The Quality Choice for Health Coverage and Benefits Administration

 

 

Our Products and Services

We offer 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.

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Group Medical Plans

QualChoice is your trusted health care partner, bringing you the best value in health benefits for your employees.

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Group Supplemental Coverage

A rich benefits plan gives you an edge in recruiting and keeping employees.

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Third Party Administration

Choose an entire health plan or just certain services. We make group health insurance easy to manage.

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Individual and Family Plans

A choice of well-priced plans to protect against surprise accidents and illness.

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, copayments, 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

The QualChoice Added Value

QCARE Health and Wellness Program

QCARE offers tools to help members stay healthy or manage a chronic illness. And that can mean lower health care costs for employers and employees.

Our health coaches teach members to set and reach health and well-being goals. They give support and tips on issues like:

  • Stopping Tobacco Use
  • Improving diet
  • Handling stress
  • Increasing activities

Care Managers support members in handling long-term or serious health problems. Special programs include:

  • Cancer awareness
  • Diabetes management (high blood sugar)
  • Heart health
  • Maternity management
  • Post-discharge care

Online Access

Sign in to My Account at QualChoice.com to access your records any time. It's mobile friendly!

Members services:

  • Review claims
  • View benefit booklet
  • Change address or password
  • Order an ID card or print a temporary one
  • Get health and wellness information

Employer services:

  • Enroll new hires
  • Make year-round changes online*
  • Enter open enrollment selections upon renewal*
  • View eligibility details
  • Generate useful reports

Extras include:

  • Questions to ask your doctor
  • A tool to find and compare hospitals
  • A library of health tips

QuicRewards Program

QualChoice members enjoy great savings on health-related products and services such as:

  • Weight-loss programs
  • Vision care services
  • Safety products
  • Non-covered prescription drugs
  • Pregnancy and well baby support
Pregnancy and well baby support