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PATRIOTCARE HEALTH BENEFIT PLANS

Save Up To 30%+ On Your Healthcare Benefits!

PatriotCare Healthcare Benefit Plans give you the freedom to choose the healthcare benefits that best meet the needs of your family, your business, and your employees by providing cost effective healthcare benefits with low monthly rates and out of pocket costs.

A portion of all proceeds go directly to TheRosieNetwork.org to support their programs and services for military families.

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See how you can start saving 30%+ on your healthcare needs

About us


TheRosieNetwork.org

The Rosie Network is a non-profit organization founded by military spouse, Stephanie Brown. The Rosie Network’s mission is to build stronger military families through entrepreneurial programs and support services that empower military spouses, transitioning service members and veterans, increasing the financial stability and self-sufficiency of American families who serve.


PatriotCare Health Benefit Plans

US based and Veteran owned business that firmly stands on the principle of “America First” that provides healthcare benefits for individuals, small business owners, their families, and their communities. WE BELIEVE that when it comes to healthcare...the best benefits are the ones YOU CHOOSE based on the needs of your family, your business, and its employees - not those mandated!
 

PatriotCare healthcare benefits for Veteran business owners

Healthcare Benefit Plan Overview

Choose The Plan That Best Meets Your Needs

Comprehensive Healthcare Benefits

Patriotcare Comprehensive

The PatriotCare Comprehensive plan provides benefits for primary care and specialist visits, urgent care, ER, prescriptions, hospitalization, surgery, maternity, labs, advanced imaging, catastrophic illness and more with low copays, out of pocket costs, and monthly rates.

Premium starting from just $ 349

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Outpatient & Virtual Healthcare Benefits

PatriotCare Plus

The PatriotCare Plus plan provides benefits for primary care and specialist visits, urgent care, virtual care, basic labs & x-rays, prescriptions and more with low copays and monthly rates, and no deductibles.

Premium starting from just $ 219

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Virtual Healthcare Benefits

PatriotCare Basic

The PatriotCare Basic plan provides benefits for virtual primary/urgent care, virtual behavioral health, prescriptions and more with no copays and low monthly rates.

Premium starting from just $ 79

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Have Questions - Need Assistance?

Our licensed healthcare benefit counselors are available to answer your questions.

Call us at (682) 437 - 1724
or schedule a call back at your convenience.

Frequently Asked Questions

No. PatriotCare healthcare benefit plans are not major medical insurance plans and are not a "Qualified Health Plan" (QHP) as defined by the Affordable Care Act (ACA).

The brief definition of a "Qualified Health Plan" (QHP) under the ACA is as follows:
A Qualified Health Plan (QHP) under the Affordable Care Act (ACA) is a health insurance plan offered through the Health Insurance Marketplace (also known as the ACA Exchange) that meets specific requirements. These plans are certified by the government and provide essential health benefits (EHBs), as well as cost-sharing protections like Advance Premium Tax Credits (APTCs) and cost-sharing reductions (CSRs) for eligible individuals. QHPs are structured into different metal levels (Bronze, Silver, Gold, Platinum) and are offered across the country.
QHPs can only be purchased through the Health Insurance Marketplace or its certified partners.

Out of Pocket cost (OPC) for PatriotCare Comprehensive plans are limited to 3 occurances within a twelve month period from the time you file your first claim. The maximum OPC is per plan, not per person. This means that if your active date is January 1st, and you have surgery on June 6th - the twelve month period runs June 6th of the current year through June 5th of the next year.

This is important your maximum OPC is based on a per incident basis rather than a plan year basis helping you to minimize expense. I.e. - On a traditional healthcare insurance plan (using the example above), if you were to visit an ER 6 months after your surgery; it would be the start of a new plan year and your maximum deductible would have been reset on your plan renewal date of January 1st.

Insurance "deductible" definition: the amount of money that the insured person must pay before their insurance policy starts paying for covered expenses.

There are no deductibles for the PatriotCare healthcare benefit plans.

• PatriotCare Basic - you are responsible for the fees associated with non-covered benefits/services and copays.
• PatriotCare Plus - you are responsible for the fees associated with non-covered benefits/services and copays.
• PatriotCare Basic - you are responsible for the fees associated with non-covered benefits/services, copays, and the out of pocket cost associated with the first 3 comprehensive care events during each 12 month period.

PatriotCare Basic & Plus plans do not have limitatons or exclusions for pre-existing conditions.

PatriotCare Comprehensive plans have a waiting period specific to pre-existing conditions related to the comprehensive care benefits such as hospitalization, ER visits, surgery, maternity, and catastrophic illness. The benefit schedule / waiting period for comprehensive care pre-existing condition treatment is as follows:
• Year 1 - $0
• Year 2 - maximum benefit paid $25,000
• Year 3 - maximum benefit paid $50,000
• Year 4+ - maximum benefit paid $125,000

PRE-EXISTING CONDITION definition:
Any illness or injury for which a person has been examined; taken medication; had symptoms; or received medical treatment within 24 months prior to the effective date is considered a pre-existing condition.

A medical condition is not considered as “pre-existing” if the patient has been symptom and treatment free for a period of 24 months or more prior to the effective date.

Exceptions: High blood pressure, high cholesterol, and diabetes (types 1 and 2) will not be considered pre-existing conditions as long as the member has not been hospitalized for the condition in the 12 months prior to enrollment and is able to control it through medication and/or diet.

All healthcare benefit plans are first of the month effective.

The enrollment cut-off date for 1st of the month effective is the 20th of the previous month before the desired effective date.
EXAMPLE:
• enrollment completed on Jan. 20th - effective date would Feb. 1st
• enrollment completed on Jan. 21th - effective date would Mar. 1st

A comprehensive care event (aka medical sharing need) is specific to the medical care required for a single shareable medical that typically involves the diagnosis and treatment of a serious medical need associated with hospitalization; emergency room visits; surgery; catastrophic diseases and illnesses; advanced diagnostic imaging and labs; or doctor visits.

Regular outpatient physician office visits for acute illness or injury care are not typically categorized as "comprehensive care" needs.

Billing occurs monthly for all healthcare benefit plans.

Your first billing will occur at time of enrollment. Recurring billing will occur on the 20th of every month, after your initial effective date.

Contact Us

COMPANY INFORMATION
  • Locations

    Dallas-Fort Worth | Albuquerque | Tallahassee

  • Phone

    (682) 437-1724

  • Office Hours

    9am - 7pm EST Monday - Friday

  • Member Portal

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