Blend of Onsite Primary Care with Virtual Care Options and
Unexpected Medical Cost Protection
Unexpected Medical Cost Protection
The Platinum Program is the best of both worlds because it is a blended primary care and virtual care program. This innovative solution delivers high-quality healthcare with a simple and affordable membership contribution with an emphasis on an enduring and trusting relationship between a member and their primary care provider. Members have extraordinary access to a physician of their choice in person, virtually, by email, or by text.
Better Health Outcomes
Members achieve superior health outcomes with our innovative service delivery. Members get better access to physicians, with an authentic therapeutic relationship, and receive comprehensive patient care.
Lower Costs
Members pay reduced copay for primary and specialty care. No cost preventative care.*
Enhanced Member Experience
Members receive unrestricted access to their healthcare provider and report little to no wait time, creating a real therapeutic relationship between member and provider in person or virtually.
Unexpected Medical Cost Protection
A choice in IUA levels greatly reduces costs for such things as major unexpected medical costs such as hospitalization.
Easy to Use Enrollment System
Primary Care
Care Navigator
Virtual Care When You Desire
Pharmacy
Laboratory Services
Mental Wellness
Unexpected Medical Event – Hospitalization Cost Protection
Pre-existing Condition Benefit Limitations
* there is a 12 month wait period for colonoscopies. Your selected IUA applies.
Primary & Wellness Care
You may search for your present doctor via this portal or find a new one near you. This is one of the largest networks of physicians in the country. Understand that Doctors, over time, come and go in and out of networks. Please check to see if your doctor is still in this network. Otherwise choose a new physician from this portal. * After you choose a physician(s) for you and your family and purchase the health care through Thin Blue Line Benefits website, call that doctors office and register as a new patient. Wait until your policy becomes effective. You will receive notification and a card.
Instructions:
This portal, for now, is just to see which providers are near you. You do not need to select a physician at time of enrollment.
After clicking the link above, you will arrive at the first screen. In the top right corner, click ” FIND A PROVIDER.”
Then click ” OK.” On the next screen click on ” Select Network” and choose “MULTIPLAN.”
Enter your zip code and select one one of the provider types. Such as family practice. Now you can scroll down and browse through the doctors.
Then return to the TBL Platinum page to continue.
Medical Cost Comparison – TBL Platinum vs Traditional Insurance
Middle-aged male officer with chest pain requiring ambulance, ER, lab, surgery,
ICU with recovery for heart attack and open-heart (CABG) surgery.
ICU with recovery for heart attack and open-heart (CABG) surgery.
When compared with Traditional Insurance,
a TBL Platinum Member saves:
a TBL Platinum Member saves:
$6,500
TBL Platinum
| $1,000 IUA | |
| $0 copay | |
| $0 coinsurance | |
| Total Cost | $1,000 |
*$1,000 max per event x 3 per year
VS
Insurance-$2500 80/20 PPO
| $2,500 deductible | |
| $30 copay | |
| $4,970 coinsurance (20%) | |
| Total Cost | $7,500 |
*Max Out of Pocket after deductible = $5,000
TBL PLATIINUM PRICING
| Initial Uninsured Amount per Medical Event x3 per year | $1000 IUA | $2500 IUA | $5000 IUA | ||||||
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Covered Services for Adults (no copay)
- Abdominal Aortic Aneurysm one-time screening for men of specified ages who have ever smoked
- Alcohol Misuse screening and counseling
- Aspirin use to prevent cardiovascular disease for men and women of certain ages
- Blood Pressure screening for all adults
- Cholesterol screening for adults of certain ages or at higher risk
- Colorectal Cancer screening for adults over 50
- Depression screening for adults
- Diabetes (Type 2) screening for adults with high blood pressure
- Diet counseling for adults at higher risk for chronic disease
- Falls prevention (with exercise or physical therapy and vitamin D use)for adults 65 years and over
- Hepatitis B screening for people at higher risk
- Hepatitis C screening for adults at increased risk, and one time for everyone born 1945 –1965
- HIV screening for everyone ages 15to 65, and other ages at increased risk
- Immunization vaccines for adults —doses, recommended ages, and recommended populations vary: Hepatitis A, HepatitisB,HerpesZoster, Human Papilloma virus, Influenza (Flu Shot), Measles,Mumps, Rubella, Meningococcal, Pneumococcal, Tetanus, Diphtheria, PertussisandVaricella
- Lung cancer screening for adults 55 -80 at high risk for lung cancer because they’re heavy smokers or have quit in the past 15years
- Obesity screening and counseling for all adults
- Sexually Transmitted Infection (STI) prevention counseling for adults at higher risk
- Statin preventive medication for adults 40 to 75 years at higher risk
- Syphilis screening for all adults at higher risk
- Tobacco use screening for all adults and cessation interventions nontobacco users
- Tuberculosis screening for certain adults with symptoms at higher risk
Covered Services for Women
- Anemia screening on a routine basis for pregnant women
- Breast Cancer Genetic Test Counseling(BRCA)for women at higher risk for breast cancer(counseling only; not testing)
- Breast Cancer Mammography screenings every 1to 2 years for women over 40
- Breast Cancer chemoprevention counseling for women at higher risk
- Breastfeeding comprehensive support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women
- Cervical Cancer screening
- Chlamydia Infection screening for younger women and other women at higher risk
- Contraception: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider for women with reproductive capacity (not including abortifacient drugs). This does not apply to health plans sponsored by certain exempt “religious employers.”
- Diabetes screening for women with a history of gestational diabetes who aren’t currently pregnant and who haven’t been diagnosed with type 2 diabetes before
- Domestic and interpersonal violence screening and counseling for all women
- Folic Acid supplements for women who may become pregnant
- Gestational diabetes screening for women 24 to 28 months pregnant and those at high risk of developing gestational diabetes
- Gonorrhea screening for all women at higher risk
- Hepatitis B screening for pregnant women at their first prenatal visit
- HIV screening and counseling for sexually active women
- Human Papilloma virus (HPV) DNA Test every 5 years for women with normal cytology results who are 30 or older
- Osteoporosis screening for women over age 60 depending on risk factors
- Preeclampsia prevention and screening for pregnant women and follow-up testing for women at higher risk
- Rh Incompatibility screening for all pregnant women and follow-up testing for women at higher risk
- Sexually Transmitted Infections counseling for sexually active women
- Syphilis screening for all pregnant women or other women at increased risk
- Tobacco use screening and interventions for all women, and expanded counseling for pregnant tobacco users
- Urinary tract or other infection screening, including urinary incontinence
- Well-woman visits to get recommended services for women under 65
Covered Services for Children
- Alcohol and Drug Use assessments for adolescents
- Autism screening for children at 18 and 24 months
- Behavioral assessments for children at the following ages: 0 to 11 months,1 to 4 years, 5 to 10 years,11 to 14 years, 15 to 17 years.
- Bilirubin concentration screening for newborns
- Blood Pressure screening for children at the following ages: 0to 11months, 1 to 4 years, 5 to 10 years, 11 to 14 years, 15 to 17years
- Blood screening for newborns
- Cervical Dysplasia screening for sexually active females
- Depression screening for adolescents
- Developmental screening for children under age 3
- Dyslipidemia screening for children at higher risk of lipid disorders at the following ages: 1 to 4 years, 5 to 10 years, 11 to14 years, 15 to17years.
- Fluoride Chemo prevention supplements for children without fluoride in their water source
- Fluoride varnish for all infants and children as soon teeth are present
- Gonorrhea preventive medication for the eyes of all newborns
- Hearing screening for all newborns; and for children once between 11 and 14 years, once between 15 and 17 years, and once between 18 and 21 years
- Height, Weight and Body Mass Index measurements for children at the following ages: 0 to 11 months, 1 to 4 years, 5 to 10 years,11to 14 years, 15 to17 years.
- Hematocritor hemoglobin screening for all children
- Hemoglobinopathies or sickle cell screening for newborns
- Hepatitis B screening for adolescents ages 11 to 17 years at high risk
- HIV screening for adolescents at higher risk
- Hypothyroidism screening for newborns
- Immunization vaccines for children from birth to age 18 —doses,recommended ages, and recommended populations vary: Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b, Hepatitis A,Hepatitis B, Human Papillomavirus, Inactivated Poliovirus, Influenza(Flu Shot), Measles, Meningococcal, Pneumococcal, RotavirusandVaricella
- Iron supplements for children ages 6 to 12 months at risk for anemia
- Lead screening for children at risk of exposure
- Maternal depression screening for mothers of infants at 1, 2, 4, and 6-month visits
- Medical History for all children throughout development at the following ages: 0 to11 months, 1 to 4 years, 5 to 10 years, 11 to 14years, 15 to17 years.
- Obesity screening and counseling
- Oral Health risk assessment for young children Ages: 0 to 11months, 1to 4 years, 5 to 10 years.
- Phenylketonuria (PKU) screening for this genetic disorder in newborns
- Sexually Transmitted Infection (STI) prevention counseling and screening for adolescents at higher risk
- Tuberculin testing for children at higher risk of tuberculosis at the following ages: 0 to 11months, 1to 4 years, 5 to 10 years, 11to 14years, 15 to17 years.
- Vision screening for all children.
Please click here only when ready to enroll/purchase the TBL Platinum plan. Please do not create a profile until its time to purchase. Profiles created with no purchase will be deleted after 30 days.
Thank you.