MedSurf Data Partnership Plans
Health Benefit Plan
Health Benefit Plan provides comprehensive coverage for medical expenses, including prescription drugs, preventive care, and more. Our plans are designed to offer affordable and flexible options to meet your healthcare needs.
Why Choose Health Benefit Plan?
Affordable Prescription Drug Coverage
Low copays for acute, chronic, and preventive medications.
Comprehensive Preventive Care
Coverage for preventive medications and services to help you stay healthy and avoid costly medical issues.
Reference-Based Pricing (RBP)
Transparent and cost-effective reimbursement method based on Medicare rates, ensuring fair pricing for medical services.
Flexible Plan Options
Tailored plans to meet your healthcare needs, whether for acute care, chronic conditions, or preventive services.
Easy Access to Care
Affordable copays for medications and services, making it easier to access the care you need without financial stress.
Trusted Provider
Backed by MedSurf Benefit Plan, a trusted name in Health Benefit Plan, committed to providing quality coverage and support.
Choose your options
Healthy Living Plan
Best For: Individuals or families looking for basic coverage at an affordable price.
Essential Value
Best For: Those who want more comprehensive coverage with moderate costs.
MVP Plan
Best For: Individuals or families seeking premium coverage with the lowest out-of-pocket costs.
What benefits does the Health Plan provide?
All covered services are subject to exclusions and limitations - please refer to your plan documents for full breakdown.
Physician Services
Healthy Living Plan (Level I)
Essential Value (Level II)
MVP Plan (Level III)
Virtual Primary, Specialist & Pediatric Visit
$0 Copay (unlimited visits)
$0 Copay (unlimited visits)
$0 Copay (unlimited visits)
Virtual Behavioral Health Visit
$0 Copay (7 visits/year)
$0 Copay (7 visits/year)
$0 Copay (7 visits/year)
Primary Care Office Visit
Not Covered
$60 Copay 6 visits/year
$60 Copay (8 visits/year)
Specialist Office Visit
Not Covered
$60 Copay 6 visits/year
$60 Copay (8 visits/year)
Urgent Care
$0 Copay (unlimited visits, coverage only at contracted centers)
$50 Copay
$50 Copay
Deductible inrespect of below benefits
$0
$0
Individual $5, 000 - Family $10, 000 (In network)
Hospital or Facility Services
Inpatient Hospitalization
Not Covered
$350 Copay (3 days/year)
$350 Copay (5 days/year) - After deductible
Inpatient Visits - Physician
Not Covered
3 visits/year
5 visits/year
Inpatient Surgery
Not Covered
2 surgeries/year
2 surgeries/year
Anesthesia
Not Covered
2 inpatient and 1 outpatient procedure
2 procedures/year - 2 patients and 1 outpatient procedure
Outpatient: Diagnostic Services
Laboratory Service (Non-Hospital Based)
Not Covered
$50 Copay; Combined limit of 3 visits per plan year with Radiology
$50 Copay; Combined limit of 3 visits per plan year with Radiology
Radiology (Non-Hospital Based)
Not Covered
$50 Copay; Combined limit of 3 visits per plan year with Laboratory
$50 Copay; Combined limit of 3 visits per plan year with Laboratory
CT/MRI/MRA/PET Scan (Prior Authorization Required)
Not Covered
$350 limit to 1 scan per plan year
$350 limit to 1 scan per plan year
Pregnancy Benefits
Professional Services
Not Covered
Not Covered
$350 Copay
Maternity/Childbirth Delivery
Not Covered
Not Covered
$700 (after deductible)
Other Services
Allergy Services
Not Covered
$25 Copay
$25 Copay
Chiropractic Services
Not Covered
Not Covered
$50 copay (10 visits/year)
Mental Health, Behavioral Health, or Substance Abuse (Inpatient or Partial Day)
Not Covered
$350 copay per admission; limit to 3 visit per plan year
$$350 Copay
Mental Health, Behavioral Health, or Substance Abuse (Outpatient)
Not Covered
$350 Copay; limit to 1 visit per plan year
$350 Copay limit to 1 visit
Emergency Medical Transportation (by land only)
Not Covered
$250 Copay
$250 Copay (after deductible, 1 transport/year)
Pharmacy Benefits
Acute Medications (up to 30-day supply)
$0 Copay
N/A
$0 Copay
Chronic Medications (limited to two (2) 30-day fills, then 90-day fills required)
$0 Copay
$0 Copay
$0 Copay
Tier 1 - ACA Preventive Drugs
$0 Copay
$0 Copay
$0 Copay
PHCS Preventive Services Only
Select: PHCS Practitioner & Ancillary
Select: PHCS Practitioner & Ancillary
Contact us
MedSurf Data Partners LP
Call Us
Call us directly to schedule a meeting with a Benefit Advisor for personalized assistance with your benefits enrollment.
+1-(800)-617-8012Explore Our Insurance Policies
Click below to dive into the detailed terms of our comprehensive insurance policies.