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MedBen offers peace of mind to small- and
mid-sized businesses with insurance plans that take a personalized approach to
group health benefits. MedBen
Managed Care, our comprehensive preferred provider plan,
allows employers to create a plan that meet their needs as well as the
needs of their employees. A
high-deductible health plan option offers reduced premiums while
giving employees greater benefits responsibility. In addition, employers interested in
split-funding their health
insurance can take advantage of the savings available through our MedBen
Split
Solution program.
MedBen
Managed Care
MedBen
Managed Care combines the most desirable characteristics of traditional
indemnity insurance with the cost advantages of a preferred provider
organization (PPO). Currently available in Ohio,
Indiana, Michigan and
West
Virginia, MedBen Managed Care features major medical coverage and preferred providers
from some of the nation’s finest PPO networks.
MedBen Managed Care extends to employers the
flexibility to design an benefits plan that fits each company’s individual
needs. Employers can choose deductibles, coinsurance percentages and coinsurance
maximums that will yield the best result for their employees.
Employee Deductible
Options
Insured’s annual responsibility.
Options 1 2 3
4
5
6 7
8
In-network
$100 $200 $250 $300
$500 $1,000 $1,500 $2,000
Out-of-network $200 $400 $500 $600 $1,000 $2,000 $3,000 $4,000
Employee deductible is for the calendar year.
Family deductible is 2 times the individual deductible. |
Coinsurance Level Options
Insured’s responsibility
per claim after deductible is reached.
Options
1 2 3
In-network 10%
20% 30%
Out-of-network 30%
40% 50%
Employee coinsurance level is
for the calendar year. |
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Coinsurance
Limit Options
Insured’s annual
responsibility after deductible is reached.
Options 1
2 3
4 5
6 7
In-network $1,000 $2,500
$4,000 $5,000 $10,000 $15,000 $20,000
Out-of-network $2,000 $5,000 $8,000
$10,000 $20,000 $30,000 $40,000
Employee coinsurance
limit is for the calendar year.
Family maximum is 2 times the individual maximum.
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In addition to choice, MedBen Managed Care offers
incentives for participants to take a more active role in controlling and
reducing their own medical expenses when appropriate. Those who use network
providers have the advantage of lower negotiated pricing. The 20%
coinsurance differential encourages individuals to utilize preferred hospitals
and physicians.
Above all, MedBen Managed Care offers businesses
of all sizes the same attention, cost effectiveness and high-quality service
traditionally available only to larger companies.
The High-deductible Option
In addition to the standard deductible options, employers can also offer MedBen
Managed Care as a high-deductible health plan (HDHP), with an annual
employee deductible of at least $2,000 for singles ($4,000 for families), plus
the option of a maximum coinsurance limit. Employers who elect an HDHP qualify
by IRS guidelines to offer a
Health Reimbursement Arrangement (HRA) or a
Health Savings
Account (HSA) to their employees. Contributions to these accounts can
be applied to the HDHP deductible and other qualified medical expenses, or saved
toward retirement. MedBen offers HRA administration and can assist you with HSA
set-up services.
MedBen Split Solution
To realize even greater savings from MedBen Managed Care, consider
the advantages of split-funding with our MedBen Split Solution
option. With the Split, your organization pays employee claims up to an
established maximum. At that point, MedBen pays any remaining claims costs up to
the certificate maximums for the plan year. Lower costs and greater employer
control make Split Solution the ideal solution for employers with 20 to 150
medically eligible employees.
To learn more about the benefits of partial self-funding
through MedBen Split Solution, click here.
For more
information about MedBen Medical, please e-mail our marketing department at
marketing@medben.com.
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