Please click the link below to view the benefits you are eligible to enroll in, and either accept or decline each of them.
This is a required step in order to complete the new hire and rehire process.
Minimum Essential Coverage (MEC) Plus Covered Benefits (ACA Compliant Plan)
The MEC Plus Plan benefits include the following per day benefits and preventative services:
- Doctor’s Office Visits
- Prescription Drugs
- Wellness
- Outpatient Diagnostic Labs and X-Rays
- Ambulance
- Emergency Room for Injuries and Sickness
- Inpatient and Outpatient Surgery
- Anesthesia for Inpatient and Outpatient Surgery
- First Day Admission and Daily Hospital Confinement
- Skilled Nursing Facility Confinement
- 100% for in-network and 40% for out of-network preventive services for Adults, Women and Children. For more information about the covered preventive service, please visit https://www.healthcare.gov/coverage/preventive-care-benefits/
Enrolling in the MEC Plus Plan may DISQUALIFY you from receiving a subsidy from the health insurance exchange. Note: The Patient Protection and Affordable Care Act (PPACA) individual mandate no longer imposes a penalty at the federal level; however, please check with your state for any state specific individual mandate requirements or penalties.
Availability of Summary Health Information for Minimum Essential Coverage Plan
Choosing a health coverage option is an important decision. To help you make an informed choice, your plan makes available a Summary of Benefits and Coverage (SBC), which summarizes important information about any health coverage option in a standard format, to help you compare across options.
- Your SBC is available for viewing upon request and Free of Charge at your employer’s local office.
- The SBC is also be available upon request and Free of Charge by contacting PAI Customer Service at 1-866-798-0803.
- A sample electronic version of your SBC can be accessed at: https://www.paisc.com/products-services/specialty-administration/aca-plans.