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Affordable Large Group Health Plans 

We built insurance plans that we want to have ourselves.

Request Your FREE Group Health Plan Quote Today! 

Become a preferred employer by offering benefits that matter most!

Priorities have changed and employees are looking for a company who will invest in them just as much as they invest in themselves.

 

 

Choose from Traditional Self-Funded, Reference-Based Pricing, Level Funding, and Minimum Essential Coverage plans. 

Your Complete Benefit Administration System

Streamline the entire benefit administration, compliance, and employee communication process so that it's as efficient and painless as possible. The software is designed with the “non-technical” user in mind. As a result, it is intuitive and easy-to-use for employees, HR managers and administrators alike.

·       State-of-the-art cloud based solution

·       Top rated eligibility platform in the industry

·       Erroll and communicate with employees

·       Designed to address compliance and enrollment needs

 

Provides continual regulator and compliance management and analysis of how healthcare reform impacts an employer’s business, including potential strategies for optimizing employer-sponsored health benefits and minimizing taxes and fees.

 

A portal for employees to access all required documents, forms, and brochures – 24/7 from any device. When employees have access to the document the need anytime and anywhere, HR Managers and administrators have more time to focus on other vital tasks.

A Full Suite of Services

  • Self-Funded Plans
  • Reference-Based Pricing
  • Level Funding
  • Minimum Essential Coverage
  • Telemedicine
  • Integrated Wellness
  • Member, Employer and Provider Portals
  • Flexible Spending Account (FSA)
  • Pharmacy Management Solutions
  • Transparency and Analytics
  • Utilization and Disease Management
  • Consumer Driven Health Plans
  • COBRA/HIPPA
  • Consolidated Billing
  • Voluntary Products
  • Association Health Plans
  • Hospice Claims Administration
  • PACE Medicare Administration

Smoother Open Enrollment

Get a quick look at how many employees have or have not enrolled an access a list of who those employees are.

Send Notifications

Employers can generate a text or email blast to employees who need to login and enroll before the deadline or to Communicate other important information.

Generate Detailed Reports

Create election reports, payroll deduction and pending enrollments with just a click.

Monthly Deductibles instead of Calendar Year Deductibles (CYD)

Traditional health plans require the entire annual deductible amount to be paid by a member before the health plan starts to pay for medical expenses. This approach can be devastating financially to the member if emergencies occur or cause the member to delay care, worsening their health.

 

Instead of being like everyone else, we spread the deductible evenly throughout the year. The monthly deductible is determined by the health plan and applies to the entire family. Lowering the deductible to a lower monthly budget friendly amount. Once the monthly amount is met by the member, the health plan will cover 100% of the allowable charges until the next month.

Member Out-of-Pocket (OOP) Example

(Examples assume 100% benefit after the equivalent deductible)

(a) If the episode of care spans more than one calendar month, the monthly deductible will apply each month expenses are incurred, limited to the annual maximum OOP in the plan.

(b) Since the baby was a sick baby, both mom and baby had to meet the deductible.

(c) Emergency Room will collect three deductibles, one deductible per patient within the family unit.

Health Benefits That Work for You

Integrated Health Management

  • Unlimited access to patient advocates
  • Healthcare cost management solutions
  • Inpatient & outpatient care coordination
  • Maternity, neonatal & pediatric care support
  • Diabetes self-management best practices
  • Case management expertise
  • Complex, long term care coordination
  • Oncology & transplant care specialization
  • Utilization management services
  • Medical necessity reviews
  • Healthcare bluebook & quality of care

Imaging, Labs and Diagnostics

  • Discounts for members on laboratory testing services
  • PET/CT
  • X-RAYS
  • MRI
  • Nuclear medicine
  • Mammogram
  • Ultrasound
  • Arthrogram
  • Myelogram
  • Echocardiogram
  • Bone density
  • Pain management

Medical Helpline Delivers

Utilization management Services

  • Inpatient & outpatient care
  • High-cost imaging monitoring

Case Management

  • Diabetes self-management practices
  • Infusion & high-cost drugs
  • Oncology & transplant
  • Maternity, neonatal & pediatric
  • Medical necessity reviews

Helpline Services

  • Unlimited access to advocates
  • Seamless Integration
  • Healthcare bluebook & quality of care

To get started, request a initial 15 minute consultation to determine what your potential benefit is. 

This consultation allows our professionals to do a quick discovery about your plan, your company and your benefits.

 

Or Call Us at 1-800-488-5798