Prepaid Health Plan PHC

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• Prepaid Health Plan PHC
• Discount Medical Plan DMPO
• Form 20061214

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WHY WAS THIS COMPANY CREATED ?
Because

• 3.8 Million People Uninsured in Florida

• H.M.O. Premiums are Very High

• 50 Medicaid Recipients Disqualified

• Strict Underwriting

• Small Companies Stopped Offering
• Health Benefits

• Agents Dont Have a Product to Meet
• their Client's Needs

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What is..
?
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• Is a Medical Plan created in 1998, Licensed
  by the State of Florida and NOW Accredited by
  the AAAHC which provides the following BENEFITS
• Access to Primary Care Physicians, which include
  Pediatricians,
• Internal Medicine Family Practitioners for
  only 10.ºº a Visit
• Plan does not require physical examination or
  Lab Tests to be
• approved and does not have age or weight
  limits, neither denies
• members for pre existing conditions, or any
  other cause
• There are no Limitations or waiting Periods
• Children alone are accepted in the Plan
• Maternity at very convenient costs
• Lab Tests with very low Co-payments
• Radiology Tests are at very Reduced Rates
• Prescriptions provided at all Major Pharmacies
  Nationwide by Tiers
• and by Mail Order including Diabetic
  Supplies.
• Urgent Care Centers available at all three
  Counties
• Very simple Application Form

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HOW DOES THE PLAN WORK?

• The Plan has two licensed components
• One called Prepaid Health Plan PHC.
• The other called Discount Medical Plan
  Organization DMPO.
• The Plan has Medical Centers in Miami-Dade,
  Broward and Palm Beach.
• The Plan has medical attention 24 hours a day
• with your PCP.

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PREPAID HEALTH PLAN (PHC) CONCEPT Doctors visit for only 10 Co-Pay A Family Doctor is assigned for each patient for a low monthly fee No age limit and all existing conditions are accepted. You may change doctors once per month. All these in your own language, and close to home or work.

• The Prepaid Plan offers
• Primary Care Physician for
• adults at 10 per visit
• Pediatricians
• Gynecologists
• Laboratory
• Vaccines

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DISCOUNT MEDICAL PLAN (DMPO) CONCEPT
Complementary service available for Members at
fixed and pre-negotiated rates.

• This portion provides you with
• Specialists at Fixed Reduced Rates
• Urgent Care Centers at fixed Costs
• Two Pharmacy Plans available at fixed costs for
  each product
• Diagnostic Centers
• Scheduled Hospitalizations
• Surgeries and Maternity
• Maternity
• At two Maternity Centers at Total Cost of 3,600
  plus other options
• Low Co-pay in Diabetic Supplies and Other
  Medical Services
• - Diabetic and Blood Glucose Testing Supplies.
• - Insulin products and meters.
• - Dental Plan at 6.00 per month per family.
• - Durable Medical Equipment

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Diabetic Patients are Welcomed to ProMedical
Plan Yes, our Diabetic Members not only can be
treated and prescribed for only 10 but also
can have their medications at very low
co-payments with Care Pharmacy Inc. Now Members
can order conveniently from their homes and it
will be delivered to their door without having to
wait in long lines at the pharmacy. Orders will
be shipped using the U.S. Post Office Priority
Mail and delivery at no extra charge. We will
send Members a METER AT NO CHARGE with their
first 90 day supply so they can monitor their
Blood Glucose for accurate and affordable control.
We carry a wide range of products including
Diabetic Testing Supplies, Lancets, Blood Glucose
Test Strips, Glucose Control Solution Test, as
well as other supplies needed by people with
chronic illnesses.
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• MATERNITY PLAN
• The Plan offers complete maternity packages
  at The MIAMI
  MATERNITY CENTER or HOLLYWOOD BIRTH CENTER,
• with the following benefits
• Prenatal Vitamins (at Miami location)
• All Routine Labs
• Two Sonograms
• Vaginal Delivery at Birth Center
• (Home birth option available)
• One Home visit after Delivery
• Four Post Partum visits
• PKU Infant Screening
• New Born Hearing Test
• Complete packages
• for only 2,800
• In case C-Section is needed patient will be
  transferred to Parkway Hospital or North Shore
  Hospital from Miami Maternity Center or to
  Hollywood Memorial Regional from Hollywood Birth
  Center at an additional cost of 800.
• Miami Maternity Center Address 140 NE
  119 Street, Miami, Florida 33161
• MOM Maternity Center Address 3408 W.
  84 Street, Hialeah, Florida 33018

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Example of Costs on Labs Diagnostics

• Services
• Occult Blood
• CBC
• TSH
• HIV
• Conventional PAP
• Urinalysis Profile
• Glucose Level
• Prostate Specif.Antigent
• Liver Panel
• Comprehe. Metabolic Panel
• Mammogram
• Chest X Ray
• Foot or Hand X Ray
• Abdominal Ultrasound
• Pelvic Ultrasound
• Tran rectal Ultrasound
• Electrocardiogram

• ProMedical Cost Regular Cost
• 10 45
• 10 45
• 30 100
• 25 70
• 50 120
• 10 50
• 10 35
• 25 60
• 20 55
• 15 60
• 50 150
• 40 100
• 35 80
• 80 330
• 80 230
• 80 190
• 20 85

Note In every case the doctor will determined
which lab services will be performed
() Price in Palm Beach is 85.
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URGENT CARE CENTERS

• Now with 30 Locations to better serve your
  needs
• Miami-Dade (11) Locations
• Miami North Miami Beach Hialeah
  Aventura Kendall
• Broward (13) Locations
• Hallandale Weston Pembroke Pines Fort
  Lauderdale Lauderhill Plantation
  Tamarac Coral Springs
• Palm Beach (6) Locations
• Boca Raton Delray Beach Royal Palm Beach
  Lake Worth
• Wellington
• (See detailed addresses and phone
  numbers, as well as Hours of Operation and Fee
  Schedule on PCP Directory).

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M o n t h l y R a t e s (Effective July 01,
2009)

• 
  Medical Dental Medical Dental
  
• Plans Total Plans
  Accumulated
• 1. Individual
• 1st. Person 65 65
• 2nd. Person 44
  109
• 3rd. Person 15
  124
• 4th. Person 15
  139
• Additional Person 15
  
• 2. ProDental Plus
• 
  10 Individual
• 
  13 Per Family
• 3. Application Fee
• ProMedical Plan 35 per
  Application
• ProDental Plus 10 per
  Application

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Documentation Needed to Affiliate Members
Individuals a. Application signed by
the Member b. Bank draft form signed c.
Credit Card or Debit Card number with expiration
date d. Initial Payment IN EVERY CASE, A
PAYMENT FOR THE FIRST TWO MONTHS SHOULD BE
INCLUDED WITH EVERY APPLICATION.
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SALES COMMISSIONS

• INDIVIDUALS or GROUPS
• 100 of one monthly payment, PLUS
• 100 of Application Fee, PLUS
• 5 Bonus for Renewals, every month as long as
  the member remains in the Plan ()

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Compensation

• Check disbursement
• Applications should be submitted on a weekly
  basis, every Thursday before 12pm. The agents
  will receive their checks by mail one week after
  the date of submission.
• Commissions for renewals will be paid the 25th of
  every month, starting on the third month, this
  applies to overrides as well.
• Last day of submission
• The 25th of every month (or the last business day
  before the 25th,) is the last day to submit
  applications, so that the new members could
  become effective the 1st of the following month