• High15/500
  • Medium25/1000
  • Low35/1500
  • Deductible

    • $0
    • $0
    • $0
  • Max Out of Pocket (Family x2)

    • $1,500
    • $2,000
    • $3,000
  • Office Visit

    • $15
    • $25
    • $35
  • Lab/Xray

    • $15
    • $25
    • $35
  • CT/MRI/PET

    • $150
    • $150
    • $150
  • Inpatient Hospital

    • Hospital Services
      • $500a
      • $1,000a
      • $1,500a
    • Physician/Prof. Services
      • $0
      • $0
      • $0
  • Outpatient Hospital/Surgery

    • Hospital Services
      • $150
      • $250
      • $350
    • Physician/Prof. Services
      • $0
      • $0
      • $0
  • Emergency Room

    • $100
    • $100
    • $100
  • Urgent Care

    • $50
    • $50
    • $50
  • Ambulance

    • $100
    • $100
    • $100
  • Prescription Drug

    • $10/$20/$40
    • $10/$25/$50
    • $15/$35/$50
  • Brand Deductible

    • $0
    • $0
    • $0
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Plans

WHY IT WORKS:

  • 46% OF EMPLOYEES DON'T USE THE INSURANCE PLAN, CREATING "LOST PREMIUM"
  • 48% OF EMPLOYEES ONLY USE THE PLAN FOR AN OCCASIONAL DOCTOR VISIT OR RX
  • LESS THAN 4% OF EMPLOYEES REACH THEIR HEALTH PLAN MAX OUT OF POCKET

HOW IT WORKS:

Step 1:

Replace current high-cost traditional fully insured medical plan with a premium-savings PPO health plan (HDHP PPO)

  • Save 20-50% on premiums
  • Flexibility of PPO platform
  • No referrals or medical group limitations

Step 2:

Deposit premium savings into a trust spending account with Benefit Advantage, a certified Third Party Administrator (TPA)

  • Savings are deposited tax-free
  • Savings are safe and secure in trust account with TPA

Step 3:

Implement one of Benefit Advantage's proven and easy-to-use "shared-funded" benefit plans to mirror current employer group plan benefits

  • 72% of Americans spend $500 or less annually ($42/mo) on healthcare
  • Savings used to cover benefit differential if and when claims occur, up to plan limits, then carrier pays 100%
  • Plan members issued Benefit Advantage medical ID card

Step 4:

Benefit Advantage ties everything together with expertise and proven claims processing system that is transparent to employee

  • Benefit Advantage administers and processes employee claims for the employer, with quarterly reporting and web-based employer interface