Comprehensive Major Medical Plans
Comprehensive Major Medical and Consumer Centered
Preferred Provider Network (PPN) Plans, Major Medical High
Performance Network with a number of deductible,
copayment, benefit percentage, and out of pocket options.
Consumer Driven Healthcare Plans
Defined benefit plans versus traditional plans focus on the
development of a healthier employee population, which
creates a healthier and more productive workforce. This
program incorporates the following:
-
Section 125 Flexible Spending Arrangement (FSA)
- Grace Period - 2 month and fifteen day extension
- $500 Unreimbursed Healthcare Maximum Carry Over
- Premium Only Plan
- Prohibition of FSA Stand Alone Plans
-
Qualifying Event $500 Unreimbursed Healthcare Maximum Carry Over
-
Maximum Carry Over
- Health Reimbursement Arrangement (HRA)
- TML Health provides discrimination testing per request
-
Prohibition of HRA Stand Alone Plans
- Retiree Reimbursement Arrangement (RRA)
- Health Savings Account (HSA)/High Deductible Plans
- Consumer Centered Pool Plan Options
Telehealth Services
Telehealth medical consultation services is expanding in the
United States, servicing approximately 3 million consumers.
Access to care 24/7/365 on consumer demand via phone
and online video consultations is delivered to the Pool
membership by the value added addition of the telehealth
benefit.
Telehealth services do not replace your primary care
physician, but can be used when you need immediate
physician care for non-emergent medical issues. The
telehealth level of care is an affordable, more convenient
alternative to urgent care and ER visits.
The covered individual will be responsible for completing a
health history overview prior to receiving medical telehealth
services. Consultations can be conducted in English or
Spanish and are available to children and adults who are
covered individuals under TML Health’s benefit plan.
- Teladoc
- 24 hour availability of Medical Consults
- Behavioral Health Level of Care
- Dermatology Level of Care