Updated with 2024 pricing: Need MEC for your QSEHRA plan that meets QSEHRA requirements and QSEHRA rules? Here's a round-up of your best options for MEC plans for QSEHRA (Qualified Small Employer HRA).
QSEHRA Rules and MEC
QSEHRA is the new, tax-efficient way for small employers to offer health benefits. If your employer is offering you a QSEHRA, congrats! It may take a little bit to get the hang of, but we bet you'll quickly learn to love it. It's the only setup among small business health insurance options that allows employees to get reimbursed for individual health premiums and medical expenses (if allowed by the QSEHRA). Essentially, you're being handed a blank-check of pre-tax money to spend on what you need.
However, before you can participate in your employer's QSEHRA, you must provide proof of Minimum Essential Coverage (MEC). This is easy if you have a major medical plan or are covered by your spouse's group plan--you probably already have MEC! But what if you would like to use an alternative plan like a sharing ministry, short-term plan, indemnity plan, or another type of plan? These types of plans will not meet the MEC requirement on their own. The good news is there are options to purchase MEC for yourself and your family that will allow these plans to work with QSEHRA. MEC plans can also be a nice compliment to sharing ministries, short-term, and other alternative plans by covering preventive services not typically covered by alternative plans.
Where to buy MEC for QSEHRA Plan
Important! The following vendors sell what's called P-MEC or "Preventive-Only MEC". These plans meet the MEC requirements by providing 100% of your and your families preventive care. These plans will not protect you if you're sick or injured and should not be considered insurance. They will just pay for your physicals, well visits, immunizations, screenings, and other preventive needs (you can see a full list of what they cover here) and nothing else. So please, make sure you've purchased adequate coverage to go along with these plans. We do not endorse these plans, although some vendors are offering discounts to our members. You will need to complete any applications with these vendors on your own. We simply are providing a list for you. Here you go!
North American Health Plans
North American Health Plans offers a preventative MEC plan called SelectMed that qualifies as MEC for QSEHRA. There are also three levels of SelectMed plans available, and you can read through the benefits in each tier on pages 4 and 5 of their brochure here. Pricing varies based on the tier (as does extent of coverage).
Here is an overview of their monthly plan pricing.
North American Health Plan Monthly Premiums
|SelectMed Pro||SelectMed Max|
|Individual + Spouse||$233.97||$398.97|
|Individual + Child||$225.11||$409.19|
The basic plan covers just your preventative & wellness services. The higher tiers begin to add in some basic benefits for specialists, treatment of injuries, prescriptions, mental health, MRIs, etc. Be sure to read up on each plan, and the limitations on the benefits, to make sure you know what each one covers.
This MEC plan is not available in Alaska, Hawaii, Massachusetts, and New Hampshire.
To enroll, you can reach out directly to Lynne Timm, LUTCF, insurance advisor, at North American Health Plans, at firstname.lastname@example.org or 214-762-4247. Lynne can also help you research to find your doctors, and help you figure out what plan is best for you.
Need help finding MEC for QSEHRA?
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This post was originally published in 2018 and has been updated with new information and insights for 2023.
I wrote this blog to help people make smart health insurance decisions. I am a small business owner, a husband, and a dad to three boys, so I've seen firsthand how important understanding insurance decisions can be. As a co-founder of Take Command Health and a licensed health professional, I've been recognized as a leading expert on healthcare transparency and defined contribution arrangements (QSEHRA). I've been featured in the New York Times, Wall Street Journal, Dallas Morning News, Forbes and others. Learn more about me and connect with me on our about us page. Thanks!