Choice and flexibility.
To meet the needs of each self-funded employer, Verdegard offers a spectrum of plan designs that include unique transparency, patient advocacy, and cost management options.
Preferred Provider Organization (PPO)
Verdegard PPO plans leverage our nationwide network of providers to give members access to the physicians they need and know, at the lowest possible cost. There is no need to select a primary care physician or to obtain a referral to see a specialist.
Partnerships with nationally recognized carriers including Aetna, Cigna, PNOA, and PHCS.
Value-Based Plan (VBP) also known as Reference-Based Plan (RBP)
Advanta, Verdegard’s Care Advocates, assist members throughout every step of their medical care, including scheduling procedures, negotiating financial terms, limiting out-of-pocket costs, redirecting care when necessary, and coordinating follow-up care.
Verdegard value-based pricing can reduce the cost of employee medical benefits up to 40% when compared to traditional PPO networks.
Plans for Small Businesses
Small businesses can choose from a suite of level-funded plans, including PPO, value-based, and essential options and only pay for the healthcare services that their employees need.
This saves businesses up to 25% compared to fully insured plans. Learn more at Peoni Health.
Minimum Essential Coverage (MEC)
Verdegard provides employers with affordable coverage options through traditional MEC plans. We also offer Plus Plans that give access to virtual care for primary, urgent, and mental/ behavioral health in more than 20 specialties.
These plans are a popular choice for retailers, hotels, restaurants and other employers who provide basic coverage to hourly and seasonal employees.
Add-on services for more convenience, lower costs, and a better member experience.
For each of these plans, employers have access to:
Personalized Support
One feature that sets Verdegard plans apart is the access members have to an Advanta Care Advocate. This is a personal healthcare consultant who can help members find the highest quality care at the most affordable price. In many instances, they can reduce the copay to $0.
Telehealth Services
In all of the PPO and VBP plans, employees have unlimited access to telehealth providers for primary care and many specialized services with a $0 copay.
Complete Benefit Package
In addition to medical coverage, employees will have access to dental, vision, prescription benefits, home delivery, and other services.
Extensive Provider Network
Members will have access to one of the nation’s largest physician networks. We have expanded this network to ensure our employees can have the same providers as they did under previous plans. If, however, you choose a doctor that is not in-network, the plan administrators offer a convenient way to request to have them added.
Partnering with brokers across the US to serve employers of every size.
Reach out today to learn more or become appointed.
