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What if there was a way to get control over your healthcare spend, without sacrificing the coverage you want? What you\u2019re looking for is a better alternative to a traditional, high fixed cost insurance plan.<\/p>\r\n
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Paying an insurance premium every month without any control over the benefits or price for services not only sounds like a bad deal \u2013 it is a bad deal. Traditional, high fixed cost insured plans are a one-size only \u201csolution\u201d. At Roundstone, we offer a benefit plan strategy that puts you in control and places a priority on realizing value when purchasing health care.<\/p>\r\n
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Not all plan documents are created equal! There are a few basic tenets that a Roundstone plan focuses on to make sure that your transition to a self-funded plan is quick, easy, and smooth, while keeping you in charge of the benefits provided to your employees. These are the guiding principles when forming your Plan Document<\/a><\/span>. If being in control of your healthcare plan is putting you in the driver\u2019s seat, the Plan Document is your car keys. It\u2019s a powerful tool that makes your plan go, and keeps you in control.<\/p>\r\n <\/p>\r\n\r\n\r\n\r\n Roundstone\u2019s plan document drafting process leads to a quicker and easier implementation- a straightforward guide<\/strong> to create a comprehensive plan that covers everything you need on your terms. Our form ensures that you\u2019ll include the benefits you want without forgetting anything.<\/p>\r\n <\/p>\r\n\r\n\r\n\r\n Written in clear, plain language<\/strong> your Plan Document ensures you know exactly what you\u2019re implementing- this improves communication, reduces read time, and makes it easy for employees to understand..<\/p>\r\n <\/p>\r\n\r\n\r\n\r\n Your Plan clearly explains employee financial obligations<\/strong>, so it\u2019s easy to understand how payment to medical providers is determined, and how to make sure incurred charges are covered.<\/p>\r\n <\/p>\r\n\r\n\r\n\r\n A comprehensive pre-certification list<\/strong> ensures coverage of employee benefits before major expenses are incurred by ensuring medical necessity. An effective pre-certification process also ensures the Plan is protected from the expenditure of unnecessary and\/or unauthorized expenses.<\/p>\r\n <\/p>\r\n\r\n\r\n\r\n A well-defined eligibility section<\/strong> includes exact criteria for Employee and Dependent\u2019s eligibility, as well as how coverage is determined under FMLA\/leave of absence, and enrollment periods. Clearly-defined terms like Spouse, Domestic Partner (if covered), Child, and Dependent further clarifies your Plan\u2019s eligibility.<\/p>\r\n <\/p>\r\n\r\n\r\n\r\n Cost containment programs<\/strong> are the premium gasoline and high performance oil in your Plan Document car that ensure you get the most for your money. Roundstone\u2019s team of Cost Saving Investigators (CSI Team<\/a>) reviews your Plan Document annually to make recommendations that can help lower costs. Eligible plans also have access to monthly reporting through the CSI Dashboard to track your own costs and see trends in your spending that could benefit from a revision to your plan language.<\/p>\r\n <\/p>\r\n\r\n\r\n\r\n