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Small Group Health

Health Insurance economics and legislation are in a constant state of change. The plans of tomorrow will not resemble the plans of the past. It wasn't very long ago that American's were protected by Indemnity plans which paid a benefit after a deductible, much like auto or home owners insurance. When the cost of those plans became unaffordable to most employers and their employees Americans were introduced to Managed Care which promised to reign in and control medical costs.

When soaring indemnity premiums lowered American's resistance to Managed Care we saw several difference Managed Care solutions such as:

HMO (Health Maintenance Organization) - This plan introduced a network of physicians that agreed to lower their fees in return for visibility in these networks that insurance company's maintained. The member would need to select a Primary Care Physician that would control the flow of care - requiring a referral to see a specialist. The patient in return would pay a very low or no copayment ($5 per visit was the norm). The same applied to prescription drugs
POS (Pint of Service) - This plan took the HMO and attached to it if you will a benefit if the member used a non-network provider. It was and still is referred to as Out-of -Network and carrier with it higher costs in the form of deductibles and coinsurance.
O/A POS (Open Access Point of Service) - This plan was simply a POS plan but without the need to select a Primary Care Physician nor did the member have to obtain the referral to see a specialist
PPO (Preferred Provider Organizations) - These plans were very popular for a while but became very expensive and fell out of popularity when O/A POS plans became available. In some areas in the country PPO plans were the only plans available and had more to do with State Insurance regulations more than product development. PPO plans are making a comeback but in a much different form
More than a decade has passed since Managed Care promised to lower medical costs but insurance premiums are back in the double digits. Each year employers are forced to offset those increases by reducing benefits and / or passing the costs on to their employees. The increases are typically more than twice the rate of inflation making it more and more difficult for employees to afford resulting in the rising number of uninsured Americans.

Implementing an insurance plan(s) can be a difficult process, disrupting a company's productivity for a period of time. The plan (s) you choose today and the methods used to implement those plans have a direct relationship with employee trust. Benefit Service Company will conduct a full market survey that will meet the needs of both employees and the employers budget. Using communication tools such as Employee Meetings, Webinars and Online Benefit Portals to name just a few, aids in the successful implementation and ongoing administration.

Let Benefit Service Company assist you in developing plans using a long term plan, not one that will need to be dramatically changed next year. The longer an employer can remain with a plan and an insurance company the more confident the employees become which translates into better efficiency and a better bottom line.