1. Has something been missing
in your health plan?
64 %
Did you know sixty-four
percent of health plan participants
use $500 or less of their health
insurance?
3. What is BENEFITPlus+?
BENEFITPlus+ is a comprehensive plan
that allows employers to maintain ACA
compliance AND control healthcare costs
while ensuring the desired level of benefits in
today’s uncertain environment.
4. There are TWO major types of
Group Health Insurance.
Self – Funded
Fully – Insured
6. Advantages of BP+
Keep Same Level of Benefits
Keep The Same Insurance Company
(No Need for a New Enrollment)
Save up to 20-70% on your Health Plan
7. BENEFITPlus+ is easy as 1-2-3-4.
1.Employee uses 2. Medical Provider
Insurance Company ID bills Insurance
card to obtain services. Company
(Rx Card for Rx)
3. EOB/Claim 4. Our TPA Partner
information is sent sends BENEFITPlus+
to our TPA Partner plan EOBs/payment to
provider.
8. (Sample Scenario)
OnceYourOPM covered byplan Fully-InsuredEmployer
To keep the $1,000has a Healthin tact, theDeductible
the company Deductible Plan with $1,000
Replacing yourreached, a Co-paya High aCoverage
All services is current the with will be credited to
would need to self-fund 100% Co-Insurance.
Deductible and part of of up to 70%
the will yield savings the High Deductible
Plan pay ALL subsequentCoverage.
will Fully-Insured HDHP claims.
OPM=Out of Pocket Maximum
Fully-Insured Doctor, Pharm
HDHP Coverage acy, Urgent
Care, Emergen
cy
Plan Risk
“Gap” $7,500 HDHP
$6,500 per $6,500 “Gap”
Employee Employee
$1,000 Same $1,000
Deductible
9. BENEFITPlus+ Partners with a preferred TPA.
The Third Party Administrator pays all claims for the Plan and
seamlessly integrates with your Fully-Insured Coverage.
Fully-Insured
Coverage
TPA Administers claims
$6,500 within this Self-Funded
Corridor “Gap”
$1,000
10. BENEFITPlus+ Summary
High Deductible Health Plan
Replaces current Fully-Insured
plan, substantially reducing fixed
Insurance Premium
Preferred TPA
Administers the High Benefit
Employee HRA Plan
Employer & Employees
Save Money!
11. BENEFITPlus+
By
Benefit Houdini
A Better Business Bureau Accredited Company
Contact:
info@benefithoudini.com
Phone: 402.882.0564
Fax: 866.299.4387
