Essential Care

Making healthcare coverage available to employees is one thing. Making care truly accessible is quite another.

Makes basic care affordable

This plan includes four free visits to make it even easier for your employees to see the doctors and specialists they need and get the care that’s most important to their health.

EssentialCare

Commonly used benefits
Commonly used benefits


Large Image
Primary care office visits First 4 visits $0 then co-pay
or deductible + coinsurance*
Specialist office visits First 4 visits $0 then co-pay
or deductible + coinsurance*
Mental health office visits First 4 visits $0 then co-pay
or deductible + coinsurance*
Retail clinics First 4 visits $0 then co-pay
or deductible + coinsurance*
Urgent care First 4 visits $0 then co-pay
or deductible + coinsurance*
Habilitative & rehabilitative
therapies
First 4 visits $0 then co-pay
or deductible + coinsurance*
Virtual primary care and urgent
care visits through CirrusMD
$0
Common maintenance labs $0
Common maintenance medications $5 for a 30-day supply

All other services such as emergency room, outpatient surgery, or inpatient hospital stays are subject to the deductible and coinsurance. Retail clinics are healthcare facilities typically located within retail stores, pharmacies, or supermarkets. Copay or coinsurance will vary by plan.

Coverage Includes:

  • Virtual primary and urgent care in under 60 seconds with board
    certified clinicians, available 24/7 through CirrusMD
  • Virtual urgent and primary care typically in under 60 seconds with board certified clinicians, available 24/7 through CirrusMD
  • Comprehensive benefits for mental health care
  • $0 Preventative care by in-network providers
  • Access to quality and convenient care with the network
  • Stop Loss protection from unexpected high medical claims
  • Transparency into claims costs and pharmacy rebates
  • Member support available for questions on benefits, network and claims
  • EssentialCare is a level-funded plan.

    Our level-funded plans include administrative services provided by TXM Holdings LLC dba Texicare and its partners. Stop-loss insurance is underwritten by Texicare Health Insurance Company, licensed in Texas.

    Provider Interest Form

    Thank you for your interest in joining the Texicare network. Please complete this form and we will review your request and respond within 30 days.

    Find a Local Agent







    Have an Agent?:

    Become an Agent





    Company:



    Coming Soon