The Quality Choice for Health Coverage and Benefits Administration
Our goal is to make health insurance simple and improve the health of our members. And we promise to do that with prompt and friendly customer service!
QualChoice offers a wide range of group and individual health plans as well as funding arrangements and more. Our plans give you quality, value and security. And we’re always working to offer added value — like our QCARE Health & Wellness program.
Third Party Administration
Choose an entire health plan or just certain services.
We make group health insurance easy to manage.
A rich benefits plan gives you an edge in recruiting
and keeping employees.
Individual and Family Plans
A choice of well-priced plans to protect against surprise accidents and illness.
The QualChoice Added Value
QCARE Health Management
Our Care Managers and Health Coaches can help
you stay healthy or handle a long-term health problem.
A host of online tools helps members stay healthy,
save money by making the most of their benefits and find answers to their questions.
- Ask a Doc — Reach a healthcare expert online or by phone, after Member log-in.
- 24/7 Nurse Advice Line — Speak to an on-call RN (registered nurse) any time day or night, after member log-in
Mental Health Parity Act
For plans including mental health benefits that are subject to Mental Health Parity, QualChoice follows the Mental Health Parity Act and the Mental Health Parity and Addiction Equity Act.
The act ensures that for these plans, coverage for mental health or substance use disorder is comparable to coverage for medical and surgical care. Some of the benefit areas that must be equal are:
- Financial, such as deductibles, co-payments, coinsurance, and out-of-pocket limits
- Treatment, such as the number of days or visits covered
- Care management, such as being required to get pre-authorization