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SafeGuard Health<br/>Preferred

SafeGuard Health
Preferred

SafeGuard Health Plan Options

  BENEFIT DESCRIPTION VALUE PREFERRED ELITE
  In-Network Preventive Benefits
  Coverage for Preventive Benefits under PPACA 100% 100% 100%
  In-Network Services - PCP
  Primary Care Physician Visits $35 Copay $35 Copay $35 Copay
  Maximum Visits per covered individual per plan year  2 4 4
  Maximum fee plan allows per visit $150 $150 $150
  In-Network Services - Specialist
  Specialist Physician Visits  NA NA $50
  Maximum Visits per covered individual per plan year  NA NA 2
  Maximum fee plan allows per visit  NA NA $300
Prescription Benefits
  Tier 1 - Low Cost 

Discount Card

Up to 75% Discount
on FDA Approved
Medications

$1 Copay $1 Copay
  Tier 2 - Generics  $10 Copay $10 Copay
  Tier 3 - Preferred $40 Copay $40 Copay
  Tier 4 - Non-Preferred $150 Copay $150 Copay
  MONTHLY PREMIUMS  VALUE PREFERRED ELITE
  Primary Member $69 $103 $147
  Primary Member & Spouse $105 $168 $209
  Primary Member & Child(ren)  $89 $148 $199
  Family  $119 $183 $233
  SGH PLAN SUMMARY
When your clients choose SafeGuard Health Value they receive
  •   Preventive Care Visits (including Routine Diagnostic Imaging, X-rays and Blood Work)
  •   Primary Care Visits (PHCS Specific Services - www.multiplan.com)
  •   Pharmacy Benefits - Discount Card (www.sghrx.com)
When your clients choose SafeGuard Health Preferred they receive
  •   Preventive Care Visits (including Routine Diagnostic Imaging, X-rays and Blood Work)
  •   Primary Care Visits (PHCS Specific Services - www.multiplan.com)
  •   Pharmacy Benefits - 4-tier copay drug coverage (www.sghrx.com)
When your clients choose SafeGuard Health Elite they receive
  •   Preventive Care Visits (including Routine Diagnostic Imaging, X-rays and Blood Work)
  •   Primary Care Visits plus Specialist Visits (PHCS Specific Services - www.multiplan.com)
  •   Pharmacy Benefits - 4-tier copay drug coverage (www.sghrx.com)
Additional Information
  •  Guaranteed Issue product
  •  If member exceeds their office visits, member will receive the PHCS network discount
  •  If member does not use an in-network provider, the office visit copay will not apply. The member will be responsible
     for the full cost of the office visit. 
  • The Prescription Benefit maximum copay amount per covered member per month on the Preferred and Elite plans is $150. After the member meets the monthly maximum, the discount drug plan will then apply for the remainder of the month. The copay amount starts over each month.
  PHCS PPO NETWORK 

SGH plans include the PHCS Specific Services Network. Members have access to a premier national network that includes access to 5,000 hospitals, 107,000 ancillary facilities and approximately 917,000 practitioners. MultiPlan negotiates discounts that result in significant cost savings when members visit in-network providers, helping to maximize their health services. A PHCS logo on the SGH ID card tells both the Member and the Provider that a PHCS discount applies.

Members can find participating doctors or facilities near them by going to www.multiplan.com and following the instructions
below or by calling (888) 263-7543.


Home page
1 - Click on "Find a Provider"
Find a doctor or facility page
2 - Click on the "Select Network" button and choose "PHCS"                                      
3 - Click on "Specific Services"
4 - Type in the search criteria and location 

It is the Members’ responsibility to confirm the provider or facility’s continued participation in the PHCS Network and accessibility under the Specific Services program. When scheduling an appointment, Members need to specify that they have
access to the PHCS Network, confirm the provider’s current participation in the PHCS Network, their address and that they
are accepting new patients. In addition, to ensure proper handling of their bills, Members should always present their SGH ID card upon arrival at your appointment.


Please note: MultiPlan, Inc. and its subsidiaries are not insurance companies, do not pay claims and do not guarantee health benefit coverage.

Click Here to Search for Providers

Drug Pricing and Pharmacy Lookup Instructions

PHCS Specific Services Network Provider Search Instructions

Frequently Asked Questions

SGH Plan Covered Preventive Services

SGH Plan Exclusions

SGH Rx Limitations & Exclusions

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ENROLLMENT CONFIRMATION

Thank you for enrolling in a SafeGuard Health plan through us! Please review and acknowledge your understanding of the below, and once completed, a copy will be provided to you for your records.

INTENDED USE VERIFICATION

By enrolling today, I agree and affirm I am enrolling for the sole purpose the plans are intended for and further affirm I was contacted because I provided my contact information for this very purpose.

I further affirm I am not enrolling for the purpose of making threats or demands for money by alleging violations of the telephone consumer protection act and/or federal trade commission do not call registry or regulations. I expressly indemnify all parties involved in enrolling in these product(s) from any alleged violations, or threats of litigation, as it relates to the telephone consumer protection act or federal trade commission do not call registry related violations.

TERMS & CONDITIONS

I acknowledge and agree that the SafeGuard Health plan is a supplement to health insurance, health plans or healthcare sharing programs. I acknowledge this is not major medical insurance and is not a substitute for major medical insurance. 

I acknowledge and agree that the SafeGuard Health plan offers 100% coverage for ACA preventive services, Primary Care Physician Office Visits, Specialist Office Visits, and a prescription drug benefit (benefits vary by plan level).  

I acknowledge that the SafeGuard Health plan includes access to the PHCS Specific Services PPO Network, a national network of Physicians. I acknowledge and understand that I must utilize In-Network providers; no benefits will be paid for out-of-network services.

I acknowledge and understand that the SafeGuard Health plan is subject to limitations and exclusions. It is my responsibility to thoroughly review my plan documents to ensure I understand the plan I have enrolled in and the covered benefits included in the plan

I acknowledge and agree that if there is any discrepancy between what I thought the selling Agent told me and what the actual Plan Document states, the Plan Document terms govern.

MEMBER ACKNOWLEDGMENT

I agree that I am signing up for benefits and services that include an automatic payment plan. I expressly authorize Premier Health Solutions, LLC to automatically debit my bank account or Credit Card on the payment due date provided to collect any and all fees for my SafeGuard Health plan. I acknowledge and agree upon the effective date and the monthly payment amount. I also acknowledge and agree that my monthly payment will be automatically charged or drafted every month from the credit card, debit card or bank account I provided. Further, I attest that I am the holder of the credit card, debit card or bank account.

I may cancel automatic payments at any time by calling Customer Service at (855) 978-6927. I understand that I can also terminate the scheduled payments by providing written notification to the Customer Service team five (5) business day prior to the next scheduled payment date. This advance notice allows processing time to ensure the termination occurs prior to the next scheduled payment date. Automatic payment termination cannot be guaranteed with respect to notice provided outside of this window.

If I am not satisfied with my SafeGuard Health plan, I may cancel within thirty (30) days from my membership’s effective date and I may be eligible to receive a full refund on the monthly payment collected for that month. All cancellations must be directed to Customer Service at (855) 978-6927. Cancellations are processed Monday through Thursday from 8 a.m. to 5 p.m. and Friday from 8 a.m. to 4 p.m. Central Time.  All cancellation requests must be made five (5) days prior to the billing date in order to cancel the membership for that month. This advance notice allows processing time to ensure the cancellation occurs prior to the next scheduled payment date.  Cancellations cannot be guaranteed with respect to notice provided outside of this window.  If a cancellation request is received on or after the recurring billing date and the payment has been drafted, the membership will terminate prior to the next billing date and the member will be covered through the next month. The billing department reserves the right to aggressively rebut and dispute any cancellation attempts made by Members via a fraud chargeback—especially if no effort has been made to resolve the issue by contacting Customer Service.

By submitting a claim during the first 30 days under the plan, I acknowledge and agree that such a submission constitutes acceptance of the plan, and their terms and submission of such a claim constitutes a waiver of any and all refund rights, including those noted in the foregoing paragraph.

By submitting a claim during the first 90 days under the plan, I acknowledge and agree that I am under a one-year contract on the plan, beginning on my active date.  

I AM STRONGLY ENCOURAGED AND ADVISED TO READ ALL MEMBER MATERIALS CAREFULLY AND TO GO OVER ANY QUESTIONS OR CONCERNS WITH MY AGENT.

I acknowledge and agree that I will receive a “welcome” email within 24 hours of my enrollment, which will include my enrollment and plan information. I have the ability to download all materials, including temporary ID cards, which can then be used until the official cards are received in the mail. It is my responsibility to thoroughly review all materials. Questions can be directed to Customer Service at (855) 978-6927

NOTICE OF VOICE CONSENT TO ELECTRONIC TRANSACTIONS, SIGNATURES AND DOCUMENTS

I consent and agree to the use of electronic signatures of documents. I consent and agree that if I participated in a recorded verification call, my voice consent shall serve as my signature. I agree I am fully responsible for reviewing this application verification and I have reviewed such application carefully to ensure my full understanding of all provisions of the coverage.

CONSENT TO ELECTRONIC TRANSACTIONS

I agree that, by using this website, my agreement or consent shall be legally binding and enforceable and the legal equivalent of my handwritten or manual signature.

By signing below, I agree to receive all documents and correspondence electronically and that I can access the internet, or the email address provide

DISCLAIMERS

Premier Health Solutions, LLC (“PHS”) is a Texas-based insurance agency that provides comprehensive benefits administration and management services to agents, associations and carriers nationwide.  Our licensed internal agents, and the licensed third-party call center agents who contract with us, sell various insurance and non-insurance products to consumers (“Members”) throughout the United States. Premier Health Solutions, LLC markets and sells under the name PHSI Insurance Agency, LLC in California and under the name PremierHS, LLC in Kentucky, Ohio, Pennsylvania, South Carolina and Utah.

Almost all sales are conducted telephonically and include either an e-signature authorization form (such as this document) or a recorded verification script, which is required with each sale. The purpose of the e-sign authorization form or recorded verification call is to ensure that you understand, among other things, what product you are purchasing, what benefits are included with that product, how much you are paying at the initial time of sale, how much you will pay monthly thereafter, and that all subsequent monthly payments will be automatically drafted from the credit or banking account you provided.

Standard 1-5 business days $7.95
Two Day 2 business days $15
Next Day 1 business day $30
* Free on orders of $50 or more