The Quality Choice for Health Coverage and Benefits Administration
Our goal is to simplify health insurance and improve the health of our members. And we’re committed to doing that with friendly, reliable customer service!
With QualChoice you have a wide range of group and individual health plans to choose from, as well as funding arrangements and more. Our plans give you quality, value and security. It’s easy for you to offer a complete benefits package with our streamlined billing and administration. And we’re always working to offer plans with added value. An example is our QCARE Health & Wellness program.
Group Medical Products
Choose from a wide range of group health plans and benefit options — plus a large provider network and great customer service.
Supplemental Insurance Policies
Add extra options for richer benefits and get an edge on recruiting and keeping employees.
Third Party Administration
For an entire health plan or just certain services — we make health insurance easy for group administrators.
Individual and Family Coverage
A variety of affordable plans protect individuals and families against accidents and injury.
QCARE Health Management
Our Care Managers and Health Coaches can help you stay healthy or manage a chronic illness.
The QualChoice Added Value
A host of online resources helps members stay healthy, save money by making the most of their health coverage and find answers to their questions.
- Ask a Doc — Quick access to health care professionals online or by phone, after Member log-in.
- 24/7 Nurse Advice Line — Round-the-clock access to an on-call registered nurse, 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