It depends on how you enrolled. If you enrolled through Enrollment Manager, your benefit documents will be available there. Simply login using the same credentials you used when you enrolled. Access Plan Documents in Enrollment Manager 1. Login to Enrollment Manager 2. Click on “Documents” 3. Select the plan document you wish to view
It depends on how you enrolled. If you enrolled through Enrollment Manager, your benefit documents will be available there. Simply login using the same credentials you used when you enrolled. Access Plan Documents in Enrollment Manager 1. Login to Enrollment Manager 2. Click on “Documents” 3. Select the plan document you wish to view
Most Planstin-managed health plans do not use a provider network . That means you are free to work with any provider with out fear of any out-of-network penalties. Very few Planstin-managed health plans still use a provider network. In this case, your health plan uses the PHCS network of providers. Fair-priced healthcare & care coordination The majority of Planstin-managed health plans use an innovative healthcare pricing strategy called fair-priced healthcare. This strategy does not require the use of a provider network, and instead relies on a care coordination team to help you work with your provider, make appointments, and locate providers that work well with your benefits. To learn more about fair-priced healthcare, click here . To learn more about care coordination click here .
Preventive Core is a health plan that focuses on preventive care. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive Core health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive Core health plan, click here and select your specific plan name.
All Planstin-managed health plans now feature care coordination services as a part of a fair-price healthcare strategy. The Planstin Care Coordination team will help match members with providers that work best with their plan.
With the 2026 updates to HSA contribution limits and HDHP requirements, there are new opportunities to enhance these benefits while maximizing
The rules just changed. A major new law is opening doors for smarter, simpler healthcare access.
Here’s what it means for anyone using HSAs or Direct Primary Care.
Whether you’re an individual looking for tax savings, a self-employed professional exploring flexible benefits, or an employer seeking sustainable options for your team, understanding HSAs can unlock major value.
Offering a High-Deductible Health Plan (HDHP) with a Health Savings Account (HSA) is a powerful way to support your employees’ financial and health goals. With the 2025 updates to HSA contribution limits, there are new opportunities to enhance these benefits while maximizing tax advantages.
Most Planstin-managed health plans do not use a provider network . That means you are free to work with any provider with out fear of any out-of-network penalties. Very few Planstin-managed health plans still use a provider network. In this case, your health plan uses the PHCS network of providers. Fair-priced healthcare & care coordination The majority of Planstin-managed health plans use an innovative healthcare pricing strategy called fair-priced healthcare. This strategy does not require the use of a provider network, and instead relies on a care coordination team to help you work with your provider, make appointments, and locate providers that work well with your benefits. To learn more about fair-priced healthcare, click here . To learn more about care coordination click here .
All Planstin-managed health plans now feature care coordination services as a part of a fair-price healthcare strategy. The Planstin Care Coordination team will help match members with providers that work best with their plan.
Fair-price healthcare is a no-network, proactive pricing strategy that relies on a care coordination team to match members with providers that work best with their plan. If your health plan uses fair-priced healthcare, it will try to determine the actual costs for a service in any given area by examining cash prices.
No. Instead, if you have a health plan, you will be issued an ID card for medical services, and separate ones for dental and vision. Both digital and physical copies of these cards will be sent to you—the digital copies via email and the physical ones via mail. When you visit a doctor's or dentist's office, you should present the appropriate ID card. The healthcare provider will then bill us directly. There is an exception for vision care. In most cases, vision service providers may ask you to pay up front. If you do pay out-of-pocket for vision services, your plan can reimburse you upon submission of an itemized receipt. This receipt needs to include the patient's name, member number, group number, the date of service and/or purchase, and the billing codes.
If you have a health plan that covers preventive care, it may depend on how the doctor bills for your visit. For example, if you discuss specific health issues during an annual preventive visit, your doctor might bill an additional appointment for an office visit or sick visit, leading to a copay or full payment required for the additional visit. Also, it is important to note that n ot all procedures or tests recommended by your doctor will qualify as preventive care under the Affordable Care Act (ACA).
Most likely. If you have Preventive series or Care+ series health plan it covers preventive services as outlined by the Affordable Care Act. If you do not have a Planstin-managed health plan and you have questions about your benefits, contact Member Services at 888-920-7526 .
Maybe. All Planstin-managed health plans cover preventive labs as outlined by the ACA. Beyond that, certain labs may be covered depending on your health plan. For example, if you have the Preventive Copay health plan, or the Care+ Copay plan, you have coverage for a limited number of labs—up to $100 per lab test*. *Please note: this is per test not per blood draw. To learn more about your specific plan coverage, please click on " Plan Documents " and search for the plan name listed on your member ID card. As you type in your plan name your search results will include a plan outline and SBC.
Maybe. Some Planstin-managed health plans include remote or virtual care services. Telemedicine may be made available to members through Teladoc Health, Amaze Health, or Primestin Care depending on their specific health plan and other benefits. To verify if your health plan includes telemedicine or virtual care services you can: 1) Ask your employer. 2) Contact Member Services at 888-920-7526 . 3) Click on " Plan Documents " and search for the plan name listed on your member ID card. Your search results will include a plan outline and SBC with your plan details. Note: Your employer may have offered you telemedicine services separate from a health plan.
Explore why dental and vision benefits are no longer optional—and how smart employers use them to boost retention, reduce absences, and support everyday health.
Yes. If you have a Planstin-managed vision plan, in most cases, vision service providers may ask you to pay up front. If you do pay out-of-pocket for vision services, you can get reimbursed upon submission of an itemized receipt. This receipt needs to include the Patient's Name, Member Number, Group Number, and the Date of Services and/or Purchase. To claim reimbursement, attach a detailed invoice to an email and send it to claims@planstin.com .
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Any licensed provider is acceptable. There is no network. To avoid paying copays, you can go to Costco, Sams Club, or Walmart.
Primestin Care is a complete primary care solution with membership options that include virtual and in-person care. Their mission is to deliver compassionate, patient-centered healthcare that can be seamlessly integrated and tailored for individual patients. Primestin Care Memberships Primestin offers three membership options as outlined below. Virtual Care Unlimited access to virtual primary and mental health resources, along with care coordination.
Yes. You can enroll in Amaze by itself, and they can work with any insurance plan you have. Need help setting up the App or getting started? Visit: amazehealth.com/support/ Call: 720-577-5251
Attention: Do your benefits include a Teladoc Health membership? If you are unsure, call Planstin’s Member Services team at 888-920-7526 for more help understanding your plan details. You can register on Teladoc.com or using the Teladoc Health app on your phone (see the steps below). You must register with the information that you provided to us upon enrollment (i.e. name, zip code, DOB, and email address). Once registered, you will enter medical information and then you can request a visit with a provider. Please note: A spouse cannot register for the primary employee. You will need to add your spouse and children to the account after you have already registered. Register for Teladoc Health Step 1 Click HERE and complete the online form Select your health plan—confirm the Planstin option Create username, password, and security questions Click “Complete Registration” Helpful Tips Wait 24 hours after receiving your Planstin welcome email to register for Teladoc Health. If you have difficulty registering online, try registering with the mobile App. Step 2 Complete your registration using the same information you used to enroll in your health plan. Make sure you use the primary subscriber information—not a dependent’s information. Step 3 You will be automatically matched with a benefits provider, simply confirm the selection and click “continue.” If you experience issues, please contact a Benefit Advocate at 888-920-7526 . There’s an App for that! You can enroll through the Teladoc Health mobile app. Simply download the Teladoc Health app through the Google Play Store or App Store. The registration process is the same as the online Teledoc Health registration.
Maybe. Some Care+ plans come with Amaze Health telemedicine and concierge services. However, most Care+ plans do not automatically include telemedicine services. Rather, virtual care services may be available to you through a different, add-on benefit. If you are unsure whether or not you have access to telemedicine or virtual care, contact Member Services at 888-920-7526 . You can also check your plan details by clicking on "Plan Documents" and searching for your plan name (as found on your member ID card).
Preventive Core is a health plan that focuses on preventive care. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive Core health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive Core health plan, click here and select your specific plan name.
Preventive Basic health plans are now known as Preventive Core health plans. Click here to visit the Preventive Core article.
Preventive HSA is an HSA-qualified health plan that focuses on preventive care. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive HSA health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive HSA health plan, click here and select your specific plan name.
To make contributions to a Health Savings Account (HSA), enrollment in a High Deductible Health Plan (HDHP) is required. Thus, the Preventive HSA plan is designed accordingly. Under this plan, the deductible applies only to specific services such as sick or primary care office visits, specialist office visits, and lab tests. If a member meets the deductible through these services, they will then be subject to a copay for sick office visits and labs. This copay is only applicable after meeting the deductible. Note: For employees who are also members of Zion HealthShare, they will work with their IUA when using their HealthShare membership for medical expenses not covered by their health plan.
Preventive Copay is a health plan that focuses on preventive care. The plan provides limited access to select healthcare services through copays. These services may include lab work, imaging, and office visits. This health plan meets ACA requirements for minimum essential coverage (otherwise known as MEC). Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Care coordination Preventive Core health plans have no network restrictions and include care coordination services to help you make appointments and locate providers that work well with your benefits. To learn more about care coordination click here . To view information about your Preventive Copay health plan, including what services are available with a copay, click here and select your specific plan name.
Care+ Core is a comprehensive coverage, anywhere plan that covers essential medical needs and does not restrict you to a provider network. This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . For more information about your Care+ Core health plan, click here and then select your specific plan name.
Care+ HSA is a comprehensive coverage, anywhere plan that covers essential medical needs and does not restrict you to a provider network. This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . To view information about your Care+ HSA health plan, click here and select your specific plan name.
Care+ Copay is a comprehensive coverage, anywhere plan that covers essential medical needs and does not restrict you to a provider network. Fair-priced healthcare This health plan uses an innovative healthcare pricing strategy called fair-priced healthcare. To learn more about fair-priced healthcare, click here . Copays Care+ Copay provides access to some healthcare services with copays. For these services the deductible is waived.