Who says you can’t have a premium health plan without paying a premium for it? Navigation Health Plans are level funded or self-insured health plans that have incorporated the strategic health plan and cost containment solutions featured on this site. With Navigation Health Plans you can now offer your small, mid-sized and large groups a more competitively priced health plan with better benefits, no disruption, and with a superior member experience.
Plan Features
- Care Navigation / Member Concierge
- Custom High-Performance Networks
- Provider Real-Time Cash Payment
- Transparent PBM/Specialty Drug Programs
- Top-Quality Third-Party Administration
- Cost & Quality Metrics
- Reporting & Data Analytics
- Second Opinions
- Bundled Payments
- Value-Based Pricing (VBP) Direct
- Population Health Management
- Virtual Medicine
- All-in-One Benefits App
- Stop Loss Partners
For more details on any of the plan features listed above please see the Health Plan Solutions page.
Plan Highlights
Level Funded Health Plans
►25 or more covered employees
►100% of claims surplus retained by the employer
►Curv and/or Verikai underwriting
►No claims experience or IHQs necessary
►Great for transitioning out of fully insured
►Multiple plan design options
- Zero deductible
- All copay plans
- HSA Plans
- PPO & VBP options
►Generous broker/advisor commissions
Self-Funded Health Plans
►75 or more covered employees
►Customize cost containment features
►Custom plan designs
►Curv and/or Verikai underwriting available
►Custom broker/advisor commissions
Quote Submission Guidelines
►Group name, address(es), SIC code, the effective date
►Member-level census of all eligible employees and dependents including (if no experience or IHQs available)
- First and last name
- Birthdate
- Gender
- Home Address (if available)
- Zipcode employee resides in
- Coverage type (single, EE/SP, EE/CH, Fam)
- Relationship to employee
- What plan the employee is participating in (if more than one plan offered)
- COBRA or Retiree status
►Current plan design(s)
►Current and renewal rates (if available)
►Claims experience for groups currently self-funded or if available
►Individual health questionnaires for any group size if no current coverage is offered or if available
Navigation Health Plans are available for quoting. For questions, quotes, or more details on Navigation Health’s level funded or self-funded plans or to discuss strategy about a particular group please contact Chad Olson at chad@navigationhealthllc.com or 602.692.1109.