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
Download
New Group Checklist
Download
Large Group Application
04/01/2017 Download
Small Group Application
04/01/2017 Download
Form Name Effective Date Download Form
Affidavit for Enrollment of Domestic Partners
Download
Coverage Declination Form
Download
Employee Enrollment Form
Download
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
Download
Commission Schedule 2017
Download
Creditable Coverage Disclosure Notice
Download
Imperial County Flyer
Download
Provider Directory
Download
Underwriting Guidelines
04/01/2017 Download
Form Name Effective Date Download Form
Contact Sheet
Download