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Total whole-body healthcare for employees and their families

This plan includes four $0 visits each, per member, to different doctors every year to make it easier to get care without worrying about costs.

 

TotalCare

Commonly used benefits Primary care office visits First 4 visits $0, then deductible + coinsurance
Specialist office visits First 4 visits $0, then deductible + coinsurance
Who TotalCare is good for:


  • Young Families
  • Those with chronic conditions
  • Those who don't want to pay out-of-pocket for basic care
Virtual care visits through CirrusMD $0
Mental health office visits First 4 visits $0, then deductible + coinsurance
Urgent care First 4 visits $0, then deductible + coinsurance
Physical therapy & chiropractic visits First 4 visits $0, then deductible + coinsurance
Common lab list $0

Two Rx plans to choose from:

Rx SECURE

Provides security through set copays,
ensuring predictable and manageable costs
for medications.

Retail Tier 1$5
Retail Tier 2$10
Retail Tier 3$60
Retail Tier 450%

Rx SAVE

Enjoy lower monthly premiums, predictable copays for Tier 1 medications, and contracted rates on higher-tier drugs before meeting the deductible.

Retail Tier 1$5
Retail Tier 2$0 after deductible
Retail Tier 3Deductible + coinsurance
Retail Tier 4Deductible + coinsurance
All other services such as emergency room, outpatient surgery, or inpatient hospital stays are subject to the deductible and coinsurance. Coinsurance varies 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
  • TotalCare 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.

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