June 2009

The Best Kept Secret for Deeper Savings

Check out our Encircle/Encore Combined Product to help your clients save even more.

See the savings in this example:
The intent of the plan design is to maximize savings by steering employees to the 47 Encircle Hospitals where deeper discounts or lower fixed cost DRG pricing have been negociated.

Example:
Tier 1 – Encircle Hospitals: 90%
Tier 2 – Encore Hospitals: 80%
Must be at least a 10% differential in co-pay between Tier 1 and Tier 2.
Tier 3 – Out of Network: 60%
(There must be a 30% differential between Tier 1 and Tier 3)
*Reimbursement level (Tier 1 or Tier 2) for Physicians and Ancilliaries is chosen by the Group’s plan design.

Call your Encore Health Account Executive for approval of other plan designs that meet the requirements.