2021 CompanyABC

HOORAY HEALTH

Deductible Relief Plan

A Noncoordinating Gap Benefit. Open Enrollment starts March 8th and ends on March 19th!

Payments for accidents & everyday medical expenses that deductibles do not cover.

What is the Deductible Relief Plan?

Copays, co-insurance, and deductibles associated with major medical plans can be confusing and costly. The Deductible Relief Plan (DRP), is designed to lower your out-of-pocket costs and pay you cash when you need care.

There is no pre-existing limitation in the DRP. You’ll receive reimbursement based on the schedule of benefits.

How to Use the DRP?

How to see a Hooray Health Urgent Care or Retail Clinic for $25 copay

Visit companyabc.hoorayhealth.com to find a Hooray Health in network provider.

Show your Hooray Health ID card to the provider front desk and pay a $25 copay.

You are all done! The provider will file a claim and there is no balance billing to worry about.
How to see your personal provider or specialist for illness or injury

1

Go to a provider of your choice either in your major medical network or out-of-network

2

Show your major medical ID and the provider will submit the claim to the carrier

3

Once you receive an Explanation of Benefits (EOB) and itemized bill, complete the WebTPA Claim Forms found on the website

4

Send the Claim forms along with supporting documentation listed on the form by fax or mail to WebTPA

Your claim will be processed according to your plan guidelines and eligibility. You will receive a reimbursement amount indicated in the plan overview within 10 business days of claim approval!

Hooray Health Makes Benefits Simple

Out-of-pocket medical expenses can be a challenge for employees as deductibles and other cost-sharing have increased. Even common expenses, if rendered in the wrong setting, can be seemingly insurmountable. Hooray Health has a simple and affordable solution, the Deductible Relief Plan. The DRP is designed to:

Help pay for out-of-pocket expenses related to sick and accident related medical care.

Provide national access to retail clinics and urgent care centers for a $25 copay with no balance bills* within Hooray Health’s Provider Network.

Reimburse a fixed $175 payment if the employee goes to physicians outside of the Hooray Health Network

What Is Covered?

Hooray Health Provider Network

Visit any retail clinic or urgent care in the proprietary Hooray Health Provider Network

Hospital Confinement

Pays a Hospital Admission Benefit for the first day. Covered Person is confined to a hospital due to sickness. ICU, Surgical and Anesthesia benefits are included.

Hooray Health Provider Network

Visit any retail clinic or urgent care in the proprietary Hooray Health Provider Network

Hospital Confinement

Pays a Hospital Admission Benefit for the first day. Covered Person is confined to a hospital due to sickness. ICU, Surgical and Anesthesia benefits are included.

DRP HIGHLIGHTS

DRP is a medical indemnity plan that pays lump sum amounts towards medical services rendered. After you receive medical treatment, covered by the DRP, a claim can be filed and you’ll receive a fixed cost payment.

HOORAY HEALTH

BASIC

$2.00 / month

That’s only $1.25 / week!
Highlights
  • $25 copay at Hooray Health network urgent care and retail clinic visits with no balance billing
  • Annual Wellness visit
  • Diagnostic X-ray and Lab coverage
  • In-Hospital Indemnity Benefit
  • Outpatient Accident Benefit (up to $5,000 in coverage)
  • Accident Death & Dismemberment

DRP Basic Plan Details

INSURANCE COVERAGE
  • Benefit pays $150; 1 per year
  • Hooray Health Network includes visit + In-House lab test, X-Rays, etc.; $25 copay only*
  • First Health Network or Out-of-Network Provider**; Plan pays up to $175
  • Physician Visit with Out-of-Network Provider***; Plan pays up to $175
  • Diagnostic X-Ray & Laboratory benefit; $25 per day x 2 days
  • In-Hospital Indemnity Benefit; Plan Pays $100 per day
  • Up to $5,000 per year; $0 deductible
  • Accident Death & Dismemberment; Up to $1,000 per year
NON-INSURANCE COVERAGE
  • 24/7/365 medical triage; unlimited calls
  • $0 consult; unlimited visits
  • Unlimited prescription discounts

MEMBER MONTHLY RATES

Member Only

$2.00

/ month

Member + Spouse

$10.00

/ month

Member + Children

$20.00

/ month

Family

$30.00

/ month


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HOORAY HEALTH

PLUS

$3.00 / month

That’s only $1.25 / week!
Everything you get with the Basic Plan, in addition to:
  • Additional $25 copay visits at Hooray Health Network Urgent care and retail clinics with no balance billing
  • Additional Coverage Diagnostic X-ray and Lab
  • Advanced Diagnostic Test Indemnity Benefit

DRP Plus Plan Details

INSURANCE COVERAGE
  • Benefit pays $150; 1 per year
  • Hooray Health Network includes visit + In-House lab test, X-Rays, etc.; $25 copay only*
  • First Health Network or Out-of-Network Provider**; Plan pays up to $175
  • Physician Visit with Out-of-Network Provider***; Plan pays up to $175
  • Diagnostic X-Ray & Laboratory benefit; $50 per day – 2 yr
  • Advanced Diagnostic Test Indemnity Benefit; $350 – 1 yr
  • In-Hospital Indemnity Benefit; Plan Pays $100 per day
  • Up to $5,000 per year; $0 deductible
  • Accident Death & Dismemberment; Up to $1,000 per year
NON-INSURANCE COVERAGE
  • 24/7/365 medical triage; unlimited calls
  • $0 consult; unlimited visits
  • Unlimited prescription discounts

MEMBER MONTHLY RATES

Member Only

$3.00

/ month

Member + Spouse

$10.00

/ month

Member + Children

$20.00

/ month

Family

$30.00

/ month


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HOORAY HEALTH

PREMIUM

$4.00 / month

That’s only $1.25 / week!
Everything you get with the Basic & Plus Plan, in addition to:
  • Additional Retail Clinic/Urgent Care Visits (only $25 per visit with no balance billing in Hooray Health network)
  • Inpatient Benefits
    • Hospital Admission
    • In-Hospital Confinement
    • Surgery Benefit
    • Intensive Care Unit (ICU) Indemnity
    • Anesthesia Benefit
  • Increased Accident Benefits (up to $10,000 in coverage)

DRP Premium Plan Details

INSURANCE COVERAGE
  • Benefit pays $150; 1 per year
  • Hooray Health Network includes visit + In-House lab test, X-Rays, etc.; $25 copay only*
  • First Health Network or Out-of-Network Provider**; Plan pays up to $175
  • Physician Visit with Out-of-Network Provider***; Plan pays up to $175
  • Diagnostic X-Ray & Laboratory benefit; $50 per day – 2 yr
  • Advanced Diagnostic Test Indemnity Benefit; $350 – 1 yr
  • Hospital Admission Benefit; $1,000 per day x 1 yr
  • In-Hospital Indemnity Benefit; $1,000 per day x 5 yr
  • Surgery Benefit (Maternity Included); $1,500 per day x 1 yr
  • ICU Benefit; $1,000 per day x 5 yr
  • Anesthesia Benefit; $375 per day x 1 yr
  • Up to $10,000 per year; $0 deductible
  • Accident Death & Dismemberment; Up to $1,000 per year
NON-INSURANCE COVERAGE
  • 24/7/365 medical triage; unlimited calls
  • $0 consult; unlimited visits
  • Unlimited prescription discounts

MEMBER MONTHLY RATES

Member Only

$4.00

/ month

Member + Spouse

$10.00

/ month

Member + Children

$20.00

/ month

Family

$30.00

/ month


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Why is Deductible Relief Needed?

Large employers could see the annual deductibles of their employer benefit plans increase by as much as 6% in 2020.**

From 2008 to 2019, healthcare annual deductibles for employer sponsored plans rose 8 times higher than employee wages. ***

SCENARIO #1

FLU VISIT

Urgent Care

Provider office visit, RIDT Lab Test

SCENARIO #2

CAR ACCIDENT

Emergency Room

Emergency Room Visit, CT Scan, Facility Charge

Hooray Health Network Provider Locator

Before seeking care, please call the healthcare facility. Hours of operation and services provided may vary due to special circumstances such as weather conditions or the COVID 19 Pandemic.

You also have the option to start with Telemedicine for an assessment via the Hooray Health mobile app

      Map Data
      Map data ©2018 Google, INEGI
      Map Data Map data ©2018 Google, INEGI
      Map data ©2018 Google, INEGI

      View the CompanyABC Plan Overview for more details.

      Don’t just take it from us. See what our members are saying!

      Have questions?—We’re here to help!

      Frequently Asked Questions

      A member will pay a $25 copay for a visit to a retail clinic or urgent care center that is in the Hooray Health network. The member will not receive a balance bill or additional charges for covered procedures at in-network providers.  

      Hooray Health has an unlimited telemedicine service available to members 24/7/365 and has a $0 consult fee every time. Members can speak to a physician at their convenience, and if needed, their prescriptions can be called into a pharmacy of their choice.  

      Hooray Health offers $0 Telemedicine & only a $25 copay to a national network of Urgent cares & Retail Clinic. We cover accidents and illnesses along with discounts on prescription drugs. We aren’t a comprehensive medical plan, with a high deductible, that has extensive coverage for serious medical conditions. Many people think we are just the right amount of coverage for them!

      Prescription discounts can be utilized at thousands of pharmacies across the country and can be located using the Hooray Health App.  

      Providers can be found using the “Provider Look-Up” feature on the Hooray Health App or by contacting our medical concierge.  

      Search “Hooray Health” on the Apple App Storeor Google Play Store 

      If your Company is offering Advantage plans, the Hooray Health plans are available to anyone between 18-84 years old. If Select plans are offered, the age limitations are 18-64

      Yes. However, they’ll not be eligible for the plan again until the next Open Enrollment. 

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