Health Plans

Coverage and care access. Clearly explained.

Choose coverage around your workforce—and understand the difference between an insurance policy and access to care services.

Health Plans
01

Group medical

Comprehensive options for employer groups.

02

Limited-benefit MEC

Understand scope and gaps before choosing.

03

Primary & virtual care

Care access services, distinct from insurance.

Connected by Shield

Understand your coverage and care options.

Available benefits and services vary by plan, location, eligibility, and employer selection.

Group Health

Comprehensive group medical options. Group Health powered by Amerus Health, where appropriate and available.

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MEC / Workforce Health

Limited-benefit MEC options are distinct from comprehensive major medical. Review exactly what is and is not covered.

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Primary & Virtual Care

Available virtual urgent care, primary care, preventive-health, mental-health and coordination resources. Care access is not a substitute for comprehensive insurance.

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Product Guide

Compare more than the monthly premium

Selecting health plans is not just picking premiums. Strong decisions balance monthly cost, provider access, out-of-pocket exposure, and administrative practicality. This guide helps organize that decision so teams can compare options consistently across renewal cycles.

Example situation

Your team narrowed choices to two plan structures but cannot see downstream impact on employee experience and utilization. A structured review surfaces practical tradeoffs before final selection.

When this matters

  • You need a side-by-side decision framework for network breadth and member affordability.
  • Open enrollment is approaching and leadership wants clearer rationale for plan changes.
  • Current plans generate avoidable confusion around referrals, deductibles, and coinsurance.

What to review before you decide

  • Compare deductibles, coinsurance, and out-of-pocket maximums in realistic usage scenarios.
  • Validate provider network fit for major employee geographies and common care patterns.
  • Review pharmacy integration points and how member guidance is delivered post-enrollment.
  • Check operational readiness: payroll deductions, enrollment files, and eligibility rules.
  • Document communication language so employees understand what changed and why.
Step 1

Frame: define affordability and access goals before reviewing final pricing.

Step 2

Model: test 2–3 plan structures using representative utilization scenarios.

Step 3

Implement: finalize selection with a plain-language enrollment toolkit and support path.

Frequently asked questions

Is a lower premium always better?

Not necessarily. Lower premiums can shift costs to higher out-of-pocket exposure, depending on utilization.

Can one plan fit everyone equally?

Usually no. Diverse workforces often need thoughtful option sets and clear enrollment guidance.

Do plan changes automatically reduce spend?

No. Results depend on member behavior, communication quality, and ongoing governance.

Where should employees ask plan questions?

Use designated support channels, and avoid posting personal medical details in public forms.

Let’s find your next step.
Compare Health Plan Options

If you need support, use secure support channels. For privacy, do not submit sensitive personal medical details through public forms.

One team. One healthcare experience.

Coverage, care, pharmacy, and personal navigation—connected by Shield.

Insurance products, plan designs, eligibility, services, pricing, coverage, and availability may vary by state, carrier, employer, underwriting requirements, and applicable law. Shield Health 360 does not guarantee eligibility, coverage, insurance approval, medical outcomes, savings, tax outcomes, or treatment results. Medical services, prescriptions, medications, and treatment programs are subject to provider evaluation, medical necessity, eligibility, and applicable laws and regulations.

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