MediExcel

MediExcel Health Plan is a California licensed, ACA compliant HMO, specializing in cross-border healthcare. We offer health benefit coverage for companies in San Diego and Imperial County, with care delivery in Mexico.

Provider Finder

Form Name Effective Date Download Form
ACH Payment Form
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New Group Checklist
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Employer Application - Large Group
04/01/2017 Download
Employer Application - Small Group
04/01/2017 Download
Form Name Effective Date Download Form
Affidavit for Enrollment of Domestic Partners
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Coverage Declination Form
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Employee Enrollment Form
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Form Name Effective Date Download Form
Medical HMO
Platinum Plan P5
01/01/2017 Summary SBC
Platinum Plan P5 - Spanish
01/01/2017 Summary SBC
Platinum Plan P20
01/01/2017 Summary SBC
Platinum Plan P20 - Spanish
01/01/2017 Summary SBC
Medical HMO - Mirrored Plans
Platinum Mirror Plan
01/01/2017 Summary SBC
Platinum Mirror Plan - Spanish
01/01/2017 Summary SBC
Gold Mirror Plan
01/01/2017 Summary SBC
Gold Mirror Plan - Spanish
01/01/2017 Summary SBC
Dental
Dental Plan 100
04/01/2017 Summary
Form Name Effective Date Download Form
Agent/ Broker Agreement & Commission Schedule
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Benefits Guide 2018
01/01/2018 Download
Commission Schedule 2017
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Creditable Coverage Disclosure Notice
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Dependent Only Coverage
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Dependent Only Coverage Informational Package
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Imperial County Flyer
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MediExcel Binational Healthcare Flyer
01/01/2018 Download
MediExcel Large Group Value Flyer
01/01/2018 Download
Provider Directory
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Rate Guide 2018
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Underwriting Guidelines
04/01/2017 Download
Video Name Watch Video
Introduction to MediExcel Watch Video
Form Name Effective Date Download Form
Contact Sheet
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