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About MACo Health Care Trust (MACoHCT)


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The Montana Association of Counties Health Care Trust (MACoHCT) was established in 2005 to provide a cost-effective alternative for health insurance benefits for counties and county-related boards and districts. By pooling the risk of a severe financial loss over a larger population, premiums are generally more stable, limiting the broad fluctuations that an individual county or district might otherwise experience.

MACoHCT is able to combine the purchasing power of pool members when negotiating plan services, such as claim management, case management, preferred provider pricing, and reinsurance. The result is favorable coverage, terms, conditions, and plan limits that are tailored to the needs of the county, board, or district.

Plan services such as enrollment, risk control, and wellness programs are tailored to the needs of county members. MACoHCT members have a significant voice in how the pool is operated and how claims are resolved, since the policy-making board is comprised of county commissioners. If claims controversies should arise, MACoHCT members have the full support of MACo administration and the MACoHCT board.

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MedEx Travel Assistance Program

Did you know that MedEx Travel Assist benefits are available to active MACoHCT members and dependents through the Standard Life Insurance Company?

There is no cost and there is no need to enroll!

For more information click here or click the 'Life Insurance' tab to the left.