MEC Plans

Understanding Minimum Essential Coverage (MEC) Plans

Understanding the various minimum essential coverage plans that you can offer your employees is essential to providing coverage that matters. We offer the most competitive limited medical plans in the industry. We ensure every client remains ACA compliant by offering our medical plans.

MEC Plans Overview and ACA Compliance

Our Mission

SBMA benefits serve employers with ACA mandated compliance requirements. It supports those employers by offering employees who need affordable benefits the right solution for them. Our mission is to provide great benefits at a great price. We are nationally recognized as industry experts on ACA compliance, ERISA law, and Healthcare Reform, and we're here to help!

In an effort to help you understand what the different types of Minimum Essential Coverage include, review the following:

Standard MEC Plans

Standard MEC Plan Coverage Benefits

All minimum essential coverage plans are ACA compliant and provide affordable benefits to employees. Basic MEC coverage generally includes:

Standard MEC Plan Benefits

  • 100% coverage of wellness and preventative services
  • Rx discount plan
  • Telehealth services (including mental health)

Enhanced MEC Plans

Enhanced MEC Plan with Primary Care Access

An enhanced MEC Plan takes basic MEC coverage one step further. This benefit package focuses on attracting and retaining top talent with benefits that include:

Enhanced MEC Plan Benefits

  • 100% coverage of wellness and preventative services
  • Rx discount plan
  • Telehealth services
  • Primary care visits with a low copay
  • Urgent Care visits with a low copay
  • Specialist visits with a network discount
  • Laboratory services with a network discount

Highest-Level MEC Plans

Highest-Level MEC Plan with Full Prescription Coverage

The top-level MEC plans include all of the basic Minimum Essential Coverage services. Along with additional benefits and coverage for added ACA compliance:

Highest-Level MEC Plan Benefits

  • 100% coverage of wellness and preventative services
  • Rx discount plan
  • Telehealth services
  • Primary care visits with a low copay
  • Urgent Care visits with a low copay
  • Specialist visits with a network discount
  • Laboratory services with a network discount
  • Rx coverage for generic and brand name with a low copay

MEC Plans Comparison

Benefit Standard MEC Enhanced MEC Highest-Level MEC
Wellness & Preventative Services ✓ 100% Coverage ✓ 100% Coverage ✓ 100% Coverage
Rx Discount Plan ✓ Included ✓ Included ✓ Included
Telehealth Services ✓ Included ✓ Included ✓ Included
Primary Care Visits ✓ Low Copay ✓ Low Copay
Urgent Care Visits ✓ Low Copay ✓ Low Copay
Specialist Visits ✓ Network Discount ✓ Network Discount
Laboratory Services ✓ Network Discount ✓ Network Discount
Prescription Coverage ✓ Generic & Brand Name

A Complete Solution for ALE Employers

We provide a complete solution for ALE employers who want to provide affordable, ACA compliant benefits to their workers. Our streamlined technology and personal services provide a complete solution for our clients and their employees.

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