We’re revolutionizing healthcare – come and join us.

At Catilize, we’re reinventing and redefining how medical insurance works – starting with you.
Learn More

We’re revolutionizing healthcare – come and join us.

At Catilize, we’re reinventing and redefining how medical insurance works – starting with you.
Learn More

From 0 to 100. Real quick.

Our solution puts you at the heart of your medical plan, by giving you 100% coverage and $0 out of pocket (yes, you read that right). We’ve created a smarter plan, known as MERP, that lets you and your family thrive and save money at the same time. Because that’s how it should be.

We set out with a dream to level the playing field of economic disparity by offering medical coverage that everyone can afford. So we did it. And now healthcare will never be the same.

A healthcare revolution – and everyone’s invited.

From 0 to 100. Real quick.

Our solution puts you at the heart of your medical plan, by giving you 100% coverage and $0 out of pocket (yes, you read that right). We’ve created a smarter plan, known as MERP, that lets you and your family thrive and save money at the same time. Because that’s how it should be.

We set out with a dream to level the playing field of economic disparity by offering medical coverage that everyone can afford. So we did it. And now healthcare will never be the same.

A healthcare revolution – and everyone’s invited.

Simplicity.

We’ve untangled healthcare by removing deductibles, premiums and out-of-pocket expenses from the equation. All you have to focus on is staying healthy and getting care when you need it.

Peace of mind.

Go to the doctor without worrying about how much it will cost, and feel confident knowing that you’re 100% covered. No hidden fees or outrageous medical bills.

Financial freedom.

Take back the thousands of dollars you might normally spend a year in a standard health plan and put it towards something that matters – like your future, or a boat.

Protecting what’s important.

The MERP is the technical name for the plan we provide. Your employer may call it something different though, but rest assured it’s the same plan Catilize has administered for nearly two decades. The MERP is unique in that it requires that you and your dependents be enrolled in your spouse’s employer-sponsored medical plan as well.

How does it typically work?

In a typical plan, there are two types of costs:

zero out of pocket

Out-of-pocket

The expenses you pay.

Out-of-pocket costs are things like your premium, deductible and out-of-pocket charges (up to your plan maximum). These costs can really add up and insurance companies are expecting people to pay more and more each year.

zero out of pocket

The big bill

The expenses the insurer pays.

The big bill is anything beyond the out-of-pocket maximum and is picked up by the insurance providers. This is important as it protects you from catastrophic debt if you get really sick or injured

How Catilize is different.

The MERP works by paying all of your out-of-pocket expenses for you, and leaving the big bill to your spouse’s insurance provider. You effectively pay $0. Nothing.

Protecting what’s important.

The MERP is the technical name for the plan we provide. Your employer may call it something different though, but rest assured it’s the same plan Catilize has administered for nearly two decades. The MERP is unique in that it requires that you and your dependents be enrolled in your spouse’s employer-sponsored medical plan as well.

How does it typically work?

In a typical plan, there are two types of costs:

zero out of pocket

Out-of-pocket

The expenses you pay.

Out-of-pocket costs are things like your premium, deductible and out-of-pocket charges (up to your plan maximum). These costs can really add up and insurance companies are expecting people to pay more and more each year.

zero out of pocket

The big bill

The expenses the insurer pays.

The big bill is anything beyond the out-of-pocket maximum and is picked up by the insurance providers. This is important as it protects you from catastrophic debt if you get really sick or injured

How Catilize is different.

The MERP works by paying all of your out-of-pocket expenses for you, and leaving the big bill to your spouse’s insurance provider. You effectively pay $0. Nothing.

What’s next?

Simply select the MERP plan during your next benefit enrollment window, follow the sign up steps below and enjoy the benefits!

How to use MERP.

Using the plan is easy. Just follow these steps:

Join

Start by enrolling in your spouse’s healthcare plan. If you have dependents, make sure you all enroll in your spouse’s healthcare plan.

Select

When your own Open Enrollment comes around, select the MERP Plan and waive any other medical plan offered by your employer.

Submit

To complete your enrollment, you will have to submit proof of alternate coverage (your spouse’s coverage) and premiums paid.

Use

When seeking care with a medical provider, just show your spouse’s healthcare plan ID card and the MERP ID card after receiving care and the MERP pays for your out-of-pocket cost.*

* If the provider doesn’t accept the MERP card, you have to simply pay the cost up front and submit it to Catilize for your tax-free reimbursement.

* If the provider doesn’t accept the MERP card, you have to simply pay the cost up front and submit it to Catilize for your tax-free reimbursement.

What’s next?

Simply select the MERP plan during your next benefit enrollment window, follow the sign up steps below and enjoy the benefits!

How to use the MERP.

Using the plan is easy. Just follow these steps:

Join

Start by enrolling in your spouse’s healthcare plan. If you have dependents, make sure you all enroll in your spouse’s healthcare plan.

Select

When your own Open Enrollment comes around, select the MERP Plan and waive any other medical plan offered by your employer.

Submit

To complete your enrollment, you will have to submit proof of alternate coverage (your spouse’s coverage) and premiums paid.

Use

When seeking care with a medical provider, just show your spouse’s healthcare plan ID card and the MERP ID card after receiving care and the MERP pays for your out-of-pocket cost.*

* If the provider doesn’t accept the MERP card, you have to simply pay the cost up front and submit it to Catilize for your tax-free reimbursement.

The best zero dollars you’ve ever spent.

If you have any questions, check out our FAQ section below or if you would like to chat to a member of the Catilize team, then get in touch!

Contact Us

Why people are loving it.

This program is amazing!

It covers all my out of pocket cost. I have been using the MERP program for 2 years now and since going on it I have not had to pay out anything. My husband had shoulder surgery in February and we did not pay a penny for anything. It was great. Occasionally you may have to pick up a copay for a prescription because the pharmacy gets confused but all you have to do is submit for reimbursement.

By Shannon G.

Saved us thousands

At first, the program seemed too good to be true. We are so grateful that it really is true! It has saved us thousands of dollars over the past two years. My husband had to have physical therapy not long after we joined the program, so we saw immediate results – the total bill almost met our deductible, less than a month into the new year, and MERP covered every penny.

By Joanna L.

Such a relief

I have a large family with some significant health issues. We spend a lot of money on healthcare each year. It has been such a relief to have the MERP program cover these extra costs that my husband’s insurance company does not cover! We have received over $600 back in just 4 months’ time! That’s amazing!

By Emily B.

Simple and easy

The process is simple and easy. If my provider does not file the MERP on my behalf then I just send a copy of my EOB along with the bill for copays or deductibles. The reimbursement is taken care of in a timely manner.

By Mary A.

Nothing out of pocket

I encourage any employee who is eligible for MERP to take advantage of it. My family was able to get all the care they needed at a local facility and pay nothing out of pocket. It was fantastic! It really gave me peace of mind knowing that we had such great coverage.

By Jennifer S.
1 of 5 testimonials

The best zero dollars you’ve ever spent.

If you have any questions, check out our FAQ section below or if you would like to chat to a member of the Catilize team, then get in touch!

Contact Us

Frequently Asked Questions.

Who is eligible?

If you and/or any member of your family is currently enrolled in your employer’s medical plan, and your spouse has access to coverage through his/her employer’s plan, you may take advantage of the MERP by transitioning to your spouse’s plan.

Who is not eligible?

If you are not enrolled in your employer’s medical plan, you’re not eligible to enroll in the MERP plan.
The plan is also not available if your spouse’s plan is one of the following:

  • High Deductible Health Plan (HDHP) with active contributions to a health savings account (HSA)
  • Medicare, Tricare, Medicaid
  • Individual plan purchased on or off the Health Insurance Exchange (also known as the Marketplace)
  • Stand-alone health reimbursement account (HRA) – not paired with a medical plan
  • Short-term individual coverage
  • Limited Benefit Health Plan under IRS rules

You would also NOT be eligible if your spouse is self-employed because your spouse does not have access to medical coverage through an alternate plan with his/her employer.

What constitutes proof of alternate coverage?

  • Paystub showing premium contribution amount, pre-tax or post-tax, frequency (other pay information may be blacked out).
  • If employee’s spouse does not have a paystub at time of enrollment, the spouse may submit a letter on their employer’s letterhead or a Benefit Confirmation outlining the information. However, you must submit a paystub once one becomes available.
  • If the entire family is not enrolling in the MERP, then the employee must provide the tiers of coverage, indicating the cost for each tier.

How does the plan work?

If your spouse and/or dependents are currently enrolled in your company’s medical plan, you may all be eligible to participate in the MERP plan, if you and/or your dependents join the medical plan offered by your spouse’s employer.

What does the MERP plan cover?

Covered services are determined by your spouse’s employer plan. The MERP enrollees are reimbursed for all eligible copayments, coinsurance and deductibles incurred under your spouse’s medical plan, up to the maximum out-of-pocket limits established by the Affordable Care Act. Reimbursed claims are not taxable income to the MERP enrollees.

Which ID card do I show when I receive medical services?

The MERP plan enrollees should show the ID card for their spouse’s plan first. Upon enrollment in the MERP plan, our administrator will send you a welcome letter with a plan ID card. That card may be shown second. Your welcome letter will explain this.

How do I receive my reimbursement?

If you pay your provider at the time of service (for example, you pay your office visit copayment), obtain a receipt and send it along with the Explanation of Benefits (EOB) you received to provide documentation of the service and the payment you made. EOBs will be verified for an eligible service and in-network provider. Your documents will then be processed and a reimbursement check will be sent to you from the plan’s administrator.

If you don’t pay at the time of service, send your EOB and the bill from your provider together. Your documents will be verified for an eligible service and in-network provider. They’ll then be processed for payment and a check will be sent to your provider from the plan’s administrator.

Keep in mind that you may get another bill from your provider as your payment is being processed. Processing should take no longer than 30 days from the date our plan administrator receives your documentation.

How long will it take to be reimbursed for claims?

Reimbursements are processed within 30 days of submission, but typically within two weeks.

Frequently Asked Questions

Who is eligible?

If you and/or any member of your family is currently enrolled in your employer’s medical plan, and your spouse has access to coverage through his/her employer’s plan, you may take advantage of the MERP by transitioning to your spouse’s plan.

Who is not eligible?

If you are not enrolled in your employer’s medical plan, you’re not eligible to enroll in the MERP plan.
The plan is also not available if your spouse’s plan is one of the following:

  • High Deductible Health Plan (HDHP) with active contributions to a health savings account (HSA)
  • Medicare, Tricare, Medicaid
  • Individual plan purchased on or off the Health Insurance Exchange (also known as the Marketplace)
  • Stand-alone health reimbursement account (HRA) – not paired with a medical plan
  • Short-term individual coverage
  • Limited Benefit Health Plan under IRS rules

You would also NOT be eligible if your spouse if self-employed because your spouse does not have access to medical coverage through an alternate plan with his/her employer.

What constitutes proof of alternate coverage?

  • Paystub showing premium contribution amount, pre-tax or post-tax, frequency (other pay information may be blacked out).
  • If employee’s spouse does not have a paystub at time of enrollment, the spouse may submit a letter on their employer’s letterhead or a Benefit Confirmation outlining the information. However, you must submit a paystub once one becomes available.
  • If the entire family is not enrolling in the MERP, then the employee must provide the tiers of coverage, indicating the cost for each tier.

How does the plan work?

If your spouse and/or dependents are currently enrolled in your company’s medical plan, you may all be eligible to participate in the Family Savings Plan, if you and/or your dependents join the medical plan offered by your spouse’s employer.

What does the MERP plan cover?

Covered services are determined by your spouse’s employer plan. The MERP enrollees are reimbursed for all eligible copayments, coinsurance and deductibles incurred using in-network providers under your spouse’s medical plan, up to the maximum out-of-pocket limits established by the Affordable Care Act. Reimbursed claims are not taxable income to the MERP enrollees.

Which ID card do I show when I receive medical services?

The MERP plan enrollees should show the ID card for their spouse’s plan first. Upon enrollment in the MERP plan, our administrator will send you a welcome letter with a plan ID card. That card may be shown second. Your welcome letter will explain this.

How do I receive my reimbursement?

If you pay your provider at the time of service (for example, you pay your office visit copayment), obtain a receipt and send it along with the Explanation of Benefits (EOB) you received to provide documentation of the service and the payment you made. EOBs will be verified for an eligible service and in-network provider. Your documents will then be processed and a reimbursement check will be sent to you from the plan’s administrator.

If you don’t pay at the time of service, send your EOB and the bill from your provider together. Your documents will be verified for an eligible service and in-network provider. They’ll then be processed for payment and a check will be sent to your provider from the plan’s administrator.

Keep in mind that you may get another bill from your provider as your payment is being processed. Processing should take no longer than 30 days from the date our plan administrator receives your documentation.

How long will it take to be reimbursed for claims?

Reimbursements are processed within 30 days of submission, but typically within two weeks.

Proud to work with.

Proud to work with.

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