Affordable Healthcare Solutions

eBenefits is the preventative care component of the SALA Healthcare Program. The eBenefits plans are not an insurance product, but a self‐funded plan sponsored by the Small Association Leadership Alliance (SALA). The eBenefits plans provide 100% coverage with a $0 copay for the preventive care services mandated by the Patient Protection Affordable Care Act, known mostly as the Affordable Care Act (ACA). The eBenefits plans are designed to meet your day-to-day healthcare needs.

Participants choose either the:

• eBenefits Essential Plan (HDHP), or
• eBenefits Summit Plan

Both plans comply with ACA mandated preventative services with 100% coverage for all 21 preventative services for adults, 26 services for women, and 27 services for children. (Click here to learn more about the ACA requirement)

eBenefits Summit: eBenefits Summit provides 100% coverage for preventive care, copayments for small and medium cost medical expenses, and prescription coverage.

• This plan includes: 100% coverage for preventive care services
• Small co-pays for Specialists, Urgent Care, Lab, Imaging and Prescription Drugs.
• Prescription drug coverage managed by CitizensRX
• Virtual Primary Care (VPC); $0 copay, unlimited use
• Behavioral Health; $0 copay consults
• Recuro Consumer Health App

View:

• Current Rate Sheets for eBenefits Summit
• Summit Enrollment Guide
• Summit Plan SOB

eBenefits Essential (HDHP): The eBenefits Essential / HDHP (High Deductible High Premium) Plan provides 100% coverage for ACA mandated preventive services at a lower monthly cost. This plan includes:

• 100% coverage for preventive care services
• The plan provides the required framework allowing members to setup and use a Health Savings Account (HSA) for qualified medical expenses
• Virtual Primary Care (VPC); $0 copay, unlimited use
• Behavioral Health; $0 copay consults
• Recuro Consumer Health App

View:

• Current Rate Sheets for ebenefits HDHP / Essential
• Essential Enrollment Guide
• Essential Plan SOB

PHCS Network Particpation: Before you enroll it is important to make sure your physician participates in the PHCS Network. There are slightly different networks depending on if you're in eBenefits Essential / HDHP or eBenefits Summit. Use the PHCS Search Instructions to find in-network physicians and facilities. (Please note, preventive services performed at hospitals are not covered.)

• PHCS Network Search Instructions

The Sedera medical cost sharing model boldly challenges the insurance status quo. Through an innovative layering of healthcare services, we enable individuals and family's access to high quality healthcare that is affordable, flexible and effective.

In addition to sharing medical expenses, Sedera provides access to valuable Counseling, Medical Bill Negotiation, Telemedicine, Expert Second Opinion, and Personal Member Advisor services to all members.
You can choose from 5 IUA's (Initial Unshareable Amount) that range from $500 to $5000.

To learn more about Sedera we recommend reviewing the following:

• About Sedera
• Sedera Membership Guidelines
• Member Testimonials

​WARNING:  SEDERA, INC. IS NOT AN INSURANCE COMPANY AND THE SEDERA MEDICAL COST SHARING MEMBERSHIP IS NOT ISSUED OR OFFERED BY AN INSURANCE COMPANY.  WHILE EVERY EFFORT IS MADE TO MEET MEMBER'S MEDICAL NEEDS, SEDERA, INC. AND THE SEDERA MEDICAL COST SHARING COMMUNITY DO NOT GUARANTEE PAYMENT OF ANY MEDICAL EXPENSE.

Sedera members have 24/7/365 access to a board-certified physician through Teladoc telemedicine. This service provides on-call physicians available to help resolve routine medical issues by phone or video consultations. Members considering a trip to the Emergency Room, urgent care center, minute clinic or who just cannot wait to get scheduled for a doctor’s office visit can use Teladoc to access medical care, saving both time and money.

Benefits include:

• On-demand care – talk to a doctor anytime, no matter where
• Prompt diagnosis for faster treatment
• No consultation time limits
• Treatment of children of any age
• Secure and portable health records
• Cost savings on expensive ER or urgent care visits
• Physicians can prescribe non-narcotic medication or refills when appropriate
• More info: Telemedicine FAQ

We’ve all hassled with doctor waitlists, gone back and forth to get a referral and searched the web for answers to medical issues. As a member of Sedera Health, you can bypass these frustrating steps through a program called 2nd.MD. This offering allows members to quickly and easily connect with some of the world’s best doctors for consultation via phone or webcam.

Benefits include:

• Distinguished Network: 2nd.MD recommends the best medical specialist for your care.
• Virtual Consults: Schedule a video or phone consultation at a time that’s most convenient for you.
• Concierge Care: Provides you with a dedicated medical professional who handles your case from beginning to end.
• Follow-Up Notes: Once your consultation is complete, you will receive a written summary from your doctor.
• Local Referrals: 2nd.MD will help you find local doctors and institutions best equipped to carry out your treatment.
• More info: 2nd MD - Specialists

Regional Care, Inc. is a leading third-party administrator that is here to provide you with comprehensive dental coverage. Negotiated rates make the dental network Aetna Dental Administrators program, powered by the national Aetna Dental Access® network, very competitive. In most instances, savings range from 15-50 percent on services from general dentistry and cleanings to root canals and crowns.

View Program Brochure Here.

Pricing

• Member Only - $42.33/mo
• Member + Spouse - $92.82/mo
• Member + Child(ren) - $90.78/mo
• Member + Family - $103.53/mo

Click here for Provider Search