Direct Primary Care and Major Medical Coverage
Controlling Major Medical Costs
Large companies with significant cash reserves can easily employ fully self-funded insurance plans. For smaller companies, stop-loss insurance in combination with DPC makes ‘self-funded healthcare‘ a viable and advantageous option.
Stop-Loss Insurance Protects You From Going Over Your Budget With:
Stop-loss insurance takes over your medical payments at the threshold amount you have set for your plan year and includes all major medical expenses like emergencies, hospital stays, in- and out-patient surgeries, specialist care and more. It also helps your company meet the requirements of the Affordable Care Act (ACA). Providing ACA compliant coverage keeps both you and your employees from owing penalties.
Stop-Loss + DPC Also Provides Fiscal Benefits To Your Company.
Healthcare Plan Control
Optimize your health plan for value by cutting out unnecessary overhead. Companies as small as 10 employees have successfully moved to a self-insured health plan model. Additionally, a Third Party Administrator (TPA) can efficiently and affordably manage your plan and claims.
Reduced Healthcare Spending
Not only are the fixed costs of providing healthcare lower for self-funded companies, by employing Direct Primary Care, companies have reduced healthcare claims by 20%-35% while providing best-in-class benefits.
Return of Reserves
Because you retain control over your self-funded healthcare reserve account, your money can work for you and you keep the money not used by claims – instead of a medical insurance company.