Fees are determined by the size of group as well as administrative services requested. ADMINISTRATIVE FEESįees can be calculated either on a Per Member Per Month (PMPM) or Per Employee Per Month (PEPM) basis.
Utilization, Disease and Case Management ServicesĪggregate and Specific Stop Loss coverage can be provided through multiple insurance carriers or underwritten by Presbyterian Health Plan. Plan Document Preparation Benefit Plan Design & Materials Preparation Claims Processing Services
FREEDOM HEALTH PLAN FULL
Presbyterian offers a full range of administrative services for self-funded plans including: Presbyterian is locally owned and operated - which means all member services, claims processing and enrollment processing are conveniently coordinated here in New Mexico by our local service team. PRESBYTERIAN PROVIDES LOCAL SERVICING OF YOUR SELF-FUNDED INSURANCE PLAN Plan costs are based on your group claims experience, not pooled with any other groups.
Potential freedom from costly state-mandated benefits.ĭeveloping custom benefit plan designs and contribution schedules More than 3 million health professionals profiled. Read Ratings & Reviews from Other Patients. Investment earnings, which accrue (usually tax-free) in the employer-established health trust, are available to fund plan expenses. Find, Compare, and Connect With Doctors who accept Freedom Health insurance.
Not all Affordable Care Act (ACA) fees are applicable to self-funded programs. State premium taxes, which usually run from 2% to 6% of premium in fully-insured programs, do not apply to most elements of self-funded programs. EMPLOYERS WHO CHOOSE SELF-FUNDING CAN ACHIEVE COST SAVINGS THROUGH: Self-funded benefit plans allow employers to take control of their company's employee healthcare coverage, both in the design and funding of the plan. provides Administrative Services Only for employer groups with typically 100 or more employees who decide to fund their own healthcare benefit plan. Administrative Service Only (ASO) / Self-Funded Insurance Plan
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