Healthcare plans are complex and require expertise in many areas. And while there is a value -and a cost- for those skills, you expect and deserve solutions at a reasonable, manageable, and fair cost.
Welcome to FairCost Health Plan. The better plan for your business and your team that YOU build for your people … not for insurance company profits. Below is a summary of the components that your FairCost Health Plan will include.
The Building Blocks of Our Solution
Medical Tourism
Aggressive Subrogation
Implantable Device Strategies
Second Opinion Strategy
Sleep Apnea Management
Dependent Audits
Dialysis Management
Joint Replacement Carveouts
Transplant Carveouts
Durable Medical Equipment
Radiology Concierge Services
Oncology Management
Out-of-Network Claims Strategy
Diabetes Management
Onsite / Near-site Clinics
Value-Based Network/Direct Contracting
Telemedicine
Centers of Excellence
Medical Bill Review
Rx / Specialty / Opioid Management
Active Data Mining
Defined Benefit Pricing Strategy
Cost and Quality Guidance / Navigation
Utilization / Disease / Case Management
Value-Based Direct Primary Care
Here's the REAL Difference.
FEATURE
BIG CARRIER PLAN
Can you lower costs?
No — ZERO ability to change
Yes — provider/facility selection, DPC, pharmacy
$0 claims year
Still pay full premium + carrier-dictated annual increase
Unused funding stays with plan for next year
Cost transparency
One bundled number
Every line item is visible
Employer control
Carrier decides
Employer designs the plan
Pharmacy
PBM spread + retained rebates
NADAC, zero spread, 100% rebates
Primary care
$30–$50 copay, 12 min
$0 DPC, same-day, unlimited
Network
Broad PPO (illusory discounts)
PPO + preferred at $0
Carrier incentive
Profit = % of premium (wants costs up)
Flat fee (wants costs down)