Simply Smart Affordable Alternatives to Rising Healthcare Costs
It's time for Smart Affordable Healthcare.
Healthcare Plan that fits you
Simple, flexible healthcare options designed for real life.
SMARTCare 360™
Routine Care
per month
SMARTCare 360™
Hospital
per month
SMARTCare 360™
Hospital+
per month
SMARTCare™1,2 Routine Care | SMARTCare™ 1,2 Hospital | SMARTCare™ 1,2 Hospital+ | |
|---|---|---|---|
SMARTCare 360™ Platform Your company's 24/7 Medical Director |  | | |
| Routine Care | |||
$0 Copay Virtual and In-Network Office Visit with 48 hour Pre-Authorization $20 Copay4 Out-of-Network Office Visit with 48 hour Pre-Authorization $50 Copay5 In-Network or Out of Network Visit without 48 hour Pre-Authorization | | | |
$0 Copay Labs with 48 hour Pre-Authorization | | | |
$0 Copay Mental Health Tele-Counseling with 48 hour Pre-Authorization | | | |
Rx & Immunization Copays may vary depending on Pharmacy location, quantity, and dosage with 48 hour Pre-Authorization | | | |
$0 Copay Virtual Specialist Curbside Consult6 with 48 hour Pre-Authorization | | | |
| Specialist / Advanced Imaging / Hospital | |||
Specialist Consults and Care $50 Copay5 with 48 hour Pre-Authorization $100 Copay5 without 48 hour Pre-Authorization (PHCS Network - Practitioner) Advanced Imaging $50 Copay5 MIR, PET, CT Scans, Ultrasound, Mammogram, and other imaging with 48 hour Pre-Authorization Hospital Care - Inpatient & Outpatient7 Individual - plan year $2,000 deductible | 20% coinsurance $4,000 out-of-pocket max4 Family - plan year $4,000 deductible | 20% coinsurance $6,000 out-of-pocket max4 Emergency Room $500 Copay + 20% coinsurance | SMARTCare 360™ Care Navigation Team Get the healthcare you need without spending more than you should: Appointment Scheduling, Referrals, Navigation, Negotiations, Alternative Funding Management Cost of Services is 100% Member Responsibility | Non-Embedded Deductible | Embedded Deductible |
Excluded Services 8 Organ transplants, Dialysis, Skilled Nursing, Advanced Psychiatric Care, and specialty and non-formulary medications | SMARTCare 360™ Care Navigation Team Get the healthcare you need without spending more than you should: Appointment Scheduling, Referrals, Navigation, Negotiations, Alternative Funding Management Cost of Services is 100% Member Responsibility | SMARTCare 360™ Care Navigation Team Get the healthcare you need without spending more than you should: Appointment Scheduling, Referrals, Navigation, Negotiations, Alternative Funding Management Cost of Services is 100% Member Responsibility | Dialysis and Skilled Nursing Included |
| Network | |||
(or add a doctor 48 hours prior to visit)⁹ | | | |
Plan Options
Your company's 24/7 Medical Director
Included in all plansRoutine Care
Routine Care & Copays
- Virtual Primary Care (24/7/365)
- In-Office Primary & Urgent Care
- Pediatric & Well Child Care
- Chiropractic (15 FREE visits)
$0 Copay (Virtual/In-Net with Pre-Auth)
$20 Copay (Out-Net with Pre-Auth)
$50 Copay (Any Visit without Pre-Auth)
$0 Copay Labs & Tele-Counseling (Pre-Auth Required)
Hospital & Specialist
Care Navigation Team
Scheduling, Referrals, Negotiations, Alternative Funding.
100% Member Responsibility
Services Covered/Excluded
Dialysis, Skilled Nursing, Organ Transplants EXCLUDED.
Hospital
Routine Care & Copays
- Virtual Primary Care (24/7/365)
- In-Office Primary & Urgent Care
- Pediatric & Well Child Care
- Chiropractic (15 FREE visits)
$0 Copay (Virtual/In-Net with Pre-Auth)
$20 Copay (Out-Net with Pre-Auth)
$50 Copay (Any Visit without Pre-Auth)
$0 Copay Labs & Tele-Counseling (Pre-Auth Required)
Hospital & Specialist
Specialist
$50 Copay (Pre-Auth)
ER Visit
$500 Copay + 20%
Hospital Plan Details (Non-Embedded)
Individual
$2,000 Deductible
$4,000 OOP Max
Family
$4,000 Deductible
$6,000 OOP Max
20% Coinsurance Applies
Services Covered/Excluded
Dialysis, Skilled Nursing, Organ Transplants EXCLUDED.
Hospital+
Routine Care & Copays
- Virtual Primary Care (24/7/365)
- In-Office Primary & Urgent Care
- Pediatric & Well Child Care
- Chiropractic (15 FREE visits)
$0 Copay (Virtual/In-Net with Pre-Auth)
$20 Copay (Out-Net with Pre-Auth)
$50 Copay (Any Visit without Pre-Auth)
$0 Copay Labs & Tele-Counseling (Pre-Auth Required)
Hospital & Specialist
Specialist
$50 Copay (Pre-Auth)
ER Visit
$500 Copay + 20%
Hospital Plan Details (Embedded)
Individual
$2,000 Deductible
$4,000 OOP Max
Family
$4,000 Deductible
$6,000 OOP Max
20% Coinsurance Applies
Services Covered/Excluded
Dialysis & Skilled Nursing INCLUDED
SMARTCare™ Membership
Maximum Benefits, Minimal Cost
With UNIFY SMARTCare™, you get straightforward access to the care you use most, with no hidden fees and no fine print. It's predictable.
It's transparent. And it's built to fit your life and your budget.
Direct Primary Care
Primary Care & Wellness Visits with No
Copay, No Deductible.
Specialist Care
Network of specialists with personalized
guidance, and real results.
Care Navigation™ Team
Simplifying the process with a single
contact, humanizing healthcare.
Prescription Savings
Easily refill prescriptions
with Big Discounts.
Open Network
Labs
Stop the frustrations of Traditional Insurance
See how our Care Navigation Team can save you money and hassles.
Putting the Patient first..
Care Navigation™ Team
24/7 Secure Provider Access
We streamline your Primary care experience with secure our Care Navigation™ Team communications anytime, anywhere.
Schedule a Consultation with Unify Healthcare
Let's discuss your Healthcare needs and find the best solution for you.
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Care Navigation™ Team
Team Members On Call
Our Care Navigation™ personal health concierge team assists you with appointments, scheduling labs, or get answers to some of your healthcare questions. The Care Navigation™ Team will assist you by phone, text or video.
