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  • Overview
  • Employers
  • Providers
Overview

This Plan allows members to access medical services from local affiliated healthcare providers. Basic Plan members may access services from off-island healthcare facilities if they are recommend by the medical referral committee from State Hospitals and approved by MiCare Administrator.

This Plan allows members to access medical services from local and off island approved healthcare providers. Individual member in SR Plan are also eligible for Basic Plan Benefits. Members who have SR Plan are allowed to access off-island providers in Hawaii, SR Plan are allowed to access off island providers in Hawaii, Guam , and Phillipine without recommendation from state Referral Hospital. The member has to pay $100 annual deductible and 10% co-payment of eligible medical costs.

This Plan is offered only to members residing off-island whether they are full time student or permanent full time employee of the FSM National or State Government. SNR members are allowed to access approved and non-approved off-island healthcare facilities and pay $5.00 deductible per visit and 10% co-payment. The Plan will pay 90% after deductible of all eligible medical charges.

This Plan allows members to access medical services from local affiliated healthcare providers but not an off-island referral.

Employers

Government Organization

Non-Profit Organization

Private/ Business Organization

Individual Accounts

Providers
  • Local On Island Providers
  • Off Island Health Providers
Local On Island Providers

Public Providers

Pohnpei State Hospital

Yap State Hospital

Chuuk State Hospital

Kosrae State Hospital

Private Providers

Genesis Clinic & Hospital

Pohnpei Family Health Clinic

Medpharm Clinic & Optical

Berysin Community Health Clinic

Off Island Health Providers

Hawaii

Guam

Manila, Philippine

Bangkok, Thailand

Bi-Weekly Premium Rates

Bi-Weekly Premium Rates

Plan Option
Employee Share (48%)
Employer Share (52%)
Bi-Weekly Premium

Basic Plan (BA)

$ 9.20

$9.98

$ 19.18

Supplemental Resident (SR)

$ 20.26

$21.96

$ 42.22

Supplemental Non Resident (SNR)

$ 27.65

$ 29.96

$ 57.61

Non-Referral (NR)

$ 4.84

$ 5.25

$ 10.09

Semi-Monthly Premium Rates

Semi-Monthly Premium Rates

Plan Option
Employee Share (48%)
Employer Share (52%)
Bi-Weekly Premium

Basic Plan (BA)

$ 9.98

$10.80

$ 20.78

Supplemental Resident (SR)

$ 21.96

$ 23.79

$ 45.75

Supplemental Non Resident (SNR)

$ 29.96

$ 32.46

$ 62.42

Non-Referral (NR)

$ 5.25

$ 5.69

$ 10.94

Monthly Premium Rates

Monthly Premium Rates

Plan Option
Employee Share (48%)
Employer Share (52%)
Bi-Weekly Premium

Basic Plan (BA)

$ 19.94

$ 21.62

$ 41.56

Supplemental Resident (SR)

$ 43.92

$47.56

$ 91.48

Supplemental Non Resident (SNR)

$ 59.91

$ 64.91

$ 124.82

Non-Referral (NR)

$ 10.50

$ 11.36

$ 21.86

Our Mission

Everything we do as health insurance provider is driven by and resolved around our mission to help, care and improve our members' health, well-being and peace of mind. MiCare comes to aid at the time sickness, access to health, dental and vision care, access to medicine, recover from illness, prevent sickness, recover from illness or injury, return to work, live a normal life and continue to enjoy and provide for families. In doing so, MiCare strives a balance between its Mission and the financial and operational soundness and sustainability, while meeting the covered insurance needs of its members.

Our Vision

Our vision is to earn trust and instill confidence in members and general public, hence our overall arching objective for achieving professional excellence in what do (our Mission) by being innovative, effective, efficient, fair, friendly, and consistent in rendering and availing the right and appropriate support and services at the lowest possible premium.