COBRA and CDHPs
COBRA to Keep You Compliant. Consumer-Driven Health Plans to Control Costs. Get StartedSet the Course.
MedBen offers specialty services that give your health plan something extra. We offer inclusive COBRA administration to keep your health plan compliant with employer laws. And our team can help you add a consumer-driven health plan (CDHP) to your benefits, either as a stand-alone or to complement other coverage.
COBRA Administration
MedBen offers expert COBRA administrative services. COBRA requires employer group health plans with 20 or more employees to offer former employees, their dependents, and other qualified beneficiaries continued health coverage after leaving the employer.
COBRA can be trouble when placed in the wrong hands. MedBen has extensive administrative experience, so you can avoid the potential pitfalls of non-compliance at a fraction of what it would cost you to perform these services yourself.
Turn-key COBRA Service
MedBen provides a turn-key service, meaning your fee covers all COBRA administration needed to meet your regulatory requirements. We also provide monthly activity reports to keep you notified of current COBRA events in your company.
Consumer-Driven Health Plans
In spite of an ever-changing health care landscape ‒ or perhaps because of it ‒ CDHPs continue to thrive and save employers money. MedBen has the experience to match the right CHDP with the needs of the employer.
Flexible Spending Account (FSA)
- Employer and/or employee funded with pre-tax dollars.
- Can be used to pay medical or dependent care costs incurred within a 12-month period.
Health Reimbursement Arrangement (HRA)
- Employer-funded.
- Can be designated to pay for a variety of health care expenses.
- Offers the most employer control.
Health Savings Account (HSA)
- Employer and/or employee funded with pre- or post-tax dollars.
- Available to anyone enrolled in a qualified high-deductible health plan (HDHP).
- Owned and managed by the employee.
Be it an FSA, an HRA or an HDHP to complement an HSA, MedBen will work with you to develop a CDHP strategy that gives your plan members greater control of their health care choices while giving you greater control of your coverage costs.
CDHP Know-How
MedBen provides expert CDHP support to employers and plan members. We review your group’s goals to help you set the proper course for your health plan.
Once your CDHP is in place, our service team will give you the tools you need to promote it. Plus, we complement our services with online account management tools and debit cards.
Take Charge of Your Health Care Costs
MedBen offers consumer-driven products to control your costs, and COBRA administration to keep you compliant. Purchase them on a stand-alone basis or better still, as part of an overall benefits package for seamless plan integration and account coordination.
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.
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