The ClaimLinx Simple Option Solution is ClaimLinx’s premier product. It’s our trailblazing solution for purchasing employer-paid benefits at a lower cost.
In the simplest terms, the ClaimLinx Simple Option Solution plan combines a high-deductible insurance plan with a self-funded medical expense reimbursement plan (MERP). It’s taking a regular health insurance plan and mixing it with a self-funded plan to get the best option for employers and workers.
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Start with a High Deductible Plan
The high-deductible health insurance plan offers peace of mind. That way the insurance company is responsible for the bulk of bill if an employees has high medical costs. The regular health insurance plan also offers a wide doctors network. That way employees can keep going to the same doctor, specialist or hospital.
Insurance carriers also have contracts for discounts for certain services. With a high-deductible plan, employers and employees can use those discounts to lower the amount for services. The best part is by choosing a high-deductible plan, employers get both of these benefits — a wide network and discounts — at a much lower price.
Then Add a Self-Funded MERP
The problem with a high-deductible plan is it doesn’t have as many important benefits employees need. That’s why we add back the self-funded medical expense reimbursement plan (MERP). ClaimLinx designs each plan to fit the clients needs. We typically mirror the plan employees are currently using. That means workers experience the same deductible and copays. They don’t see a change in their benefits.
That’s all because the MERP, which the company funds, pays for the gap between the high deductible plan and the self-funded plan. We take all that savings on insurance premiums from choosing a high-deductible and bring it back to the employees so they still have great benefits.
Related Post: ClaimLinx Glossary: Medical Expense Reimbursement Plan (MERP)
The ClaimLinx Solution Includes Processing
ClaimLinx is a quality third party administrator. We provide customized service for all medical claims for the self-funded MERP. It’s a simple process combining the two types of insurance, and it’s all done in-house. First, each claim goes to the insurance carrier of the high-deductible plan. Then it is sent to ClaimLinx, where our experienced processors determine who owes what on any remaining amount for the claim.
Our team takes care of billing the employer and even sends payment directly to providers. We focus on giving each client the same seamless experience as having a traditional plan with a major carrier. See the process at work.
The ClaimLinx Solution Fits You
The ClaimLinx Simple Option Solution plan is different for each client. The self-funded plan is customized for each company. ClaimLinx chooses each high-deductible to fit each clients specific needs. It’s a way to provide great benefits without paying high premiums to a health insurance company for services employees are not using.