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Step 1: Replace current high-cost traditional fully insured medical plan with a
premium-savings
high deductible 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 "sharedfunded"
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 employer
• Benefit Advantage administers and processes employee claims for the
employer, with quarterly reporting
and web-based employer interface |
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Benefit Advantage Options |
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HIGH |
MEDIUM |
LOW |
| |
15/500 |
25/1000 |
35/1500 |
| 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 |
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|
|
| Hospital Services |
$500a |
$1,000a |
$1,500a |
| Physician/Prof. Services |
$0 |
$0 |
$0 |
| Outpatient Hospital/Surgery |
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|
|
| 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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© 2007 Benefit Advantage
10606 Trademark Parkway North #201A
Rancho Cucamonga, CA 91730
909-980-1194 phone • 909-980-1084 fax
website development wow-webs |
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