Health Care Without Headaches

by Jonelle Foutz

If you’ve ever felt sick after dealing with our health insurance company, we have a cure.

“I know that many of our employees have been frustrated with our previous health plan’s performance,” said Someone, Benefits & Safety Administrator for This Company. “Claims have not been paid correctly, valid prescriptions have not been covered, and access to specialists has been restricted.”

So, after a thorough check up and some major surgery, This Company will begin operating a new health care plan on January 1. Rather than paying premiums to an insurance company, This Company’s health coverage will now be self-funded and a third party, Another Company, will administer claims.

“We built this plan so that This Company will have more control over costs,” said Someone. “As insurance companies continue to raise their prices, more companies will be taking control of benefits costs in this way.”

This exclusive This Company health plan offers many new benefits. “We will have a much larger network of health care providers,” said Someone. “There is also a longer list of prescription drugs covered by the plan, and all employees will have the option to purchase prescription drugs by mail.” By ordering prescriptions through the mail, employees can receive a 90-day supply for the cost of just one co-payment--a substantial savings.

“One of the best things about this,” said Someone, “is that employee contributions will not change at this time because of this transition.”

Whether employees choose the new EPP (Exclusive Provider Plan) or the familiar PPO (Preferred Provider Option) plan, it will be easier than ever to receive health care without headaches.

“I have a lot of confidence in our new health plan,” said Someone. “The people at Another Company are very knowledgeable and they will be working with us to make our health care administration quicker and more accurate.”