Consumer Driven Health Plans

Aegis provides a full suite of consumer driven health solution for our clients, brokers and agents and health plans. For more information, please contact us !

Low cost health insurance that meets the needs of your small business!

Employers with groups of 2 to 250 employees are turning to Consumer Driven Health Plans for coverage because they realize it's a two-way street. Insurers can't do it alone. Consumers and your employees have to play a role in their own healthcare spending decisions to help keep costs down and premiums affordable.

Does Your Group Health Plan :

  • Offer low cost premiums, while benefits stay high?
  • Deliver renewals that were stable and predictable, so you weren't okay one year, then blindsided the next with a huge increase?
  • Offer new kinds of plan choices, so you could tailor a plan and a price to the unique needs of each and every employee?
  • Ask your employees to play a small, reasonable role that would have a big, positive effect on your bottom line?

Small business owners are realizing that consumer Driven Health Plans provide a "healthier" approach to giving you the benefits you need while keeping premiums at a lower cost. They are the best alternative to out of control premiums, over-managed care and a system that disconnects the user from the costs that are associated with health care today. This is the model used for all small business owners and their employees in making a joint effort to provide the best care possible at the most effective price on the market.

Look How We've Changed the Model:
We take a different approach to traditional health insurance plans. We can offer a low cost health insurance alternative without losing benefits because we've put consumers back in the process. Most Consumer Driven Health Plans use a Customer Service support and information packed website, which will show the client the varying prices doctors and hospitals charge for the same services. This helps in the client being able to understand the true high costs of healthcare. These plans are a first in showing all costs between quality providers and realizing the direct dollar savings when they do. Buyer and seller are reconnected. The result is that consumers voluntarily make more economical, smarter choices in procedures and health care patience. This will give you the employer the opportunity to offer more affordable health care to you employees. In the end making both the employer and the employee satisfied.

Get a free Health Insurance Quote from Aegis today!

High Deductible Health Plans

A High Deductible Health Plan (HDHP) provides comprehensive coverage for high-cost medical events and a tax-advantaged way to help you build savings for future medical expenses. The HDHP gives you greater flexibility and discretion over how you use your health care benefits.

When you enroll, your health plan establishes for you either a Health Savings Account (HSA) or a Health Reimbursement Arrangement (HRA). The plan automatically deposits the monthly "premium pass through" into your HSA. The plan credits an amount into the HRA. (For more information see the " Premium Contribution to HSA/HRA " column in the following charts.)

Preventive care is often covered in full, usually with no or only a small deductible or co-payment. Preventive care expenses may also be payable up to an annual maximum dollar amount (up to $300 for instance). As you receive other non-preventive medical care, you must meet the plan deductible before the health plan pays benefits. You can choose to pay your deductible with funds from your HSA or you can choose instead to pay for your deductible out-of-pocket, allowing your savings to continue to grow.

The HDHP features higher annual deductibles (a minimum of $1,050 for Self and $2,100 for Family coverage) and annual out-of-pocket limits (not to exceed $5,000 for Self and $10,000 for Family coverage) than other insurance plans. Depending on the HDHP you choose, you may have the choice of using in-network and out-of-network providers. There may be higher deductibles and out-of-pocket limits when you use out-of-network providers. Using in-network providers will save you money.

 Get a free Health Insurance Quote from Aegis today!

Preferred Provider Organizations

If you choose to go outside the network, you will have to meet the deductible and pay coinsurance based on higher charges. In addition, you may have to pay the difference between what the provider charges and what the plan will pay. Preferred Provider Organization (PPO). A PPO is a form of managed care closest to an indemnity plan. A PPO has arrangements with doctors, hospitals, and other providers of care who have agreed to accept lower fees from the insurer for their services. As a result, your cost sharing should be lower than if you go outside the network. In addition to the PPO doctors making referrals, plan members can refer themselves to other doctors, including ones outside the plan.

If you go to a doctor within the PPO network, you will pay a co-payment (a set amount you pay for certain services, say $10 for a doctor or $5 for a prescription). Your coinsurance will be based on lower charges for PPO members.

Start saving on all out-of-pocket health costs and every health provider visit: Enroll now and Save!

Ask us about our Wellness HSA program today!

 




 

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