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Minimum Essential Coverage (MEC)
Continued 2016–17 Beneits Enrollment
TeleMedicine
Teladoc provides individuals with fast, convenient, cost effective access to quality
medical care 24 hours a day, 7 days a week, 365 days a year. $0 copay
How it Works
Call 800.530.8666 for a doctor.
Consultation and Follow-Up
X Telephone consultation: the physician will call the patient on the number that is
provided generally within an hour and guaranteed within 2 hours
X Video consultation: the physician will schedule a convenient time (guaranteed
same day) to conduct the video consultation—note: you must have a web camera
and high speed internet access to participate in a video consultation
X The physician conducts consultations, recommends treatment, or refers the
patient to a PCP or specialist
X When appropriate, the physician will electronically prescribe medication directly
to the patient’s pharmacy
Minimum Essential Coverage (MEC) Disclaimers
Limited Beneit Health plan is underwritten by BCS Insurance Company. All plans administered by PAI (Planned Administrators, Inc.)
Limited Beneit Health Plan Exclusions (BCS Insurance Company)
With respect to all of the beneits provided under the policy, no beneits will be payable as the result of any insured’s; suicide or self-inlicted injury or sickness,
pregnancy of a dependent child, participation in a riot, rest care or rehabilitative care, felonies or illegal occupations, elective procedures, racing, intoxication,
routine examinations, war or armed conlict, voluntary abortion, psychiatric or psychological conditions, well-baby care, experimental treatments or surgery,
obesity or weight control, on-job accident or sickness, or treatment outside of the United States. The following are not covered under the outpatient physician
ofice visit and outpatient diagnostic x-ray and laboratory indemnity beneit; in-patient treatment, routine eye and dental exams, or itting of glasses and hearing
aids. The following are not covered under the outpatient prescription drug indemnity beneit; drugs without a prescription (except insulin), therapeutic devices
or appliances, experimental or investigational drugs, inpatient drugs, blood and blood products, contraceptive materials/medication, or infertility medication.
Accidental Death & Dismemberment Exclusions
A loss that is directly or indirectly a result of one of the following is not a covered loss; disease or inirmity of the mind, bacterial infections, medical or surgical
treatment unless a covered loss, act of war or insurrection, unlawful participation in a riot, felony or illegal occupation, suicide or attempted suicide, riding in or
descending from any aircraft, drug or alcohol use, injury or death caused by another person (unless an innocent bystander).
Underwritten by BCS Insurance Company, Columbia, SC.
9
Continued 2016–17 Beneits Enrollment
TeleMedicine
Teladoc provides individuals with fast, convenient, cost effective access to quality
medical care 24 hours a day, 7 days a week, 365 days a year. $0 copay
How it Works
Call 800.530.8666 for a doctor.
Consultation and Follow-Up
X Telephone consultation: the physician will call the patient on the number that is
provided generally within an hour and guaranteed within 2 hours
X Video consultation: the physician will schedule a convenient time (guaranteed
same day) to conduct the video consultation—note: you must have a web camera
and high speed internet access to participate in a video consultation
X The physician conducts consultations, recommends treatment, or refers the
patient to a PCP or specialist
X When appropriate, the physician will electronically prescribe medication directly
to the patient’s pharmacy
Minimum Essential Coverage (MEC) Disclaimers
Limited Beneit Health plan is underwritten by BCS Insurance Company. All plans administered by PAI (Planned Administrators, Inc.)
Limited Beneit Health Plan Exclusions (BCS Insurance Company)
With respect to all of the beneits provided under the policy, no beneits will be payable as the result of any insured’s; suicide or self-inlicted injury or sickness,
pregnancy of a dependent child, participation in a riot, rest care or rehabilitative care, felonies or illegal occupations, elective procedures, racing, intoxication,
routine examinations, war or armed conlict, voluntary abortion, psychiatric or psychological conditions, well-baby care, experimental treatments or surgery,
obesity or weight control, on-job accident or sickness, or treatment outside of the United States. The following are not covered under the outpatient physician
ofice visit and outpatient diagnostic x-ray and laboratory indemnity beneit; in-patient treatment, routine eye and dental exams, or itting of glasses and hearing
aids. The following are not covered under the outpatient prescription drug indemnity beneit; drugs without a prescription (except insulin), therapeutic devices
or appliances, experimental or investigational drugs, inpatient drugs, blood and blood products, contraceptive materials/medication, or infertility medication.
Accidental Death & Dismemberment Exclusions
A loss that is directly or indirectly a result of one of the following is not a covered loss; disease or inirmity of the mind, bacterial infections, medical or surgical
treatment unless a covered loss, act of war or insurrection, unlawful participation in a riot, felony or illegal occupation, suicide or attempted suicide, riding in or
descending from any aircraft, drug or alcohol use, injury or death caused by another person (unless an innocent bystander).
Underwritten by BCS Insurance Company, Columbia, SC.
9
