LBPs - Limited Benefit Plans

LBPs - Limited Benefit Plans

Affordable health coverage plan offers in-network providers with higher limit and/or reimburse fixed benefits and costs versus the MEC plans. Explore the different plans and make sure they fit your needs before deciding. For Residents and Non-Residents alike.

  • Office and Specialist Visits
  • Hospital, Critical Care, ER and Prenatal
  • Low monthly price ranging from $295 to $448
  • Telemedicine is accessible 24/7, 365 days
  • ACA Preventive Benefits – 63 covered items
  • ACA Mandated Generic Tier-1 Medications
  • ACA Optional Generic Tier-2 Medications
  • Reliashield Essential Individual Plan included
Plan Comparison

Here is a high level view comparing these plans side by side. For more details click on the plans above.

LBP GOLD 1 - Male LBP GOLD 2 - Female LBP GOLD 3 - Disease Management LBP GOLD 4 - Prenatal
ACA Preventative Benefits (63 Items) 100% 100% 100% 100%
Telemedicine by Remedy.Me 100% 100% 100% 100%
ReliaShield Essential Individual Plan 100% 100% 100% 100%
ACA Mandated Generic Tier 1 100% 100% 100% 100%
ACA Optional Generic Tier 2 - $35 Co-Pay Applies to All Plans 100% 100% 100% 100%
Primary Care/Office Visits 4/Yr 5/Yr 6/Yr 8/Yr
Primary Care/Office Visits Co-Pay $15 $15 $15 $15
Specialist Visits 4/Yr 5/Yr 6/Yr 8/Yr
Specialist Visits Co-Pay $35 $35 $35 $35
Urgent Care Limited Benefits $250 Co-Pay $250 Co-Pay $250 Co-Pay $250 Co-Pay
Daily In-Hospital Contribution $300/Day per Confinement $300/Day per Confinement $300/Day per Confinement $400/Day per Confinement
Daily In-Hospital Contribution Length Up to 14 Days Up to 14 Days Up to 14 Days Up to 14 Days
Hospitalization In-Patient $2,000 Per Admission, Once a Year $2,000 Per Admission, Once a Year $2,000 Per Admission, Once a Year $2,000 Per Admission, Once a Year
Critical Illness $10,000 per Care or Illness, Once a Year $10,000 per Care or Illness, Once a Year $10,000 per Care or Illness, Once a Year $10,000 per Care or Illness, Once a Year
Emergency Room Services $500 per Injury $500 per Injury $500 per Injury $500 per Injury
Intensive Care Indemnity Not Available Not Available Not Available Not Available
Individual $295 $325 $382 $448
Individual + Spouse or 1 Child $340 $370 $427 $493
Individual + Spouse + 1 Child $385 $415 $472 $538
Individual + Spouse + 2 Children (Family Plan) $430 $460 $517 $583