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employee benefit offering
employee benefit offering
Meeting the need

 

  • Our health plans are affordable, ACA and ERISA compliant, and built on copays – not high deductibles that create barriers to care – with nationwide availability.

 

  • By mitigating these barriers, our health plans facilitate access to resources that support the health and well-being of its participants and their families.

 

  • Our app provides access to all components of the health plan including digital medical card, telehealth visits, claims tracking, payments and more.

 

Over 600 of the most prescribed generic medications come at no cost to HBA participants.

 

Acute Medications (immediate need)

  • Up to a 21 day supply of the top 125 most prescribed acute medications

 

Chronic Medications

  • 90-day supply

 

Pharmacy Coaching

  • Highly-trained pharmacists focused on helping members

 

Diabetic Supplies

  • SaveOn Diabetes is our game changing program for participants with Diabetes in which they will get a FREE meter, low cost testing strips, lancets and more.

 

Psychiatric Care

  • SaveOnPsych is licensed in ALL 50 states and is focused on making the top 71 prescribed medications as affordable as possible to all participants.

 

Access to doctors whenever you need them…no copays or surprise bills.

 

  • Primary Care Mobile Doctors

 

  • Facial Scan Technology

 

  • Mental Health Therapy

 

  • Completely Bilingual
HBA Plan limitations

MVP Limited Day Medicalâ„  Plans provide comprehensive and affordable health coverage for HBA participants. To
ensure affordability, HBA plans contain limits that differ from other “traditional” carrier plans.

 

Examples include:

  • Day limits for coverages
  • Chemotherapy & Radiation excluded in BRONZE+ and GOLD plans
  • Kidney Dialysis excluded in BRONZE+ and GOLD plans
  • Specialty Rx excluded in BRONZE+ plan
  • Note that all of the above are covered in the MVP plan
  • The Health Benefit Alliance program manages the efficient and cost effective delivery of healthcare through pre authorization requirements for certain services and prescriptions, formulary management and other cost containment protocols as outlined in the Schedules of Benefits.
  • An important example is a “place of service” restriction for certain elective diagnostic tests such as X-rays, CT Scans, MRIs and PET Scans (when scheduled and not due to an emergency).
  • Although these tests are covered (after a copay) when performed in lower cost, non hospital, freestanding facilities, the tests are not covered when done at a hospital (exceptions for when the closest freestanding facility is greater than 50 miles from the Member’s residence).