Health Option Plans
Options
Biweekly
Premium
Maximum
Coverage
Non Referral |
Basic |
Basic Plus |
RetiCare |
Supplement |
Supplement Plus |
$11.10 |
$21.10 |
$36.07 |
$29.54 |
$59.11 |
$115.22 |
$25,000 |
$50,000 |
$75,000 |
$75,000 |
$100,000 |
$150,000 |
Employer share is no less than 50%. Employee Share is no more than 50%. Individuals not employed by government or participating
agencies pay 100% of premium.
Health Insurance Plan Overview
At Micare, we offer a range of health insurance plans tailored to meet diverse needs and budgets. Our plans provide varying levels of coverage and affordability, ensuring that you can find an option that suits your personal or family needs.
Plan Options
We offer six distinct plans, each with its own biweekly premium and coverage limit:
- Non Referral: $11.10 biweekly with up to $25,000 in coverage
- Basic: $21.10 biweekly with up to $50,000 in coverage
- Basic Plus: $36.07 biweekly with up to $75,000 in coverage
- RetiCare: $29.54 biweekly with up to $75,000 in coverage
- Supplement: $59.11 biweekly with up to $100,000 in coverage
- Supplement Plus: $115.22 biweekly with up to $150,000 in coverage
The premium split is structured as follows:
Employer Share: At least 50%
Employee Share: Up to 50%
Non-Government Individuals: Responsible for 100% of the premium
Covered Benefits
Our plans offer a comprehensive range of benefits designed to support your health and well-being:
- Overseas Medical Services
- Prescribed Medications
- Vision Care
- Transportation
- Emergency Care
- Prosthetics and Implants
- Dental Care
- Referral Coordination
- Cancer Care
- Preventative and Wellness
- Screenings
- In-Patient and Outpatient Care
- Maternity Care
- Short-Term Physical Therapy
- Mortuary Services
- Repatriation of Remains for
- Referred Members
Please note that certain benefits may have specific restrictions or require additional verification. Coverage details can vary based on the selected plan.
For further details or assistance in choosing the right plan, please reach out to our support team. We’re here to help you make informed decisions about your health insurance coverage.
Local On Island Providers
Public Providers
P.O. Box 189
Kolonia Pohnpei FM 96941
Telephone No. +(691) 320-2216/3805
Fax Number: +(691) 320-3109
Email Address: pohnpeidohss@fsmhealth.fm
P.O. Box 148
Colonia, Yap FM 96943
Telephone No. +(691) 320-350-2110/2114
Email Address: CMululuw@fsmhealth.fm
Chuuk State Hospital
P.O. Box 400
Weno, Chuuk FM 96942
Telephone No. +(691) 330-7936
Kosrae State Hospital
P.O.Box 127
Tofol, Kosrae FM 96944
Telephone No. +(691) 370-3012
Private Providers
Genesis Hospital & Pharmacy
P.O.Box 1002
Kolonia, Pohnpei FM 96941
Phone Number: (691) 320-2525/8660/3381
Fax Number: (691) 320-3396
Email: genesishospitalandpharmacy@yahoo.com
Pohnpei Family Health Clinic
P.O. Box 1841
Kolonia, Pohnpei FM 96941
Telephone No. +( 691) 320-5777
Medpharm Clinic & Optical
Bersyn Community Health Clinic
P.O.Box 3299
Kolonia, Pohnpei FM 96941
Telephone No. +(691) 320-6115
Fax No. +(691) 320-7740
Kaselehlie Dental Clinic
Family Clinic & Pharmacy
P.O.Box 1129
Weno, Chuuk FM 96942
Telephone No. +(691) 330-5448/3940
Off Island Providers
Hawaii
Guam
- LMR, X-Ray Pro
- Guam SDA Clinic (reimbursement)
- Guam Memorial Hospital (for reimbursement)
- Lab Tech (for reimbursement)
- Guam SurgiCenter (for reimbursement)
- 20/20 Vision Center (for reimbursement)
Manila
- The Health Cube
- Pastor Dental Clinic (for reimbursement)
- Mercury Drug (for reimbursement)