Nextera Healthcare helps companies, individuals comply with the Affordable Care Act
LONGMONT, Colo. (October 21, 2013) – Nextera Healthcare’s Direct Primary Care (DPC) program is one of the many coverage options available for individuals and companies seeking to comply with the Patient Protection and Affordable Care Act (ACA).
A provision in the ACA says DPC and a high-deductible health plan (HDHP) together meet the health coverage requirements of the law. In the ACA, this pairing of DPC with a “wraparound” insurance policy to cover unpredictable and costly medical events that might occur outside of primary care, such as hospitalizations, emergency department visits or specialist care, is called a Direct Primary Care Medical Home (DPCMH).
When combined with an approved HDHP, DPC is the only non-insurance option authorized by the ACA as a way to fulfill the requirements of the employer mandate. Studies have indicated that pairing DPC with HDHP can save employers as much as 40 percent over conventional plan premiums. Nextera Healthcare works with companies and their insurance representatives to craft packages that meet cost objectives, promote employee health and wellness, and comply with the ACA.
“Our primary care memberships are affordable and help companies attract and retain talented employees, as evidenced by the diverse collection of businesses that have joined us since 2011,” said Dr. Clint Flanagan, MD, founder and CEO of Nextera Healthcare. “DPC is quickly gaining momentum by proving itself to be a cost-effective and quality health benefit solution for businesses.”
With Nextera Healthcare, patients are charged a standard monthly fee for all primary care services, such as adult and pediatric care, complete preventive and urgent medical care, chronic disease management, and other related services. Plans range from $99 per month for individuals to $179 per month for a family of four and include unrestricted office visits at North Vista Medical Center, with locations in Firestone, Longmont and Boulder; consultations with healthcare providers using mobile and online technologies; extended clinic hours on evenings and weekends; and 24/7 access to primary care providers. No co-pays or additional fees are assessed by Nextera Healthcare, and ancillary services not offered at North Vista Medical Center, such as laboratory and imaging, are contracted with other providers at deeply discounted rates.
Nextera Healthcare is also a value-driven option for individuals purchasing health plans through the Health Insurance Marketplace to comply with the ACA’s individual mandate. Those who select the more affordable Bronze or Silver plans will have higher out-of-pocket costs, and a Nextera Healthcare membership can supplement coverage by providing comprehensive primary and urgent care at a predictable and low monthly rate.