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Dave Knows Health
Dave Knows Health
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Plans & Coverage

Supplemental Products

Dave offers a wide range of insurance plans that cover everything from essential health care needs to supplemental benefits for added peace of mind. Explore our coverage options and find the plan that fits your needs. 

  • Dental
  • Vision
  • Life Insurance
  • Long-Term Care
  • Disability
  • Hospital GAP
  • Accident GAP
  • Illness GAP
  • Accident Only
  • Critical Illness
  • Hospital & Surgical Coverage
  • Telemedicine

Year-Round Health Plans

Dave provides flexible and compliant insurance plans designed to offer year-round protection, including:

  • Private ACA-Compliant PPO Policies (Available in 40+ States)
  • Maternity Plans (ACA-Compliant)
  • Zero Deductible Plans (ACA-Compliant)
  • Catastrophic Plans
  • Short-Term PPO Plans
  • Marketplace (Obamacare) Plans

These plans ensure you and your family are always protected, no matter the season or situation. 

Plans for Every Need

  • Individuals
  • Families
  • Spouses
  • Spouses + Child(ren)
  • Groups of all Sizes
  • Workers' Compensation

No matter your situation, we have plans designed for you, ensuring comprehensive coverage at every stage of life.

2024 America’s Choice Coverage

Maximum Annual Benefit Amounts:

Coverage Period: June 1, 2024 – May 31, 2025

Deductible: $250 Individual / $500 Family  

  • Individual: $1,000,000
  • Family: $5,000,000

Copayments

  • Primary Care Office Visits: $0 after deductible (10 visits max)
  • Specialist Office Visits: $50 after deductible (10 visits max combined with PCP and Urgent Care)
  • Urgent Care: $50 after deductible (10 visits max combined with PCP and Specialist)
  • Telemedicine Services: $0 copay for virtual primary care (12 visits max), urgent care, and mental health (4 visits max)

Emergency Services

  • Emergency Room Care: $250 copay after deductible (limit: 2 accident-related visits and 2 sickness-related visits per year)
  • Emergency Medical Transportation: Covered after deductible (limit: 2 visits, ground and air combined)

Outpatient and Inpatient Services

  •  Outpatient Hospital / Surgical Center: 100% after deductible (limited to 3 surgeries per plan year)
  • Inpatient Hospital Services: $1,000 copay per admission after deductible (limited to 2 non-ICU hospital stays and 3 ICU stays per year, with a 10-day stay max)

Preventive Care

  • Preventive Screenings (e.g., Pap Smears, Mammograms, Immunizations): 100% covered (subject to limitations based on ACA requirements) 

Mental Health and Substance Abuse Services

  •  Telemedicine Mental Health Visits: $0 copay (4 visits max)
  • Inpatient/Outpatient Mental Health Services: Not covered except for telemedicine services

Additional Benefits

  • Home Health Care: Covered up to $500 per year
  • Skilled Nursing Care and Hospice Services: Covered up to $5,000 per year
  • Therapies (e.g., PT, OT, ST, Chiropractic): 10 visits per year, $50 copay after deductible
  • Durable Medical Equipment: Covered up to $500 per year
  • Chemotherapy/Radiation: Covered up to $50,000 per year
  • Prescription Drugs: No copay for generic drugs through MyLivePharmacy's formulary

Premium Rates (Effective June 1, 2024)

 Ages 18-29:

  • Employee: $329
  • Employee + Spouse: $619
  • Employee + Child(ren): $599
  • Family: $849

 Ages 30-44:

  • Employee: $379
  • Employee + Spouse: $679
  • Employee + Child(ren): $649
  • Family: $909

 Ages 45-54:

  • Employee: $409
  • Employee + Spouse: $699
  • Employee + Child(ren): $679
  • Family: $929

  Ages 55-64:

  • Employee: $449
  • Employee + Spouse: $709
  • Employee + Child(ren): $689
  • Family: $949

Contact Dave

Connect with Dave!

Your Broker of the Best Health Insurance Options


We truly value our customers and would love to chat during our regular business hours! 

Dave Knows Health

305-849-3135

Hours

Open today

09:00 am – 05:00 pm

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