Plan & Product Descriptions
- Consumer Driven Health Plans
- Health Maintenance Organization (HMO) Plans
- High-Deductible HSA-Qualified Plans
- Millennium
- Point of Service (POS) Plan
- Preferred Provider Organization - PPO
Consumer Driven Health Plans
A Consumer Driven Health Plan is like a traditional health insurance plan, but offers some advantages. It has deductibles, coinsurance, an out-of-pocket maximum and in-network and out-of-network benefits. These plans often have the added benefit of a Family Wellness Account or other health savings arrangement. This account is used toward the deductibles and contains a pre-determined annual amount of tax-free dollars. Unused dollars can be rolled over from year to year.
Health Maintenance Organization (HMO) Plans
Network Health Plan’s HMO plans offer health coverage through a contracted network of quality providers within a particular geographical area. Prevention and appropriate management of health care services are commitments we have made to help our members stay healthy. This is achieved through coordination of care by a member's chosen Primary Care Physician (PCP) in exchange for comprehensive benefits and low out-of-pocket costs.
High-Deductible HSA-Qualified Plans
For a health plan to qualify for a health savings account (HSA), the deductible and out-of-pocket maximums assigned to the plans must comply with the limits established by the Treasury Department each year. Our plan designs start with a $1,500 deductible and can be incrementally adjusted to meet your company’s needs.
Recent legislation allows the creation of health savings accounts. The monies in these accounts can be used to pay for qualified medical expenses* today and in the future. Funding of HSAs can be done by employers, employees or both with pre-tax dollars. Employees own the accounts and can roll monies from year to year to help save for medical expenses for years to come. Health savings accounts are very much like other banking accounts. Most financial institutions will use checks and debit cards for withdrawals. HSAs are self-regulated by employees, meaning the employee needs to comply with government allowances for medical expenditures.
*The government defines qualified medical expenses. These may include costs that are not covered by the insurance plan selected.
Millennium
Employers need health and wellness programs that can deliver results: healthier employees and lower medical costs.
Millennium does just that. Millennium brings together health and wellness activities, proactive disease management and targeted health education resources in a way that provides the right services at the time that your employees need them. Millennium employer reports and tools tie it all together to demonstrate the results. Local companies are achieving significant bottom-line savings on health care costs with Millennium.
The Millennium website helps your employees understand the Millennium program and gives them up-to-date information about their achievement levels and about Millennium activities.
Millennium is a benefit plan that produces results….improved employee health…higher productivity better morale…and lower health care costs, which improves your bottom line. Your employees commit to a healthy lifestyle and everyone wins. It’s that simple.
To find out how the Millennium Health Plan can help your company do things differently for better results, please see your insurance broker, call the Network Health Plan sales team at (800) 276-8004 or click here and we will contact you.
Point of Service (POS) Plan
The POS plan from Network Health Plan and Network Health Insurance Corporation combines the comprehensive benefits, utilization management and cost control of an HMO with the option of utilizing out-of-plan providers. Two levels of benefits are provided. Members select which level they want to use. Members can use in-network providers and receive the highest level of benefits or choose to receive care from out-of-network providers at higher out-of-pocket costs.
Preferred Provider Organization - PPO
PPOs control costs through the organization of hospitals, physicians and other health care providers, the negotiation of favorable payment arrangements with these providers and the management of services received by subscribers. PPOs typically design custom benefit plans for self-funded and/or fully insured employers and include in and out-of-network benefits. Network Health Plan gives other third-party administrators the ability to access our PPO network by paying a small access fee.
