PEACE Plan

Our captive-enabled solution includes an integrated health benefit package that is powered by an ecosystem of preferred partners. These partners will harmoniously integrate benefits for members who need to access care through an easy-to-use and secure technology experience. The result is an optimized benefit package and a better than average potential for out of pocket savings by the member without the fear of receiving inappropriate care. We believe that PEACE of mind should not come at an unkown cost.
Our four (4) PPO plans and two (2) HDHP plans have been carefully designed to be competitive, and curated in a way to allow members to make the best decision for their care with the help and guidance of their own advocate.

Please visit www.peaceplanhealth.com for more information about this great product.

Personal Healthcare Advocate Services

Each member in the health plan will have their own personal Health Advocate, this Advocate will assist you in obtaining access to: Preventative Services, Primary Care, understanding what is and is not covered in your health plan benefits, obtaining specialist coverage, IN/Out of Network Coverage, Prescriptions, Telemedicine, Behavioral Health, Vision services.

This is your FIRST POINT of contact with the healthcare system. This is VERY different than what you are used to with other health plans – we are here to help you navigate this very complex system.

Your Advocate is available 24/7, via Mobile APP, email or phone.

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PEACE Plan
Mobile App

Every member and dependent will receive a free Mobile APP for either iOS or Android phones.

At the touch of a button, this Mobile APP will assist you to directly communicate with your personal Healthcare Advocate, Plan services and information regarding your individual plan, and you will also have access to other healthcare options you may need.

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Access Your Primary Care Providers

Except for the High Deductible Plans, all Primary Care is covered at 100%, with no out of pocket copays, deductible or coinsurance Your Advocate with help you choose a Primary care doctor if you do not already have one.

Your Advocate will assist you with any ongoing healthcare needs and assist in scheduling your annual physical.

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Free Preventative Services

Every member and dependent will receive a free  Mobile APP for either iOS or Android phones.

At the touch of a button, this Mobile APP will assist you to directly communicate with your personal Healthcare Advocate, Plan services and information regarding your individual plan, and you will also have access to other healthcare options you may need.

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Specialists & Specialty Care

Your Advocate will assist you in finding an In-Network provider for any lab work, imaging, specialty providers needs and services.

Your Advocate will help you understand how to choose the highest quality provider at the lowest cost to you and your family.

Pre-certification/authorization is required for most elective procedures in your Plan, your Advocate will be there to assist you in obtaining your authorization and insuring access to the care you need.

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National Network

The Aetna First Health National Network, this means you have access to over 93% of the healthcare providers in the US.

This network provides discounts for services you may need and your Advocate can assist you in making sure that your provider is in the Network and that you are informed on the quality and cost of the service being provided before you obtain those services.

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Pharmacy Benefits

You have access to over 65,000 pharmacies across the US.

Contact your Advocate if you have any questions on where and how to obtain your prescriptions at the lowest possible cost to you.

You will also have access to a pharmacy discount card option, which means you can shop for the best price for your pharmacy needs before you buy them.

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Telemedicine Benefit

This is a FREE 24/7 service for any Non-Emergency healthcare needs, so you may not need to go to the Emergency Room or Clinic, there is NO Copay, deductible or coinsurance on your part for this service.

A Doctor will be able to prescribe medications over the phone and send them to your local pharmacy of choice.

Contact your Advocate for help in accessing the correct kind of care based on your needs.

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Behavioral Health Benefit

This is a FREE 24/7 service for any mental or stress related concern or needs.

This benefit is COMPLETELY confidential and there are virtually no restrictions when accessing this benefit.

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Vision Benefit

This is a Completely FREE benefit (no premium) for you and your family, you will have access to eye exams once a year for a $10 copay and additional benefits for eyeglasses and contacts, you can see your benefits book for more details or contact your Advocate for help in accessing and maximizing this benefit.

This benefit is highly recommended even if your eyesight is currently good.

Eye exams can detect diabetes, MS, high cholesterol, thyroid, lupus and many cancers before they present any symptoms.

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PEACEPLAN INSURANCE COMPANY

PEACEPlan Insurance Company, PPI, a Captive Insurance Company, is designed to reinsure the integrity of Employer Claims Funds collected and pooled from small business employers who have selected the PEACEPlan health benefits. The Plans are developed and managed through PPI's affiliated company, CATENAHealth.

Some key benefits of a captive are:

  • Creates significant SAVINGS over commercial premiums

  • Provides GREATER PROTECTION using policies that are flexible and responsive

  • Leverages CONTROL that is maintained by the captive to enable innovative risk product design

Favorable legislation has been passed creating incentives for the small to mid-size businesses to establish their own captive. The captive operates like any commercial insurer—i.e., it issues policies, collects premiums and pays claims, but it does not offer insurance to the public—and it is regulated as a captive, rather than as a traditional insurer.

The Captive owners have a direct interest in the successful outcome of underwriting results, as it is the captive’s stated intention to use retained earnings to build a foundation of capital and surplus to strategically align itself to provide additional risk products in the future. For any excess earnings, the captive may look to return a percentage of savings by Employer, as long as the plan of return does not jeopardize the financial integrity of the captive and said return of claims monies are approved by the captive regulators