Bravo
Transcription
Bravo
HEALTH INSURANCE G R O U P H E A LT H | D E N TA L | V I S I O N | UNDERWRITTEN BY QCA HEALTH PLAN, INC. 0611 MK 002_01 06/13 BRAVO is a Health Insurance Purchasing Group (HIPG) developed by the Arkansas Society of Association Executives to provide health benefit plans for association members and their employer members. Any member in good standing with their association is eligible to participate in BRAVO, as long as the employer maintains fewer than 200 employees, belongs to a participating association and meets the qualifications of the HIPG. Through QualChoice, association members have exclusive access to a wide array of health benefits. Medical Plans Health Maintenance Organization (HMO) Plans With a broad range of plans, QualChoice is sure to have a QualChoice offers HMO plan designs with a wide range of solution to meet your needs. deductible options for employers to choose from. Point of Service (POS) Plans HMO benefits mirror POS in-network benefits. Employers Underwritten by QCA Health Plan, Inc. offering an HMO give their employees a less expensive health A Point of Service (POS) plan is a mix between a Health Mainte- plan option while also offering a POS, as required by state law. nance Organization (HMO) and a Preferred Provider Organization When a member needs care, they choose a doctor, health care (PPO). Our standard POS plans are open access, which means professional or hospital from within the QualChoice statewide that members do not have to select a primary care physician network. (PCP) or get PCP referrals to seek care from a specialist. Our POS and HMO Plans offer: In-Network: One of the best ways to control costs and get the most from a POS plan is to choose an in-network PCP to • $15,000 Group Term Life Insurance and AD&D (automatically included for groups with 2-50 eligible lives) coordinate care. A PCP can treat a wide variety of conditions and help steer members to appropriate participating specialists • Round-the-clock online health resources and facilities. Members will not be balance billed. (Billed for the • QCARE Health and Wellness Programs to assist members in better understanding and managing their health difference between the amount covered by the health insurance plan and the amounted charged by the provider.) • Out-of-Network: Members may choose any provider for most • Extensive statewide network of physicians, hospitals and pharmacies 100% coverage for wellness and preventive care services. However, when they receive care from a doctor or facility that is not in the QualChoice network, their out-of-pocket costs will be higher. Payment for out-of-network services is based on a Maximum Allowable Charge, and members can be balance billed. Just a few of the advantages of BRAVO: • flexibility • buying power • strength in numbers 1 www.qualchoice.com • 800.235.7111 • Little Rock 501.228.7111 • Northwest Arkansas 479.442.0700 0611 MK 002_02 01/14 Consumer Driven Health Plans For employee groups with 2-50 eligible lives, $15,000 of Term The consumer-driven health plan (CDHP) is a Life is automatically included. Coverage may be extended by popular insurance option. A CDHP combines offering employees the option to buy group term life insurance the flexibility of a medical insurance plan with for their dependent spouses and children. the cost effectiveness of a tax advantage. It consists of two parts: Dental Benefits Dental insurance is one of the most-desired employee benefits High Deductible Health Plan (HDHP) after medical coverage. QualChoice is pleased to offer a dental An HDHP is a health insurance plan with lower premiums and insurance program for employer groups with 2 or more employ- higher deductibles than a traditional health plan. When com- ees. We offer a wide range of coverage plans, including those bined with a Health Savings Account (HSA), it provides tradition- with and without orthodontia. Dental benefit plans are offered al medical coverage and a tax-free way to build funds for future on a contributory or voluntary basis. medical expenses. Vision Benefits Health Savings Account (HSA) Administered by Superior Vision A Health Savings Account (HSA) is a tax-advantaged medical A vision plan is an important component of a wellness strategy, savings account for members who are enrolled in an HDHP. for both employee and employer. Vision coverage is an impor- The funds contributed to an account are not subject to federal tant part of health maintenance. It can decrease overall health income tax at the time of deposit. care costs by providing routine exams as a preventive step, and increase employee productivity and retention. QualChoice CDHP Advantages offers vision benefit plans for employer groups with 2 or more • Affordability — With higher deductibles come lower insur- employees. Vision benefit plans are offered on a contributory or ance premiums. voluntary basis. • • • Flexibility — HSA funds can pay for current and future medical expenses. COBRA Portability — HSA accounts are owned by the individual. In COBRA, (the Consolidated Omnibus Budget Reconciliation Act the event of a job change or move to another state, those of 1985) enables employees and dependents who no longer funds remain with the individual. qualify under an employer approved group health plan to con- Tax Savings — HSAs provide triple tax savings: tax tinue their insurance coverage. deductions on contributions, tax-free earnings through interest and investment and tax-free withdrawals on quali- Through PrimePay LLC, QualChoice offers comprehensive, fied medical expenses. full-service COBRA Administration Services, offering you, the employer, relief from the administrative responsibilities involved. Ancillary Products QualChoice offers a variety of ancillary products so that you can Services include: offer your employees a strong benefits package. And we can • Comprehensive administration help ease the administrative burden by sending one convenient • Regulatory support and application invoice for all products. • Easy to use web-based operating system • Administration of every COBRA eligible group health plan, including non-QualChoice products Group Term Life Insurance and AD&D Benefits don’t stop with just a health plan. QualChoice offers • COBRA administration specialists to assist you fully integrated products to meet the needs of your diverse workforce. Group Term Life Insurance is the foundation of a strong benefits package, provides essential protection to employees and is one of the most important and best values of all employee benefits. 2 www.qualchoice.com • 800.235.7111 • Little Rock 501.228.7111 • Northwest Arkansas 479.442.0700 0611 MK 002_02 01/14 The QualChoice Added Value Friendly, Efficient Customer Service QCARE Health & Wellness Programs Excellent customer service is a core value of our company. Our members report significantly higher satisfaction with QualChoice customer service than the competition’s — and 92% of our participating healthcare providers recommend QualChoice! Our members’ health is our first priority. That’s why QCARE, our personal health and wellness management program, is an important added value to our total benefit package. Our QCARE programs help members live healthier lives and manage ongoing conditions — which means improved quality of life and 24-Hour-a-Day Information at QualChoice.com lower health care costs for all. Members and employers can manage their accounts round the clock online. By logging in to qualchoice.com, members can view claims, monitor transactions or print a temporary ID card and employers can update and report group enrollment information — any time, day or night. Programs include: • Cancer Management Compassionate and personalized support for members being • • • • treated for cancer and their families. eEnroll Diabetes Management eEnroll is our online, real-time resource to help employers Personalized coaching, education, counseling and advocacy quickly manage their enrollment information — offering an for members with diabetes. alternative to manually collecting, inputting, and managing Heart Health employee benefit enrollment data. With eEnroll, employers have Nationally accepted clinical protocols and personalized sup- one central website to access, update and report their central- port for members with hypertension (high blood pressure). ized data. Maternity Management Special Additions program — personalized guidance and More Round-the-Clock Resources information for moms-to-be throughout their pregnancy. • Stopping Tobacco Use • Kick the Nic! 12-week personalized program — supervised • by a health coach; offers free physician visit and medication • 24/7 toll-free nurse advice line Online access to a team of medical professionals 15-minute online personal health appraisal Health reminders by email (if prescribed), plus nicotine replacement therapy without a prescription. Nurse Care Managers — For our members with severe or chronic conditions, our experienced and compassionate nurse care managers serve as personal advocates to help them better understand their treatment options. Personal Health Coaches — Our personal health coaches work one-on-one with our members in setting and reaching goals for a healthier life. Members receive personalized support and educational resources for weight management, exercise, nutrition, smoking cessation and more — all with the focus of getting and staying healthy. For more information, contact your QualChoice Regional Sales Manager at 800.228.7111 or 501.228.7111. For a list of BRAVO! participating associations, visit: qualchoice.com — Select Products & Services mybravobenefits.com (code=bravo) QualChoice is the sole carrier of choice in Arkansas providing health benefits to HIPGs. www.qualchoice.com • 800.235.7111 • Little Rock 501.228.7111 • Northwest Arkansas 479.442.0700 0611 MK 002_02 01/14 3
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