The Highlights

Highlights

• National PPO
• Simplified enrollment
• Averaging 30% saving

Friendly Proposal Format

• Simple breakdown of current vs. proposed
• Courtesy comparison using market comps
• Custom 5 Year Trend Analysis
• Quarterly performance summaries for tracking savings

Simplified On-line Registration

• Utilizing the latest in technology, we offer your employees a secure password protected on-line registration experience enabling them to fill out health questions at their own leisure, which helps to alleviate some HR responsibility.

To get a quote, give us a call at Benefit Services: 866-337-8088 or email us at benefits@physicianshealth.org

Utilization

Each employee has access to a toll free line that they may call 24 hours per day, 7 days per week for pre-certification of inpatient, outpatient, elective procedures, diagnostics, therapies, network guidance, and other needs. The utilization program includes concurrent, and retrospective review, as well as a second opinion program. The benefit plan also includes large claim management services with a focus to facilitate more individualized and coordinated care.

Contributions

The rates are based on the current geographical cost of medical services in the specific zip code of the employees and dependents, modified by the other demographics of the employer group. Overall rates may be adjusted up or down each six months to allow for more accurate trending of the cost of medical services and avoid overly conservative long term trend factors and exorbitant rate increases at renewal.

Supporting Infrastructure of the Benefit Trust Program

Physicians Health Association (PHA) is a non-profit organization advocate for physicians and physician groups. More than just a safe place for physicians to consolidate, the Association is a gateway to strategies and alternative solutions that reverse dysfunctional healthcare trends that physicians face today, such as sliding reimbursements, increasing overhead, and more.

Dayspring Management LLC is a national management, consulting and administrative firm providing services for national trade associations. Dayspring has been engaged by PHA as the "Plan Administrator" and manager of Physicians Health Benefit Trust. Dayspring currently provides services for several national employer associations. Dayspring assists the Trustees with all federal filing requirements.

Medical Benefits Administrators of MD, Inc (MBA) is the "Claims Administrator" of Physicians Health Benefit Trust appointed by Dayspring. MBA provides claims adjudication and processing services on behalf of Physicians Health Benefit Trust. MBA, a well known Claims Administrator employs the latest state of the art information and benefit processing systems.

Physicians Health Network (PHN) is a physician-friendly PPO working to improve practice conditions for healthcare providers, patients, and consumers. In partnership with CFMC and other networks, PHN is comprised of approximately 70,000 network providers, facilities, hospitals, and allied health professionals.

MMI, Inc. is a professional services organization providing risk management and integrated healthcare strategies for medical groups and independent associations.