Enrollment First Member User Guide
Your SelectMed plan is used for ACA preventive visits such as annual physical, well woman exams, mammogram, flu shot, etc. It follows the same rules as all ACA/Obamacare plans.
NOTE: Here is the full list of the ACA mandated preventive care services
When you see a provider in the PPO network, covered preventive services will be paid 100% as mandated by the ACA/Obamacare.
SelectMed Base - 100% Preventive Care Only (Plus) Options:
You can review much of the following information and additional Frequently Asked Questions (FAQs) on the NAHP SelectMed page.
These Enrollment First plans are called SelectMed. SelectMed is a single employer, self-funded group health plan made available to consumers through a Limited Partnership. Joining the Limited Partnership is required to purchase the product. As part of the enrollment process, enrollees will receive an email with the required documentation to join the Limited Partnership, which is to be electronically signed and returned by the enrollee. Enrollment becomes final after the documents have been submitted.
SelectMed offers In-Network coverage only. The network provider is First Health PPO, one of the largest provider networks in the country. See below to find a provider in the First Health PPO network.
The third party administrator for claims is HMA. The member ID card will show the phone number and address to which claims should be submitted on the back side. The administrator of the preventative Rx benefits is WellDYNE. Enroll 1st will be the name on your bank or credit card draft.
Once you enroll in the plan, your electronic ID card will be emailed to you. You will receive your cards in the Primary applicant’s name only. You will receive the email ON your actual effective date or as soon as your application has been processed.
Simply show your ID to your In Network Primary Care Physician at point of service and the rest is handled for you.
If you have questions about eligibility, claims, benefits, etc., you will find contact information on your ID cards. You can also call Member Services at: 866-816-6786.
SelectMed Online Account Access
NOTE: When you signed up for your SelectMed plan, you registered and created an online account. You can access your online account on the Enrollment First Login page.
SelectMed Plan Benefits
To review the coverage for the SelectMed plan that you chose, go here: SelectMed Plans. On the home page click “Daily Care Options” in the left column. This will bring up a chart outlining the coverage on all SelectMed plans.
NOTE: If you chose SelectMed Pro or Max, your plan includes additional outpatient benefits on top of the 100% preventive care coverage on the SelectMed Base plan. See the link above for the details on all plans.
SelectMed/First Health PPO Network
These SelectMed plans will utilize the First Health PPO Network. It is one of the most extensive PPO networks in the country. The First Health Network will provide a broader range of coverage to more members–especially for those in rural America!
To look up providers go to the First Health PPO network
To begin, check the box for the Member Agreement and click "Continue." On the next page choose the type of provider and enter your search parameters. Then click the “Search Providers” button.
US Healthcare Resources and Shopping Services
In addition to the information above, don't forget to go to our US Healthcare Resources page for a detailed list of online healthcare shopping tools and resources. They include sites to help you shop for the best price (or fair price) on all different types of healthcare. There are also providers offering deeply discounted prices on multiple different types of care.
Contact Me Anytime for ANY Reason:
If you have ANY other issues or questions throughout the year, I am here to help! So, please contact me at ANY time! You can schedule a call on my online calendar by clicking the link above that says CALL ME and picking a day and time that works best for you. You can also call or text me at the number in the top right corner of this website or send me an email to robtavis@ushealthinsurancesolutions.com.