Existing benefits integration
The PCBP is described as designed to complement existing coverage rather than requiring employees to replace major medical. It may also provide preventive or MEC-related benefits where appropriate.
Support: PCBP overview and FAQ
Employee eligibility
Current program materials identify typical eligibility around full-time W-2 employees averaging 30 or more hours per week and earning at least $26,000 annually, not currently enrolled in Medicaid; final eligibility is subject to employer and program review.
Support: PCBP eligibility materials
Benefits employees receive
Current materials describe virtual primary care, 24/7 virtual urgent care, mental-health counseling, prescription benefits, and employee-only MEC features, subject to eligibility and plan terms.
Support: Employee FAQ and PCBP overview
Household access
Materials used by GoRhoades describe core virtual-care and prescription access for the enrolled employee plus up to seven additional enrolled household members. Employee-only MEC benefits are presented separately.
Support: Employee FAQ
Enrollment and communication
The program administrator coordinates guided employee onboarding, benefit communication, and payroll implementation. Once implementation is underway, setup typically takes about 2–3 weeks. The full process, from Discovery to first payroll, may take approximately 4–6 weeks, depending on employer responsiveness and documentation.
Support: Implementation process