Healthcare Data Analytics – TDK Plan Overview

 2024 - 2025 

• LIMITED HEALTH & WELLNESS PLAN:TDK 1

• LIMITED HEALTH & WELLNESS PLAN:TDK 2

• LIMITED HEALTH & WELLNESS PLAN:TDK 3

• LIMITED HEALTH & WELLNESS PLAN:TDK 4

• LIMITED HEALTH & WELLNESS PLAN:TDK 5 

 Effective Date: April 1, 2024 

• Put People First
• Rise To The Challenge
• Join Forces
• Create Simplicity Inspire
• Trust Champion Safety And Quality 

More than...

5,700 HOSPITALS

52,000 ANCILLARY FACILITIES

993,000 PROFESSIONAL PROVIDERS 

In order to find an in-network doctor, urgent care center, hospital or other provider, use our online provider search tool.

Our Care Guides are available from 7AM - 5PM CST to support your every need. 

Call: (866) 360-4646

Email: memberservices@detegohealth.com 

 · ACNE · ALLERGIES · COLD/FLU · CONSTIPATION · COUGH · EAR PROBLEMS · FEVER · HEADACHE · INSECT BITES  · NAUSEA / VOMITING · PINK EYE · RASH · RESPIRATORY PROBLEMS · URINARY PROBLEMS · DIARRHEA · AND MORE

· ALCOHOL / DRUGS / TOBACCO RELIANCE · CHILD OR ELDER CARE MATTERS · CO-DEPENDENCY · EATING DISORDERS · PHYSICAL / SEXUAL / EMOTIONAL ABUSE · RELATIONSHIP CONCERNS · STRESS AND ANXIETY · WORK OR PERSONAL CONFLICTS 

Same-Day Appointments:

Access a Virtual Primary Care appointment the same day of requesting it! Or, schedule when it's best for you.

Same Provider Each Visit:

See the same provider each visit so that they can best understand your health needs and provide personalized care.

Annual Wellness Check: 

An annual wellness check can help you get on a better health trajectory, get a personalized care plan, and learn about your overall health! 

Instant Access To Care :

Virtual Urgent Care visits can be accessed as short as in 20 minutes! You can also schedule appointments when it best works for you 

In House Providers:

See the same provider each visit so that they can best understand your health needs and provide personalized care.

Annual Visits:

MyLiveDoc includes four mental health visits annually for each family member. Available to adults and adolescents 12 years and older.  

Convenient Scheduling:

Easy access to a licensed, Master's level counselor within 1-3 days. Should you need in-person care, our team is able to provide referrals when needed. 

Same Therapist Each Visit:

See the same therapist each visit to best understand your personal needs. Our counselors are trained in clinical assessments and care coordination. 

Call:

MyLiveDoc 855-226-6567 

Email:

mylivedoc@detegohealth.com  

Website:

https://member.mylivedoc.net 

 With our FREE drug program, you’ll have access to over 1,000 quality maintenance medications that you can have delivered right to your doorstep for FREE with membership. You’ll also have access to urgent care medications that you can pick up at your local retail pharmacy for FREE. Our medication list contains over 95% of the top prescribed generic medications in the US for conditions such as:

 · High Cholesterol · Diabetes · Mental Health · Allergy · Thyroid · Asthma · Men’s Health · Women's Health · High Blood Pressure · Urgent Care · And More... 

ScriptAide is the exclusive Pharmaceutical Advocate for Detego Health®. ScriptAide provides pharmaceutical advocacy services, reducing the financial burden. Our direct-to-member support services are staffed by Pharmaceutical Access Coordinators specialized in helping members acquire prescribed medications using their PAP and SPIP programs.

Every patient has access to benefit consulting and comprehensive services clinical services.

CALL: 866.837-1515 

PAP is designed for members in the United States who require non-covered medications and demonstrate qualifying financial need. Those who qualify will receive their medications for free, with no co-pays or shipping costs. A valid prescription is required to participate. 

SPIP is available to members in the United States who require non-covered medications. Through this program, individuals can import their prescribed medications at their own cost, typically saving 40-45% compared to U.S. pharmacy prices. A valid prescription is required to participate. 

NaviClaim

NaviClaim is the exclusive Member Advocate for Detego Health LLC®. As your health planʼs partner, we review medical claims for potential errors, upon request, to make sure charges donʼt exceed your planʼs limits. 

Most providers will accept a fair payment from your plan. However, some providers may send you a bill for the difference between what your plan allowed and the amount they charged. If that happens, we are here to assist you.  

1. Advocate for Members: 

All appeals, balance bills, and Single Case Agreement’s are initiated through NaviClaim. Upon request can provide in-depth reviews of our members accounts.

2. Fair Reimbursement:

We apply the methodology to create a fair reimbursement to the provider and our members..

3.Member Reimbursements:

We send your reimbursement request to your third-party administrator (Detego Health®) to process your request. 

Learn more about Iron Health Group Health Coverage at our vast knowledge library (here).

Ready to sign up for Iron Health coverage?

Sign Up Now Right Here!

Call us:

704-940-6654

Text us:

704-360-0462

Set an appointment with us:

Calendar

Email us:  team@smartinsurancestrategies.com 

Self-employed individuals may be eligible for tax benefits when purchasing health coverage through our plans.

Enroll in our self-employed health insurance plans easily online or by phone.