Self-Funding Administration

Why do you self-fund?

There are many reasons employers might avoid a traditional fully-insured plan:

Assemble best in class vendors 

Avoid risk charges and state premium taxes

Free themselves from conflicting state insurance regulations 

Grow their cash flow by holding reserves in an interest-bearing 

account 

Save on health insurance with risk reduction

​​Allegeant's self-funding administration provides you with a pathway towards affordable quality health care.

Why do you self-fund with Allegeant?

As an independent claims and service administrator, our mission is to bring employers accountability and actionable insight to their health plans.

 

We help employers:​

  • Build the plan design(s)

  • Process medical and dental claims

  • Access doctors and prices:

    • Lease a national or regional PPO network 

    • Develop your own high-performance network

    • Create a "Network Quilting Strategy" that uses the best regional networks for each employee location

    • Deploy Reference-Based Pricing (RBP) 

  • Choose the appropriate stop-loss strategy 

  • Determine the best Pharmacy Benefit Manager (PBM) and formulary

  • Develop a medical management program based on Value-Based Primary Care

  • Deploy Center of Excellence (COE) programs with best-in-class medical centers for complex surgeries and transplants at a discount to traditional PPO pricing

 

Health insurance is confusing, we are here to simplify it

Care Navigators: All of our self-funded features are supported by Allegeant's Care Navigators (CN). The CN's provide members with a concierge service to navigate their health benefits. From assisting members with claim and eligibility issues to finding the best care and everything in between, our CNs are your member's first call.  We encourage members to lean on our Care Navigators for any questions they have in their health care journey. We will help shepherd them through the maze. 

myAllegeant: We also have an online portal for members to manage their health insurance online. From myAllegeant, members and their dependents can:

  • View EOBs online. Members can sign up to get email notifications when EOBs are ready to be viewed on the portal.

  • View coverage information like effective date, summary of benefits, plan documents and demographic information

  • View a summary of all claims to date, claim status, paid date

  • View out-of-pocket and deductible amounts

  • View and order ID cards, or print a temporary card

  • Access links to other tools such as network directories, wellness portal, prescriptions, and Cafeteria Plans

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Contact us to learn how to deliver affordable quality health care.

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9475 Deereco Road, Suite 408

Timonium, MD 21093

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