Listed below are the services The Health Plan Employer services offer.
Medical Benefit Plans
Health Maintenance Organization (HMO)
The Health Plan's fully funded Health Maintenance Organization (HMO) is perhaps
the most cost effective plan offered. This plan limits members to a network
of providers contracted through very aggressive pricing arrangements. The
HMO provides high benefits to employees at a reasonable cost to employers.
Affordable
copays, virtually no claim forms, and plans with or without deductibles, will
encourage members to establish ongoing relationships with their physicians.
The physician relationship, along with preventive care, will help to deter
major health problems.
Various copay levels can be provided to further encourage employer savings, while maintaining a superior plan for good health for your employees. The HMO plan has an unlimited lifetime maximum and complete coverage for preventive care.
National Committee for Quality Assurance (NCQA) Accredited.
THP Insurance Company Fully Insured Plans
Point of Service Plan (POS)
Employers and employees can enjoy the same cost effective features and benefits
of the health maintenance organization (HMO) with the added option to leave
the network. Primary care physicians oversee member care and refer members to
specialists in the network when care is delivered in The Health Plan network.
Members can receive care outside of The Health Plan network at specific benefit
levels.
Premiums are affordable and service is superior. The Health Plan offers reduced costs through established contracts with physicians and hospitals. This plan will require selection of a Primary Care Physician (PCP).
Preferred Provider Organization (PPO)
The Health Plan's newest option for employees enables employees to receive
care from any healthcare provider. The benefits are paid at the highest level
when contracted providers are utilized. Members can elect to receive care outside
The Health Plan network at specific benefit levels. Reduced costs are available
through established contracts with physicians and hospitals. This plan requires
NO selection of a Primary Care Physician (PCP).
Allied Services Division/Self Funding Specialists
Developed in 1991 to assist as a third party administrator (TPA) for self funded
medical, dental and vision plans, Allied Services Division is a licensed TPA
in Ohio, West Virginia, Pennsylvania and Kentucky.
The Health Plan offers a full service TPA with complete range of integrated services and programs. We offer comprehensive plan administration services to employers with self funded medical plans, including claims payments, medical case management, utilization review, bank account development and reconciliation, management reports, enrollment services and medical plan reinsurance. This plan offers affordable administrative feeds, superior claims payment service, speedy response time and access to The Health Plan's network discounts on any plan design.
SecureCare, SecureChoice, SecureFreedom
It's not about health insurance. It's about peace of mind. With
all the choices in healthcare plans, how do you know which one is right for
your needs? It's not just a matter of getting the right benefits. It's also
a matter of choosing a doctor who knows you. A hospital that's close to home.
Access to doctors who specialize in care of seniors. Service that's responsive
and personal.
We've designed our Medicare managed care plans with a focus on all of these needs, to give you the health coverage you need, and the peace of mind you want. We offer several plan options for people with Medicare.
Workers' Compensation Programs
The Health Plan Managed Workers' Compensation Program
The Health Plan provides case management services to injured workers in all eighty-eight
(88) of Ohio's counties.
We are an Ohio Bureau of Workers' Compensation (BWC) Certified Managed Care Organization
(MCO) that provides program assistance to facilitate a safe and timely return
to work. We are URAC accredited for case management.
Premier Comp
Since 1997 we have been an Ohio BWC Certified Managed Care Organization. We have Ohio State Fund Subscribers, Self Funded Employers in Ogio and West Virginia. Medical Case Management takes a clinical approach and we are a patient/claimant advocate.
Managed Disability Program
The Health Plan offers support to Ohio and West Virginia employers in administering
benefits to employees with non-work related periods of disability. Our certified
Case Managers utilize the managed care principles of early intervention and
care coordination. We handle control of both direct and indirect costs associated
with short term disability.
Comp Services
As a Workers' Compensation third party administrator (TPA) we offer administrative
support to both insured and self insured employers in Ohio and West Virginia.
The Health Plan is experienced in claims management and provides quality customer
service. We also offer group rating programs for Ohio employers.
Work Services
The Health Plan is a Vocational Rehabilitation provider to both Ohio and West
Virginia Workers' Compensation systems. We have an experienced staff to address
return to work issues for injured workers, and to assist employers with workplace
restriction accommodations. The Health Plan develops and implements transitional
work programs for employers.
The Health Plan Managed Disability Program
This service is simliar to those delivered by the MCOs and TPA but is applied to non-work related periods of disability.
Specialized Employer Services
Prescription Drug Coverage
The Health Plan offers various plan designs that cover generic, brand name and
non formulary options with various copay options. Prescription riders offer
formulary plans. We also offer plans with annual plan maximum and unlimited
plan option. Our Pharmacy Benefits Manager (PBM) administers The Health Plan
and Hometown prescription drug benefit. We also offer mail order service.
Vision Coverage
The Health Plan and Hometown Health Network have an arrangement with Vision Service
Plan (VSP) to offer several options. The plans provide coverage for a comprehensive
eye examination as well as discounts or copays on glasses, contact lenses and
associated professional services. VSP has a national network of member eye
professionals for member selection.
COBRA Administration
The Health Plan is affiliated with INFINISOURCE in Coldwater, Michigan, to outsource
COBRA services to those employers with 20 or more employees. INFINISOURCE will
ease the burden of COBRA administration by providing client service from the
initial notice through premium collection.
HSA/HRA Administration
The Health Plan can administer Health Savings Accounts (HSA) and Health
Retirement Accounts (HRA) through a qualified plan administrator. We have
employer designed plans to meet the company's needs and assets can be retained
by employer or employee. There is generally no additional employer or employee
expense and it is an excellent recruitment and retention tool.