The Health Plan, a licensed third-party administrator (TPA), is known for exceptional personal service and delivering clinically-driven, technology-enhanced, customer-focused insurance products and services that manage and improve the health and well-being of our members.
For over 30 years, The Health Plan, as a non-profit community health organization, has strived to provide service that is vibrant, personal and energetic. We have built a solid reputation through a team of health care professionals and partners who understand the meaning of integrity. The Health Plan’s dedicated, exceptional client and member-centric service teams provide best-in class customer service by answering all calls with a “live” representative employed by The Health Plan. Our service model allows us to maintain a less than 5 percent abandonment rate and most customer service calls are answered within 30 seconds.
Paramount in our core values is our commitment to advancing the quality of care delivered to our members. Our clinical staff works closely with our claims team to assess members’ ongoing medical needs and provide support for chronic conditions. These steps help ensure our members are receiving the right care at the right place and at the right time. The Health Plan also recognizes the importance of preventive services and employs a group or medical professionals to outreach members to identify ways to help members get the preventative care and service they need.
The Health Plan offers a complete line of products and services designed to provide clients with innovative health care benefits at a reasonable cost including:
- Self-funded health plans
- HSA, HRA, and FSA administration
- Complete VEBA administrations and TPA services
- COBRA administration
- Self-funded workers’ compensation programs
- Access to ancillary benefits such as group term life, AD&D, long and short-term disability, dental and vision
- Prescription drugs through THP Rx and specialty pharmacy benefits
- Predictive modeling
- Stop-loss insurance
We also have medical directors, social workers, pharmacists and skilled nurses on staff to provide care management services such as wellness, case and care management, behavioral health services, and pharmacy services.
The Health Plan can provide superior service using the highest set of standards for personal respect, courtesy and compassion to you and your clients. For more information, please contact Rick Legg at email@example.com or 304.552.0474.