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COVID-19 (Coronavirus): Updated information and resources from IDEA

Health Insurance
for Fitness Pros

Affordable Health Insurance Plans
for IDEA’s health and fitness professionals

IDEA® is proud to introduce the industry’s first medical and dental health insurance program for our fitness professionals.

Do you have affordable healthcare coverage?  If so, are your benefits meeting your and your family’s healthcare needs? IDEA recognizes the challenges our members and customers have had finding affordable programs while working as a contractors or small business owners. We are excited to introduce a new program that provides customized and flexible options for fitness professionals.

Affordable Health Insurance webinar

Plan benefits

  • Member and Family plans

  • Affordable and Flexible options

  • Medical and Dental plan options

  • Plans customized for the small business owner & contractor

  • Year-round enrollment

  • Telemedicine access

  • Mobile application for anytime access

Affordable Health Insurance for Fitness Pros

Plan pricing varies. Please refer the enrollment site for specific plan pricing.

How do I get started?

Please visit our enrollment site and research the plan(s) best suited for you.

We also have a "how to enroll" video that will also answer many of your questions.

If you still need help, our Inspired Service team is ready to assist you.

800-999-4332, ext. 7.

About the IDEA Health Insurance program

We’ve partnered with Crystal Bay Insurance Services to meet the dynamic, specialized health insurance needs of fitness professionals. We are proud to introduce the industry’s first medical and dental health insurance program for our fitness professionals.

As the world’s leading resource for fitness pros since 1982, we know access to affordable health insurance for you and your family can be expensive and inflexible. Our year-round enrollment and customized plans allow the small business owner affordable and flexible plan options.

While we hope you realize the combined value of an IDEA membership and health insurance plan, membership is not required for you to take advantage of this partnership.

If you have any questions regarding an IDEA Membership or Health Insurance Plan or both, please contact our Inspired Service Team at 800.999.4332, ext. 7 or [email protected].

For a complete list of plan benefits, contact us at...

Member Support
(800) 781-5116
Monday- Friday
7:00 AM - 6:00 PM (CST)
[email protected]

coverage tiers

Medical Services Deductible Information
DeductibleParticipating Providers (In-Network)Non-Participating Providers (Out of Network)
Individual$0Not Covered
Family$0Not Covered
Out of Pocket Information
Out of Pocket MaximumParticipating Providers (In-Network)Non-Participating Providers (Out of Network)
Individual$7,900Not Covered
Family$15,800Not Covered
Schedule of Benefit & Plan Design
The WELL PREMIUM™ Plan provides coverage for the preventitive health services required by the PHSA § 2713 (a) without any cost-sharing requirements. All covered In-Network preventitive services will be 100% covered by the Plan. Out of Network services will not be covered unless otherwise specified, and the Plan Member will owe 100% of the cost of these services.
Plan ProvisionsPrior Authorization RequiredParticipating Providers
(In-Network)
Non_Participating Providers
(Out of Network)
Primary Care Office Visit
(Non-Hospital Based)
No$25 Copay Existing Doctor
$70 Copay New Doctor
Not Covered
100% Paid by Member
Primary Care Office Visit
(Hospital Based)
NoNot Covered
100% Paid by Member
Not Covered
100% Paid by Member
Specialist Office Visit
(Non-Hospital Based)
No$25 Copay Existing Doctor
$150 Copay New Doctor
Not Covered
100% Paid by Member
Specialist Office Visit
(Hospital Based)
NoNot Covered
100% Paid by Member
Not Covered
100% Paid by Member
Urgent CareNo$75 CopayNot Covered
100% Paid by Member

FAQ's

What does this plan cover?

MEDICAL PLANS

There are four medical plans and two dental plans available. For a more in-depth list of benefit coverage, limitations and exclusions, refer to the Schedule of Benefits on the enrollment site.

 

  1. Well Premium. This base plan has a $0 deductible and is designed to encompass “everyday” needs.
    1. Well Premium helps cover primary care and specialist doctor visits, urgent care, labs, radiology, CT/MRI/MRA/PET scans and prescription benefits for a predetermined copay based on the service.
    2. It is ACA compliant, “guaranteed issue” with no pre-existing conditions.
    3. It includes a mobile application that allows members to store their I.D. cards on their phone.
    4. Well Premium gives 24/7 access to board-certified medical providers on demand for minor illnesses and injuries. Providers can call in prescriptions to your local pharmacy.
    5. It is a PPO plan, which means you can select your own doctor within the network.
    6. This plan gives access to two networks: Multiplan and First Health Network. For a more in-depth list of benefits coverage, limitations and exclusions, refer to the Schedule of Benefits on the enrollment site.

 

  1. Medical Enhanced Plans. These three plans are a buy-up option for the Well Premium plan. ALL benefits included in the Well Premium are included in the Medical Enhanced plans.
    1. Medical Enhanced is designed to cover the majority of medical needs that take place inside a facility.
    2. It helps to cover hospitalization, in- and outpatient surgery, emergency room, dialysis and chemotherapy.
    3. The three plan options members can choose from are Medical Enhanced 2.5, Medical Enhanced 5.0 and Medical Enhanced 10.0.
      1. The different numbers (2.5, 5.0 and 10.0) define three different deductible levels.
      2. Medical Enhanced has a 12-month preexisting condition clause and requires pre-authorization for some benefits.
  • To learn more about benefits coverage, limitations and exclusions for all of these plans,please refer to the Schedule of Benefits on the enrollment site.
  1. DENTAL PLANS

There are two dental plans available. Each can be purchased in tandem with the medical plans or can be purchased as stand-alone dental plans.

  1. The two dental plans help to cover preventive dentistry at 100%; simple dentistry at 80% and complex dentistry at 50%.
  2. The percentages refer to how much the plans will pay for the type of service.
  3. The dental plans access the DenteMax network. To find a provider near you, refer to dentemax.com. To learn more about the benefits coverage, limitations and exclusions for these plans,please refer to the Schedule of Benefits on the enrollment site.
How much do the plans cost?

The pricing for the plans can be found on the enrollment site.

When can I enroll? What are the term requirements?

Members can enroll year-round through the enrollment site. Please note that the calendar year deductible resets every January 1.

Are there options such as family vs. individual plans?

Yes. There are four tiers of coverage: Member-only, Member and Spouse, Member and Child/Children, and Member and Family.

Can the policy be extended to IDEA business members and their businesses?

Yes. Anyone can join, including sole proprietors, employees and independent contractors.

Does this plan offer vision or life insurance plans?

No. Vison, life and accident plans are not available at this time. We anticipate making them available to you in the near future. 

How does this plan define a “pre-existing” condition?

Any conditions treated 12 months prior to enrollment would be excluded from coverage. This is not the correct plan for individuals with a pre-existing condition.

Is there an option for COBRA?

Members can continue to pay a premium for as long as they wish. It is a direct ACH (soon to be credit card) billing system.

How does this plan compare with a COBRA plan?

There are over 1,000 COBRA plans in the marketplace, so it is challenging to explain how our plans compare.

What is the likelihood of a premium increase? When would we likely see rate hikes?

If rates increase, it would be on the calendar year. The current pricing is very conservative. The goal is to keep prices flat or even decrease rates once we get a larger pool of participants to spread the risk.

How do I enroll and select plans (Phase 1)?

Please visit the enrollment site.

What are the enrollment dates? (Phase 2)

For more information and to enroll, just enrollment site. Enrollment is open year-round, which means you can enroll at any time. You also can terminate your enrollment at any time throughout the year.

What if I need assistance selecting a plan or customer service once I sign up? Who do I contact?

Member Support
800-781-5116
Monday- Friday 
7:00 AM - 6:00 PM (CST)
[email protected]

Do I need to be a member of IDEA to enroll for insurance?

No, anyone is able to join the partnership through IDEA Health & Fitness Association.

What if I am currently covered by another plan but I want to choose this plan instead?

If you would like to enroll in the medical plans, you are able to do so. With regard to obtaining instructions on how to terminate your existing coverage, everyone is different, but we recommend reaching out to your human resources or insurance representative or calling the number on your ID card for more information.

What if I am laid-off or furloughed: Am I still eligible to participate in these plans?

Yes. Your current job status does not matter. Anyone is able to join.

Questions?

Contact us at (800) 781-5116 or [email protected]

Monday- Friday
7:00 AM - 6:00 PM (CST)