For avMed Agents:

Information on Large Group Products 

 

AvMed offers large groups (51+ employees) competitively priced health plan options. Your clients are sure to find a solution that meets their business needs.

AvMed takes service very seriously. We offer live Member Service from 8 am - 8 pm weekdays and 9 am - 1 pm on Saturdays, which includes 24/7 Nurse On Call to help answer your medical questions when your doctor’s office may be closed. There are plenty of user-friendly online tools to keep Members healthy and help them make informed decisions.

Benefit Features


AvMed Engage (HMO)

Designed to optimize the potential of patient-centered care, AvMed Engage HMO plans require our Members to choose a Primary Care Physician (PCP) and get a referral before visiting a specialist. This model, which we call Centered Care, aligns the Member and PCP in a trusted partnership, working together toward a WELLfluent life while benefiting from the comfort of a fully-coordinated medical care plan. Enhanced by the predictability of copay-based plan designs and the promise of a centralized, patient-centered process, Engage delivers the best value in health care.

  • HMO plan with high-quality network providers
  • Care coordinated through their PCP to guide and simplify their health care needs
  • Copay predictability
  • Preventive care at no cost
  • Paired with multiple prescription drug coverage options
  • Maternity coverage
  • Discount programs for vision and complementary and alternative medicine included

AvMed Empower (Point of Service)

AvMed Empower offers the network and cost-share flexibility to make informed, empowered health care decisions. Empower Members will find the lowest out-of-pocket costs within the Tier A high-value network of health care provider partners. This group of providers shares our commitment to a fully-coordinated patient care experience. Further, Empower Members may access Tier B network providers at a higher cost share. Finally, Empower includes an out-of-network benefit allowing Members to access any provider they choose at the highest cost share.

  • Relationships with high-quality network providers
  • Open Access POS Plan with no referrals needed to see a specialist
  • Copay predictability
  • Preventive care at no cost
  • Paired with multiple prescription drug coverage options
  • Maternity coverage
  • Discount programs for vision and complementary and alternative medicine included

AvMed Achieve (HMO)

Designed around patient-centered care, AvMed Achieve emphasizes the importance of coordinating care with a Primary Care Physician (PCP). This approach aligns the Member and PCP in a trusted partnership, working together toward a WELLfluent life while benefiting from the comfort of a fully-coordinated medical plan. Achieve Members also have access to a network of specialists and facilities with no referral required.

  • Relationships with high-quality network providers
  • Network of high quality doctors, and hospitals
  • Preventive care at no cost
  • Paired with multiple prescription drug coverage options
  • Maternity coverage
  • Discount programs for vision and complementary and alternative medicine included
  • Health Savings Account Qualified (HSAQ) Plans available

AvMed Agility (Point of Service)

Designed around patient-centered care, AvMed Agility emphasizes the importance of coordinating care with a Primary Care Physician (PCP). This approach aligns the Member and PCP in a trusted partnership, working together toward a WELLfluent life while benefiting from the comfort of a fully-coordinated medical plan. Agility Members also have access to a network of specialists and facilities with no referral required.

As a Point of Service product, Agility includes an out-of-network benefit that allows Members to see any health care provider they choose.

  • Relationships with high-quality network providers
  • Open Access POS Plan with no referrals needed to see a specialist
  • Network of high quality doctors, and hospitals
  • Preventive care at no cost
  • Paired with multiple prescription drug coverage options
  • Maternity coverage
  • Discount programs for vision and complementary and alternative medicine included
  • Health Savings Account Qualified (HSAQ) Plans available

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