Making healthcare coverage personal.
Our flexible approach helps brokers find a solution that meets the needs of each client while simplifying program implementation and management.
An integrated approach.
Not only do we provide best-in-class plan designs, including PPO, reference-based, level funded, and hybrid plan options–we also offer a variety of solutions to choose from so employers can have access to all the resources they need in one place.
Care Advocates: High-touch support and savings.
Through Advanta, Verdegard’s Care Advocates, we assist members throughout every step of their medical care, including scheduling procedures, redirecting care when necessary, and coordinating follow-up visits.
Advanta is a single point of contact for all payment and billing questions. They negotiate with health care providers before services are performed, reducing the potential for financial liability. In the event a provider does send a bill, Care Advocates work on behalf of the member with the goal of eliminating out-of-pocket costs.
Home Delivery: Fast and easy.
Employers can offer mail-order prescription services to their employees through Birdi, the digital drug store of the future. Employees receive competitive prices, among the fastest turnaround times in the industry, and an exceptional experience.
Specialty Solutions: Clinical care and controlling high costs.
Through our partnership with Ray Savings Solutions, we give employers the ability to offer advocacy services for specialty medications and high-cost procedures. Leveraging deep healthcare expertise, advocates can cut the cost of expensive medications and procedures—in some cases to $0 for members.
Pharmacy Benefit Management: Trusted clinical, claims, and administrative solutions.
Through a partnership with MedImpact, the nation’s largest independent health solutions and pharmacy benefits provider, Verdegard offers organizations a broad portfolio of claims and clinical services, savings solutions, and wellness programs.
Provider Networks: A nationwide network of practitioners.
With a presence in all 50 states, our provider network, offered through PNOA, includes hospitals, ancillary facilities, and providers. Our direct contracting model maximizes savings for patients who utilize in-network providers.
General Agent Services: Cost Containment Solutions and Voluntary benefits.
Priority Consulting is committed to helping our partners and their customers to not only contain costs but also identify the gaps and fill them with ancillary benefits in one solution.
TPA Services
Full-Service Administration
Verdegard’s team of industry experts deliver the highest levels of claims adjudication, customer service, case management, and other services.
Electronic Banking Solutions
Safe and secure banking and fiduciary solutions add value to any benefits package through consolidation, accuracy, and financial protection with a centralized electronic benefits payment service.
Compliance Management
Verdegard ensures that all benefits are in compliance with applicable rules and regulations.
Reporting and Analytics
Verdegard delivers advanced reporting and analytics for self-funded employers and producers. Our team helps provide insights into each plan and suggestions to support your plan goals.
Stop-Loss Insurance
Stop-loss insurance provides cataclysmic protection for our self-funded medical and specialty prescription drug plans. Flexible options are available based on group size and budget.
COBRA Administration
COBRA administration can be complex and time-consuming. Verdegard has solutions to administer COBRA program benefits, including compliance, financials, and reporting on behalf of our clients.
Partnering with brokers across the US to serve employers of every size.
Reach out today to learn more or become appointed.
