Enrollment First, Inc.

IIP – SelectMed

Coverage Overview

SelectMed: Affordable Medical Coverage That Fits Your Life

SelectMed provides affordable, daily medical coverage designed to meet the everyday health needs of today’s average consumer.

First, you can choose from three coverage levels: Base, Pro, and Max, depending on your needs and budget.

Importantly, all three levels include ACA-mandated Wellness and Preventive services at 100% when using in-network providers.

Covered services include annual physicals, immunizations, well-woman exams, mammograms, and more—ensuring core preventive care is always accessible.

Currently, SelectMed is available in 46 states, excluding Alaska, Hawaii, Massachusetts, and New Hampshire, through a Limited Partnership model.

The SelectMed Base plan covers only ACA-mandated Wellness and Preventive services, offering essential care at the most affordable rate.

Meanwhile, the SelectMed Pro plan includes 5 doctor visits per year for Primary, Specialist, or Urgent Care needs.

It also provides coverage for up to 12 generic prescriptions per year, along with diagnostic labs and testing.

Finally, the SelectMed Max plan offers the most robust benefits for individuals needing more frequent or specialized care.

It includes unlimited doctor visits, unlimited generic and many brand-name prescriptions (in most states), and diagnostic labs and testing.

In addition, Max covers outpatient CT, MRI, and PET scans, plus Mental Health, Behavioral Health, and Rehabilitation services.

Overall, SelectMed empowers consumers to choose the right level of care while maintaining control over their health and costs.

Product Details

SelectMed operates as a single-employer, self-funded group health plan offered through a Limited Partnership. To enroll, individuals must join the Limited Partnership. Therefore, participation in the partnership is required to purchase SelectMed coverage.

During enrollment, enrollees receive an email with required documents to join the Limited Partnership.

They must electronically sign and return the documents to complete the process. Once submitted, enrollment becomes final, and plan benefits become accessible to the new member. It’s important to note that SelectMed provides In-Network coverage only through the First Health PPO network.

First Health PPO is one of the nation’s largest provider networks, offering wide accessibility to healthcare professionals and facilities. To find a provider, click here and search the First Health PPO directory for participating doctors and clinics.

Additionally, HMA serves as the third-party administrator responsible for processing SelectMed claims. Members will find the correct phone number and mailing address for claims on the back of their ID card. Meanwhile, Enrollment First, Inc. administers benefits on behalf of the Limited Partnership.

Enrollees can contact Enrollment First for help with enrollment, billing, eligibility, plan details, and member support.

For questions, call Member Services at 866-816-6786, Monday–Friday, from 8:00 a.m. to 7:00 p.m. EST.

In short, SelectMed combines accessible care, reliable support, and a straightforward enrollment process—designed with the member in mind.

FAQs

  • How do I enroll?
    • Enroll online using the specialized enrollment link provided by your broker. This link will take you to an enrollment portal that simulates an online shopping experience. Simply choose your plan level, “add to cart,” then “proceed to checkout.”
    • Please remember that enrollment will not be finalized until you have joined the Limited Partnership.
  • What is the Limited Partnership?
    • America’s Consumers & Affiliates, LP holds the contract for this group health plan. To learn more about the Limited Partnership, click here.
  • How do I join the Limited Partnership?
    • The Limited Partnership joinder agreement documents will be emailed to you 30 minutes after enrolling through the portal. Signing and submitting these documents will join you to the Limited Partnership. If you miss the initial email, a reminder will be sent 2 days later. A final reminder will be sent 5 days after enrollment, and the documents will expire 7 days after enrollment.
  • My Limited Partnership joinder documents have expired. Can I still finalize my enrollment?
    • Yes. You will need to have a new set of documents emailed to you. Call Member Services for assistance.
  • Will my coverage be effective if I do not join the Limited Partnership?
    • No. SelectMed is only available to partners of the Limited Partnership. Coverage does not become effective until you have completed the Limited Partnership joinder documents.
  • When will my plan be effective?
    • Effective dates are available the first of the month after enrollment is finalized. (Eg. enrollment on January 31st becomes effective February 1st.)
  • I have enrolled. When will I get my ID card?
    • ID cards are sent to the email address that the primary subscriber entered at enrollment. The card will arrive by email in the last week of the month prior to the effective date. If you have not received your ID card at this time, please check your spam folder or call Member Services to request a replacement.
    • Please note: if you have not completed the Limited Partnership joinder documents emailed to you after enrollment, your enrollment could not be finalized; therefore, your ID card was not sent. If you need the documents to be re-sent, please call Member Services.
  • Who handles claims?
    • HMA is the claims administrator. The phone number and address to which claims should be submitted is on the back of your member ID card.
  • Where can I find an In-Network provider?
    • To find a provider in the First Health PPO network, click here.
  • How can I contact Member Services?
    • Member Services can be reached Monday-Friday, 8:00a-7:00p EST at 866-816-6786. Members can contact Member Services for questions or assistance pertaining to enrollment, billing, eligibility, and plan coverage.