Ben-E-Lect
- Thread starter CorinneM
- Start date
- 10,275
Bad news for Ben. Very bad. I read the entire complaint. Hard to believe that anyone would make up all of that. But hopefully, she did.
http://www.rgj.com/assets/pdf/J7138957721.PDF
http://www.rgj.com/assets/pdf/J7138957721.PDF
- 3,384
They are the main reason most small group carriers in California now expressly prohibit HRA/Wrap Funding with anything but their EPO plans (and who wants an EPO plan?).
If you go to their site and run the "sample" plan, it is the Anthem BC EPO plan which is the only plan they are allowed to sell with Anthem (and has a very restrictive network with no out of network benefits).
Check and make sure that your E&O Carrier will cover Ben-E-Lect plans. Many do not cover them.
How it works is simply:
*Employer buys an off the shelf HDHP (HSA or Non-HSA or both)
*Employer determines levels of direct reimbusement they want from Ben-E-Lect
*Ben-E-Lect provides repricing after EOB and pays the direct reimbursement to provider
*EE is responsible for anything not paid by carrier and Ben-E-Lect
If you go to their site and run the "sample" plan, it is the Anthem BC EPO plan which is the only plan they are allowed to sell with Anthem (and has a very restrictive network with no out of network benefits).
Check and make sure that your E&O Carrier will cover Ben-E-Lect plans. Many do not cover them.
How it works is simply:
*Employer buys an off the shelf HDHP (HSA or Non-HSA or both)
*Employer determines levels of direct reimbusement they want from Ben-E-Lect
*Ben-E-Lect provides repricing after EOB and pays the direct reimbursement to provider
*EE is responsible for anything not paid by carrier and Ben-E-Lect
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