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: No less than 50%
Employee Share: No more Than 50%
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
- Stipend
- 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
PUBLIC PROVIDERS
- Pohnpei State Hospital
- Chuuk State Hospital
- Yap State Hospital
- Kosrae State Hospital
PRIVATE PROVIDERS
- Genesis Hospital & Pharmacy
- Pohnpei Family Health Clinic
- Medpharm Clinic Optical
- Bersyn Community Health Clinic
- Kaselehlie Dental Clinic
- Family Clinic & Pharmacy
INTERNATIONAL PROVIDERS
Bangkok , Thailand
- Bumrungrad International Hospital (for reimbursement)