A Different Approach.
Some benefits managers will point to their provider network discounts as proof of their ability to help your bottom line, never mentioning the terms you are forced to accept in exchange. Or others will boast of a smaller administration fee… hopefully distracting you from the higher claim payments and hidden fees that will end up costing you much more in the long run.
At MedBen, benefits management means more than just cutting a few dollars off your service fees. Our comprehensive approach to benefits management ensures your employees have a positive experience while helping your business keep health care costs low. And there are a variety of ways that the MedBen Advantage works to your benefit.
Compliance
Our highly experienced team of specialists provides you with important regulatory information and guidance to keep your plan compliant with state and federal rules.
Client Service
Your dedicated Account Representatives provide day-to-day guidance and support for your benefits team and help with onsite enrollment meetings.
Data Security
MedBen takes a highly proactive approach in all of areas of your data protection. We’ve had an in-house information systems team since the late 1980’s, and a considerable portion of their responsibility, then and now, has been in finding ways to maximize data security and guarantee client privacy.
Client Education
Part of MedBen’s mission is educating Clients about important trends in employer benefits management. We employ a variety of strategies to keep clients in the know, from newsletters and direct mailings to MedBen University seminars and roundtables.
The MedBen Advantage, Working for You.
1.Experienced.
With over 80 years as an employer benefits manager and 30+ years as a third party administrator, MedBen understands how to make a health care plan succeed.
2.Trustworthy.
MedBen backs up promises with real results… and should we ever fall short, we make good on those promises. We stand behind our work, and work hard to continually earn your trust.
3.Innovative.
MedBen is not afraid to experiment with new ideas and services… but we test them in-house first and ensure they work before offering them to clients.
4.Efficient.
Experience brings knowledge. From claims processing to client service, we’ve learned the best ways to manage your benefits with accuracy and cost effectiveness.
5.Responsive.
MedBen listens to your specific plan goals and responds with actionable solutions.
6.Transparent.
MedBen makes sure that you know what you’re paying, who you’re paying, and why. And we hold firm to the belief that your money belongs to you.
Results-Driven Solutions.
At MedBen, we offer results-driven solutions through innovation in claims, plan and population management, fully supported by customized, interactive technology and a dedicated (and really smart) team of people working for you. We offer all the services you need to maximize the value of self-funding.
Self-funding Saves. MedBen Delivers.
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Benchmarking
MedBen Analytics' benchmarking capabilities enable you to compare your data against state and national norms and/or specific industries. You can narrow your benchmarks by plan type, number of lives and other metrics to get a true measure of how your plan stacks up.
Your benchmarking choice is immediately reflected on the dashboard content.
Straight RBP
Providers receive fair reimbursement by using Medicare pricing as the primary source of repricing. And because your plan no longer has a PPO, your plan members can go anywhere they choose for medical care.
Pharmacy Cost Plus Pricing
RBP for your prescription drugs.
Layered RBP
Target high-cost medical treatments, such as kidney dialysis.
An Extensive Reporting Library
Once you've chosen your population, reporting period and benchmark preferences, just sit back and watch MedBen Analytics go to work for you. Dozens of charts, graphs and tables, instantly generated. Our financial, clinical, risk and savings reports show you what is working with your plan while highlighting areas of potential improvement.
FSA Store is the largest online marketplace for guaranteed FSA-eligible products, helping flexible spending account holders manage and use their FSAs and save on more than 4,000 health items using tax-free money. You can pay for purchases using your MedBen FSA debit card so they are automatically noted on your account balance.
Use these convenient links for finding FSA-eligible products and calculating your FSA tax savings. FSA members can check their current account balances by visiting MedBen Access or downloading our mobile app from the Apple App Store or Google Play (search for "MedBen").
Use this secure 24/7 service portal to access claims and benefits information. MedBen Access enables you to:
- Check claims status
- Review benefit coverages
- Download explanations of benefits (EOBs)
- See deductibles, out-of-pocket costs and calendar maximums
- Look up drug information, compare local pharmacy prices and check availability of lower-cost equivalents
- Review FSA and HRA activity and balances
- Check wellness exam and screenings compliance (for WellLiving members)
If you need assistance logging in to MedBen Access or using its features, please contact MedBen Customer Service at 800-686-8425.
MedBen Access is also available as a mobile app with the same great features! Download it from the Apple App Store or Google Play (search for "MedBen").
Download the MedBen Client Report
Please register to download the Client Report. Thanks!
Frequently Asked Questions about using the debit card (PDF).
Download a list of participating pharmacies, discount stores and supermarkets that can identify FSA-eligible items at checkout using an Inventory Information Approval System (IIAS).
Download a list of participating pharmacies, discount stores and supermarkets that do not use IIAS, but 90% of whose sales come from medical care items (thus making them FSA-eligible).
Medical Solutions.
MedBen will work with your clients to find the best solution to meet specific employee population needs. Increasingly, organizations are going outside the PPO box and turning to direct-to-employer contracting, reference-based pricing, and other alternative reimbursement strategies with set pricing that makes it easier to predict expenses. And their members can visit the doctors they prefer and still realize lower out-of-pocket costs.
Pharmacy Solutions.
MedBen will work with your clients to find the best solution to meet specific employee population needs. Increasingly, organizations are going outside the PPO box and turning to direct-to-employer contracting, reference-based pricing, and other alternative reimbursement strategies with set pricing that makes it easier to predict expenses. And their members can visit the doctors they prefer and still realize lower out-of-pocket costs.
Medical Solutions.
MedBen will work with your clients to find the best solution to meet specific employee population needs. Increasingly, organizations are going outside the PPO box and turning to direct-to-employer contracting, reference-based pricing, and other alternative reimbursement strategies with set pricing that makes it easier to predict expenses. And their members can visit the doctors they prefer and still realize lower out-of-pocket costs.
Pharmacy Solutions.
MedBen Rx follows a simple philosophy: The client's money belongs to the client. Our pharmacy solutions are designed to get members the right drug at the lowest cost, with total transparency to the employer. These include:
- Pricing solutions that ensure clients pay just what the pharmacies pay.
- Appropriateness solutions to find the most effective drugs at the best cost.
- Access solutions that give members new ways to lower their drug cost.
Direct-to-Employer Contracting
Many MedBen clients blend their RBP plan with direct-to-employer (DTE) contracts, which promote the use of quality care through local providers. In exchange for encouraging members to visit contracted facilities, providers bill the plan at mutually agreed-upon rates.
MedBen has been facilitating DTE contracting for over a decade with doctors and hospitals across the Midwest, and we continue to gain access to more exclusive DTE contracting. This strategy ensures that when members utilize area providers, they receive the best pricing options available.
“The speakers were excellent along with topics that are important and at the forefront in our industry. Very good event!!!”
“Very happy with what I learned and I look forward to using my new knowledge immediately.”