Enroll in Tri-Share
Tri-Share is limited to businesses with 2 - 50 employees who employ workers earning $14.50 per hour or less and have not offered health care coverage for at least six months. If Tri-Share sounds right for your business, call 1-877-TriShar (1-877-874-7427), or email trishare@countyhealthplans.org
Plan Design
The Tri-Share plan is one of the most flexible, innovative and affordable plans on the market today. The following is an overview of the plan design and pricing for this Limited Benefit Group Healthcare Plan.
|
Insurance Benefits
|
Benefit Selection
|
Selected Hospitals*
|
|
Daily In-Hospital Indemnity Benefit
|
$1,000
|
No Balance Bill Due
|
|
In-Hospital Intensive Care Unit Indemnity Benefit (Pays in addition to the Daily In-Hospital Indemnity Benefit)
|
$1,000 (Total of $2,000)
|
No Balance Bill Due
|
|
Surgery / Anesthesia Indemnity Benefit
|
$1,500 / $300
|
$1,500 / $300
|
|
Outpatient Physician Office Visit Indemnity Benefit
|
$50
|
Not Applicable
|
|
Outpatient Testing/Diagnostic X-ray and Laboratory Indemnity Benefit
|
$100
|
No Balance Bill Due
|
|
Outpatient Prescription Drug Benefit
|
§ $15 co-pay for generic
§ Discount for brand drugs
|
§ $15 co-pay for generic
§ Discount for brand drugs
|
|
Employee Group Term Life with AD&D Benefit
|
$5,000
|
Not Applicable
|
|
Key Care Guide & Wellness Services
|
Included
|
Included
|
|
Hospital Admission Indemnity Benefit
|
$1,000
|
No Balance Bill Due
|
|
Hospital Emergency Room Indemnity Benefit for Accident/Injury
|
$300
|
No Balance Bill Due
|
|
Outpatient Physician Office Visit- Wellness Indemnity Benefit
|
$50
|
$50
|
|
Ambulance Indemnity Benefit
|
$150
|
$150
|
|
Mental & Nervous Daily In-Hospital Confinement Indemnity Benefit
|
$600
|
No Balance Bill Due
|
|
Substance Abuse In-Hospital Confinement Indemnity Benefit
|
$600
|
No Balance Bill Due
|
|
PPO Network- MultiPlan
|
Included
|
See Providers Below
|
*Genesys Health System (GHS), Hurley Medical Center, McLaren Regional Medical Center
Group Master Policy No. LM-109 and Group Policy Form No. M-6005. This website is not a contract.
The Group Master Policy, including certificate, will describe the complete terms, conditions, provisions, benefits, limitations, and exclusions by state. In case
of conflict between this website including Benefit Summary and Outline of Coverage, and the Master Policy, the language of the Master Policy is overriding.
Some provisions, benefits, exclusions or limitations herein may vary by state. Not available in all states.