Optimize Your ICHRA with Antidote Health Plans

Individual Coverage Health Reimbursement Arrangement (ICHRA) can be a smart choice for employers and employees. Discover how ICHRA paired with Antidote Health's virtual-first health plans creates an affordable, flexible healthcare solution that can benefit everyone.

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What is an ICHRA? A Simple Explanation

An Individual Coverage Health Reimbursement Arrangement (ICHRA) lets employers reimburse employees tax-free for individual health insurance premiums and qualified medical expenses. Employers set aside a monthly allowance for each eligible employee and then employees use this allowance to buy individual health insurance plans or pay for qualified medical expenses.

ICHRAs differ from traditional group plans. They offer employers predictable costs. Employees enjoy the freedom to choose plans that suit their needs best.

The health plans that qualify as ICHRAs are individual health insurance plans available through the Affordable Care Act or Medicare.

Why Choose Antidote Health for Your ICHRA?

  • $0 Virtual Care* Day or Night

    Easily connect with licensed clinicians virtually with many appointments available in 20 minutes.**

  • Free Visit Before the Plan Starts***

    Members enjoy one no-cost virtual care appointment before their plan starts - no current coverage required.

  • $0 Doctor Visits****

    See a large network of in-person providers, with $0 copays for Tier-1 Primary Care Providers (PCPs).

  • Discounted Copays^

    When you see an Antidote virtual provider first and they refer you to a specialist or urgent care, you may pay $0 or a discounted copay.

Try Our Virtual Care Before Choosing a Plan

Curious about Antidote? Experience our care firsthand with a one-time telehealth visit! We offer standalone virtual visits with the same licensed clinicians who care for our health insurance members. It’s a simple way to see the quality of our care and explore our easy-to-use app before committing to a plan.

Schedule a one-time Primary Care visit today and discover how convenient and supportive healthcare can be with Antidote!

ICHRA Health Insurance Options with Antidote Health

  • Bronze Plan

    Essential coverage for preventive care with affordable monthly premiums and higher out-of-pocket costs when services are needed.

  • Silver Plan

    Balanced coverage with moderate premiums and deductibles, ideal for those seeking a middle-ground approach to healthcare costs.

  • Gold Plan

    Higher coverage with lower deductibles and copays for those who anticipate using their health insurance regularly.

Real Cost Savings: Antidote Health vs. Other Health Plans

Plan
Monthly Premium
Primary Care Visits
Specialist Visits
Generic Drugs
Health Plan A
$369/employee
$25
$90 after deductible
$3
Health Plan B
$425/employee
No charge after deductible
No charge after deductible
No charge after deductible
Antidote Health + ICHRA
$397/employee
$0 (for 12 visits)
$100 or $40 when referred by Antidote virtual provider
$35 or $0 if on $0 Drug List and prescribed by Antidote virtual provider

Comparison information does not include all plan benefits. Plans may include exclusions or benefit limits that differ. Plan information was gathered from Healthcare.gov on 11/5/24. Pricing is based on a 40-year-old non-smoker male in zip code 43226.

When Can You Enroll in Your ICHRA Health Plan

Individuals can enroll in an Individual Coverage Health Reimbursement Arrangement (ICHRA) plan during the following times:

  1. Open Enrollment Period (OEP): This is the annual window when individuals can purchase health insurance plans on the marketplace, typically from November to mid-December (dates may vary by state).

  2. Special Enrollment Period (SEP): Individuals can enroll outside the 
Open Enrollment Period if they experience a qualifying life event, such as an employer introducing an ICHRA. Employees have a 60-day window to enroll in an individual health insurance plan through a marketplace or directly with an insurer.

Top Myths About Switching to an ICHRA (and the Truth Behind Them)

Switching to an Individual Coverage Health Reimbursement Arrangement (ICHRA) can feel daunting. There are many misconceptions. Let us clear up the confusion so you can feel confident in your health plan choices. 
We’ll break down the top myths about ICHRA to set the record straight and help make navigating ICHRA easy and stress-free.

Myth #1

ICHRA will cost me more money.

The Truth

With ICHRA, your employer gives you money each month to pay for your own health insurance. You get to pick a plan that fits your budget. Some people even qualify for discounts or tax credits, which can lower the overall cost. By shopping smart, you can find a plan that works without spending more.

Myth #4

ICHRA means I lose my employer’s health benefits.

The Truth

Your employer is still helping you with your health costs! The only difference is that, with ICHRA, the money they give you goes toward the health insurance plan you choose. You’re not stuck with one-size-fits-all coverage anymore, and you’re still getting financial support.

Myth #2

I won’t get good health coverage.

The Truth

The health insurance plans you can buy with ICHRA often have the same benefits as traditional plans offered by employers. These plans cover important things like doctor visits, prescription medicine, and hospital stays. Plus, you get the option to pick a plan that best fits your needs, which means more control over your healthcare.

Myth #5

ICHRA helps my company more than it helps me.

The Truth

ICHRA is actually a win for both you and your employer. You get the freedom to pick a plan that fits your life, instead of being stuck with a plan that doesn’t work for you. Employers like it because it helps them manage health benefits better. Everyone benefits!

Myth #3

It’s too hard to sign up for a health plan on my own.

The Truth

Signing up for a plan is easier than you might think! Employers set up ICHRA to work as smoothly as possible. They often provide tools, resources, and help from experts to make things simple for you. Once you pick your plan, the ongoing process is easy to manage. We can guide you through the process so it doesn't feel overwhelming. You can even sign up directly through Antidote.

Myth #6

If I don’t use all my ICHRA money, it goes to waste.

The Truth

ICHRA funds are only for health expenses, like premiums or doctor visits. If you don’t spend everything, the leftover money stays with your employer, but that’s normal. It’s all about making sure the money is used wisely for medical needs.

Get Started with Antidote Health and ICHRA Today

Have more questions? Reach out for help, and we’ll make sure you understand how to get the most out of your ICHRA!

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