Frequently Asked Questions
What’s the catch, why so affordable?
RiseWell takes a different approach to healthcare by streamlining systems, eliminating waste and scaling the collective purchasing power required to offer the quality of benefits at the price. Administrative waste is eliminated as well, so that admin costs aren’t passed along to any party within the RiseWell benefits system. Our team quickly and consistently identify the most cost-efficient and direct routes to address your healthcare needs without sacrificing quality.
Is there medical underwriting reruired for our group to join?
There are no medical underwriting requirements for any companies who join.
How are pre-existing conditions handled?
There are no pre-existing condition sharing requirements for companies with over 20 employees. Companies with fewer than 20 employees, pre-existing conditions are considered those which have occurred in the 12 months prior to joining. Pre-existing conditions become eligible for sharing based on members’ tenure with the plan on a graduated sharing schedule. Please request complete details from your advisor.
What if we have employees in multiple states?
Coverage is consistently recognized across all 50 states, meaning that employers with multi-state employees are not required to register in separate states.
How much of the premium does the employer have to pay?
As a general rule, most carriers require that the employer contribute at least 50% of the employee health insurance premium. The employer is not required to contribute to the cost of dependent coverage. With our healthcare solution, the employer contributes a minimum of $125 per month per employee.
Can part time employees enroll?
If the employer chooses to offer coverage for part-time employees, employees who work as few as 20 hours a week may qualify.
Can we offer employees choice of different health plans?
Yes. Insurers are required to present at least two plan options. Our healthcare solution offers an Every Day Care plan and Hospitalization plan.
How long am I required to keep paying on a health insurance policy?
Most group health insurance policies are purchased as a month-to-month contract. When discontinuing the plan, notify the insurer in writing.
Our enrollment is months away can we sign up now?
You can change your benefits program at any time. Employee benefits will become effective on the first day of the month following the month of enrollment.
How long am I required to keep paying on a health insurance policy?
Most group health insurance policies are purchased as a month-to-month contract. When discontinuing the plan, notify the insurer in writing.
Is this compliant with the affordable care act?
Yes, our plans provide companies with an avenue to meet Minimum Essential Coverage (MEC) and Minimal Value Plan (MVP) requirements stipulated by the Affordable Care Act.
How does a member request care?
Any need can be requested at any time by simply calling us or entering the need into our app. Our medical coordinators will reach out — usually within 30 minutes — to address the specific need.