Features and Benefits
Working with BridgeHealth provides significant advantages: high quality surgical care, while lowering claims costs and giving plan members options to use a provider in the BridgeHealth Network with plan provisions that offer financial advantages.
The following is a summary of the Features and Benefits of partnering with BridgeHealth:
| Features | Benefits | |
|---|---|---|
| World-Class Providers and Surgeons | BridgeHealth providers are specialists in orthopedic, cardiovascular, and spine surgeries, and are rated in the top 25% nationally by leading ranking agencies such as The Delta Group and its CareChex® tool. | Members have access to high volume surgical specialists that are utilizing the latest procedures and techniques, resulting in high quality outcomes “the first time.” |
| Fixed Case Rate Pricing | BridgeHealth providers offer pre-negotiated, fixed case rate pricing for the entire episode of care including all professional, hospital, rehab, and pharmacy fees required for the procedure. | Fixed case rate pricing offers measurable savings compared with typical paid claims costs within local PPO networks. This also simplifies the billing process for both the plan and the employee. |
| Care Coordination | Professional Care Coordinators assist in arranging the procedure at one of BridgeHealth’s providers, including coordination of appointments and travel arrangements. | Care Coordination results in a better overall medical experience, with a professional “concierge” taking responsibility for all arrangements and travel logistics. |
| Plan Advantages for Members | Plan provisions are enhanced to offset “out-of-pocket" costs by waiving deductibles and co-insurance on BridgeHealth claims. Some plans even include additional incentives. | In addition to gaining access to high quality specialist providers, plan provisions allow the member to "share in the savings" as the plan realizes lower claims costs. |
| Travel Costs | Plan provisions are enhanced to cover travel costs for both the patient and a companion when utilizing a provider within the BridgeHealth Network, including transportation, accommodation, and meals. | Covered travel costs relieve the financial burden from plan members seeking access to the best value in medical services outside of their home markets. |
| Simple Plan Integration | The BridgeHealth Surgery BenefitTM is simply a value-added option that generates savings to the plan with clear advantages for members. | This is a true enhancement for the health plan with the members gaining access to high quality providers and financial benefits while the plan realizes savings. |