Business Details
Care Nav Health Plan: Employer Health Insurance Solutions
At Care Nav Health Plan, we revolutionize healthcare navigation by integrating dedicated care coordinators who replace traditional member services with personalized advocacy and clinical support. Our platform combines modern point solutions with traditional plan components to deliver industry-leading cost control, achieving a 2.5% medical trend compared to the industry average of 5.8%. Backed by a Net Promoter Score of 76, our care coordinators ensure members receive a concierge-level experience while significantly reducing claims costs.We offer innovative solutions like Virtual Primary Care, which achieves 60% engagement versus 3% for telemedicine, and Cash Pay Pricing that delivers 30% savings for plans and members. Our transparent consultant fee structure and access to 30 A-rated insurance carriers ensure competitive bidding and cost efficiency at renewal without compromising quality.
Services
Care Coordination
Virtual Primary Care
Cash Pay Pricing
Reference Based Pricing
Pharmacy Plan
Direct Primary Care
Insurance Renewal Services
Cost Control Solutions
Highlights and features
- Care coordinators replace member services with advocates and nurses
- 2.5% medical trend vs. 5.8% industry average (2013-2017)
- Net Promoter Score of 76 (industry average: 18)
- 30% savings with cash pay pricing options
- Access to 30 A-rated insurance carriers for competitive bidding
What people say
Love the Care Coordinators
76 Net Promoter Score
Significant cost savings
Concierge-level service
60% engagement rate
Services
Care Coordination
Our care coordinators provide personalized navigation, advocacy, and clinical support to optimize healthcare experiences. They guide members through traditional and modern plan components, ensuring access to high-quality care while reducing costs. This service replaces conventional member services with a concierge-level approach that improves outcomes and satisfaction.
Virtual Primary Care
Virtual Primary Care delivers accessible, high-engagement healthcare through digital platforms. With 60% average member participation versus 3% for telemedicine, this service connects patients with providers for comprehensive care. It enhances convenience while maintaining clinical rigor to address diverse health needs effectively.
Cash Pay Pricing
Cash Pay Pricing offers an optional payment model that reduces plan costs by 30% or more while allowing members to share in savings. This approach eliminates hidden fees and creates direct financial benefits for both employers and participants. It promotes cost awareness and value-driven healthcare decisions.
Reference Based Pricing
Reference Based Pricing establishes fair payment benchmarks for medical services, lowering facility claims costs by 30% or more. This data-driven approach ensures competitive pricing without sacrificing quality. Employers benefit from predictable expenses while members maintain access to essential care.
Insurance Renewal Services
Our renewal services maintain existing plan components while securing the lowest insurance bids through competitive carrier selection. With access to 30 A-rated carriers, we ensure cost efficiency at renewal without compromising care quality. This approach preserves plan stability while maximizing value.
Questions
How do care coordinators improve healthcare experiences?
Care coordinators provide personalized navigation, advocacy, and clinical support to guide members through healthcare decisions while reducing costs.
What cost savings can employers expect?
Employers typically achieve 30%+ savings through reference-based pricing, cash pay options, and a 2.5% medical trend rate versus 5.8% industry average.
How does Virtual Primary Care differ from telemedicine?
Virtual Primary Care achieves 60% engagement versus 3% for traditional telemedicine by offering comprehensive, relationship-based digital healthcare access.
Can we keep existing plan components at renewal?
Yes, our platform allows retaining care coordination, pharmacy plans, and networks while securing lowest insurance bids from 30 A-rated carriers.
How are consultant fees structured?
We maintain 100% transparent fees with no back-end bonuses or undisclosed revenue streams to ensure ethical, cost-effective plan management.
