Limited Benefits, Lower Monthly Costs

The Starmark Limited PlusSM plan design allows employers to provide limited health benefit coverage for lower monthly costs. The self-funded limited medical benefit plan design was developed as a cost-effective alternative to a comprehensive major medical benefit plan design. A provider reimbursement strategy known as reference-based pricing is used to help control costs.
 
Key advantages:
  • Lower-cost limited medical benefit plan design covers eligible illnesses and injuries
  • Freedom of choice in healthcare providers
  • Coverage of limited services, such as doctor office visits, surgery and an in-hospital stay
  • 100% coverage for eligible preventive-care services
  • Outpatient prescription benefit for generic drugs 
  • A multiple of Medicare is used to calculate provider reimbursement for most covered healthcare services up to the plan limits. 
  • Wellness and cost-saving services: Telemedicine doctor consults at a $0 copay; a medical second opinion service, a quality and cost comparison tool, and access to a 24/7 nurseline.
The Limited Plus plan design is not a comprehensive major medical plan design. It covers limited medical expenses only. Benefits are limited to the coverage described in the Plan Document and Schedule of Benefits. Exclusions and limitations apply.
 

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