Benefits Solutions

At AmeriHealth Administrators, we design customized solutions to complement each client’s health benefits philosophy and financial goals.

AmeriHealth Administrators’ health benefits services help clients invest their benefits dollars to achieve the greatest value for their organizations. We provide exceptional flexibility in plan design and management for sponsors of self-insured health plans, whether benefits are consumer-directed health programs or managed care.

Our health plan service capabilities offer plan sponsors the following options:

• Network-based or traditional plans including:
  • CDHP — Consumer-directed health programs (FSA, HRA, and HSA-compatible health plan administration);
  • PPO — Preferred Provider Organization;
  • closed-panel network designs;
  • single or multiple benefit design options;
  • hospital-based options.
• Local network strength, nationwide — networks tailored to accommodate your goals for savings and access to providers wherever your plan members live and work.
• A full spectrum of benefit designs:
  • for local, regional, or national organizations;
  • uniform plan design, regardless of geographical location, or multiple plan designs;
  • multi-tiered benefits;
  • industry-specific solutions, tailored for organizations such as Taft-Hartley plans and hospitals and health systems.
• Integrated, single-source solutions:
  • comprehensive health management services, including utilization management, case management, disease management, maternity programs, wellness programs, member tools, and resources;
  • stop-loss placement, administration, and reporting;
  • prescription benefits programs that include retail, mail order, and formulary-based benefits;
  • PPO or indemnity plans for dental and vision;
  • Flexible Spending Accounts (FSA);
  • Health Reimbursement Arrangements (HRA);
  • preferred Health Savings Account (HSA) banking arrangement.
• Plan support services:
  • claims fiduciary services;
  • COBRA administration;
  • HIPAA portability administration;
  • Medicare Part D notice and equivalency services;
  • a full range of communications services, from design and copy writing through production and fulfillment, to help you effectively share important information with your plan members.

We welcome the opportunity to help you improve your health plan’s performance and the satisfaction of your members. Our sales consultants will work with you, your broker, or benefits consultant to optimize your health benefits program and help you achieve your goals.