Medical Reimbursement: Tax-Advantaged and Expanded Medical Coverage

Executive Health provides tax-advantaged expanded healthcare coverage for your key employees. The plan is underwritten by leading insurers Transamerica Financial Life Insurance Company and Monumental Life Insurance Company, both A+ rated members of the AEGON company. It offers:

  • Expanded medical, prescription, dental and vision coverage for your executives
  • Streamlined administration and rapid reimbursement
  • Uncompromised regulatory compliance
  • A Prescription MasterCard for point-of-purchase convenience.
  • Comprehensive Executive Physicals
  • Predictable Program Cost

Comprehensive Coverage for Medical, Rx, Wellness and Prevention, Dental and Vision

Executive Health supplements your company's core health plan and expands the overall coverage beyond its limitations; up to $100,000 annually. These tax-free* benefits for members and their families cover medical, dental, preventive and vision and other 213 medically necessary expenses.

  • Policy and coverages are designed to be similar to a “fully insured Flex Plan” with reimbursement for most 213 eligible expenses (few exceptions)
  • Medical necessity standards more liberally defined by the IRS than the norm for underlying health plans
  • Reimbursement for expenses of the company’s health plan, among them deductibles, coinsurance amounts and out-of-network costs
  • Amounts over the underlying carrier's Reasonable and Customary schedule
  • Dental and vision services including orthodontia, crowns and Lasik eye surgery
  • Prescription drugs with integrated MasterCard convenience card

Comprehensive Executive Physicals for Proactive Health and Wellness Management

Executive Health covers the cost of comprehensive Executive Physicals for both the executive and the spouse wherever they choose to receive services. An increasingly popular part of prevention, your clients can now offer this benefit on a tax-advantaged, insured basis.

  • Clinical Concierge assistance for guidance to premier facilities, appointment scheduling and navigation to follow-up treatment options
  • Eliminates the need for “stand alone” self insured executive physical programs

Streamlined Administration and Rapid Reimbursement

Our exemplary service benefits you and your busy executives who have high demands on their time. Reimbursement is fast and hassle free. Submissions are made directly to our program and claims are processed continuously. Most reimbursements are paid within 5 to 7 days, an experience participating executives appreciate and value.

  • Built for convenience and ‘white glove’ service levels, provided by dedicated staff who understand executive expectations
  • Rx MasterCard providing optimal convenience through instant reimbursement of member pharmacy responsibility at point-of-sale
  • Rapid reimbursement 5 business days or less for majority of claims
  • Industry-high reimbursement accuracy rate
  • Simple to administer for your company: No HR department coordination or claims batching required
  • Assured confidentiality of executive private information—fully HIPAA compliant

Regulatory Compliance

Section 105(h) of the internal revenue code allows you to provide medical reimbursement on a selective basis within a workforce without affecting the tax advantaged status as long as the program is fully insured and can demonstrate actual risk transfer.Executive Health plan is fully insured with full risk-transfer.

  • Increased regulatory scrutiny and higher shareholder standards demand less “aggressive” insured structures
  • Our program is built to withstand today’s regulatory scrutiny and definition of risk transfer related to Section 105(h)
  • You can select the eligible group without concern for tax consequences for your company or the executive*
  • Competitively priced and provides exceptional value to your executives

Prescription MasterCard®

Executive Health incorporates an Rx MasterCard for ultimate convenience at point-of-purchase at the pharmacy. Available for health plans with pharmacy programs managed by approved Pharmacy Benefit Managers, this feature virtually eliminates the need to file pharmacy claims using a paper based process. Please contact us for more information about this exciting benefit, fully integrated into the program.

Predictable Program Cost

Our fixed premium structure provides predictable pricing and rates that are guaranteed for 12 months. You can make decisions based on known costs and can budget with the comfort that it will not change during the course of the year even if you have an adverse claims experience.

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*This is not local, state or federal tax advice. It is recommended that you seek the independent counsel of a professional tax advisor.