Insights from Wellthie

Wellthie Partners with Alliance Direct Benefits to Increase Access to Ancillary Benefits

Wellthie is thrilled to announce its partnership with Alliance Direct Benefits, a national provider of health, travel, and education benefits to businesses, families, and individuals, to offer Alliance’s most popular benefits through the new Wellthie Small Group Platform.

Brokers can now easily access and enroll small groups in the Alliance Value Plan — which consists of the Alliance’s seven most popular benefits — on Wellthie’s Small Group Benefits Marketplace.

The Alliance Value Plan combines seven top benefits into one affordable package that covers Members and their families from just $10/month. Benefits include:

  • 24/7 Doctor Access – 24/7/365 access to board-certified doctors via smartphone, web or phone,  with no consultation fees or co-pays
  • Emergency Roadside Assistance –  24-hour toll-free access anywhere in the U.S. and Canada
  • Global Emergency Assistance when traveling more than 100 miles from home including medical consultation, emergency medical evacuation and more.
  • Free and discounted legal services from a nationwide network of qualified attorneys
  • ID Theft Resolution Assistance – unlimited access to fraud specialists
  • Alliance Scholarship Program – over $2.6 Million awarded since 1996
  • Career Education Grant Program – assistance for 2-year trade or tech schools

Through Wellthie Small Group, brokers can multiply their market opportunity and drive long-term relationships, while supporting small businesses in increasing employees’ access to medical and ancillary coverage like the Alliance Value Plan.

The benefits offered by the Alliance Value Plan protect employees and their families for just $10 a month per family. The Alliance Value Plan is also used by businesses to provide seasonal and part-time employees with access to benefits, which increases retention and employee satisfaction.

“Alliance Membership is an ideal way for small groups to add high-value benefits for a low per employee per month cost.” said Todd Hyatt, General Counsel, Business Development at the Alliance. “And by partnering with Wellthie, it’s even easier than ever to connect brokers, employers and the Alliance Value Plan.”

To learn more about the Alliance Direct Benefits – Wellthie partnership or to sign up for access to Wellthie, please visit https://www.wellthie.com/alliance-direct/.

Empathy, Education, and Expertise

In the past open enrollments, I’ve written about tips, tricks, hacks, and stats about how people can make the best decisions in choosing their insurance.  This year, I’d like to focus on a personal story.

My phone rang last week, and the woman on the other line – audibly distraught and anxious – asked, “I’m looking for health insurance, can you help me?” I’m a licensed insurance broker, and although I don’t work with individual clients, I stayed on the phone to listen.  

She was a woman in her 40-50’s with numerous health issues. Her carrier decided to discontinue the individual plan she was on. She was worried she could no longer get insurance from the same carrier or any other carrier. She was distraught, confused, and concerned because she had medical issues, and her insurance company didn’t want to cover her anymore.  “I didn’t know where to turn, and I just want to speak to someone who understands.”

“Can they deny me because I had a lot of serious health issues?” No. “Are you sure?” Yes. “Double sure?” Yes! “What should I get?” Let’s talk about your doctors and hospitals – at least a Gold if possible. “Can I just call the plan if I know what I want?” Yes!

By listening, I allayed her fears, gained her trust, and improved her confidence in being able to find insurance that is right for her. I ultimately directed her to a licensed broker who could help complete the process.

This phone call reminded me that health insurance is a very personal matter, it goes to the core of a person’s health care security. She needed empathy in understanding the confusion and struggle of what felt like a rejection from the insurance carrier. She needed the expert guidance to help her understand the regulations are working in her favor and she CAN get coverage despite her mounting medical issues. She appreciated the education on her options and the assistance in making the best decision possible.

In my role now as the Founder and CEO of an innovative technology company in the insurance industry, this call was an important and deep affirmation of our purpose and mission. It is NOT to make the best technology for the insurance industry. It is ultimately to transform the experiences humans have in learning about, choosing, and using their insurance. Regardless of the customer segment – either business owners, HR execs, employees, young individuals, over-65 individuals, families – insurance is providing health and financial security for people. That mission requires us to first focus on the human emotions – the anxieties, fears, aspirations, relief, and joy related to their health and then design solutions with empathy (both digitally and with human expertise) to support people during this open enrollment season and year-round.  It is about empowering people to gain the confidence they need to navigate the system, but offer the support and guidance for those who seek it.  

Confused by Insurance Terminology? Look No Further

We’re in the midst of Open Enrollment, the period during which individuals and families can enroll, re-enroll, or change their health insurance plan for 2018. This year, Open Enrollment runs from November 1, 2017 to December 15, 2017.

Many Americans have already enrolled in 2018 coverage. However, for those who haven’t, there may be confusion. Should you select a high-deductible play or low-deductible plan? What’s the difference between a PPO, HMO, and EPO? To help guide you in your search, we’ve pulled together a list of the most useful terms to know when selecting a health insurance below.

Premium: The monthly cost of your health insurance plan. If you get an employer-sponsored insurance plan, the premium might come out of your paycheck.

Copay: This is the flat rate you’re charged for doctor visits and prescriptions. The rates vary according to the service, so having a general idea about what kinds of healthcare visits you will make might help assess these rates.

Deductible: The amount you have to pay for health services before your insurance plan starts to pay. Deductibles do not apply to monthly premiums or free preventative services such as checkups. If you are a relatively young and healthy person, you may prefer a plan that has lower premiums and higher deductibles, which means you will be paying less at a monthly basis but if you do require a health service you may have to cover a big amount of it.

Coinsurance: This is the percentage of costs you have to pay after you’ve met your deductible.

Out-of-pocket maximum: This is the most you would have to pay for health insurance in a given year for the services your plan covers. So once you hit that out-of-pocket maximum, your insurance company covers everything.

Cost-sharing: The share of costs covered by your insurance that you pay out of your own pocket. This term generally includes deductibles, coinsurance, and copayments, or similar charges, but it doesn’t include premiums, cost of non-network providers, or non-covered services.

Preferred Provider Organization(PPO):  A type of health insurance plan that has a broad list of participating providers and hospitals for which you pay less. In a PPO, you can also use out-of-network doctors at a higher cost.

Health Maintenance Organization (HMO): A type of health insurance plan that limits coverage to in-network doctors and the hospitals that work with those doctors. HMO’s typically won’t cover out-of-network care unless it’s an emergency and requires a referral from the primary care physician to see a specialist.

Exclusive Provider Organizations(EPO): A type of health insurance plan that allows individuals to use the doctors and hospitals within the EPO network, but won’t cover care that goes outside of the network. In EPOs, there are no out-of-network benefits or requirements to get a referral to see a specialist.

For additional health insurance terms you may not be familiar with, visit https://www.healthcare.gov/glossary/.

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