMed program is not available in the State of Washington and State of Montana. Please check with your OptiMed sales representative to confirm that OptiMed is available in the state or states in which you may have an interest in offering OptiMed.

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