Is collective health part of BCBS?

Asked by: Maverick Douglas  |  Last update: February 11, 2022
Score: 4.8/5 (3 votes)

Health Care Service Corporation is the country's largest customer-owned health insurer, with nearly 17 million members in its health plans in Illinois, Montana, New Mexico, Oklahoma and Texas. A Mutual Legal Reserve Company, HCSC is an independent licensee of the Blue Cross and Blue Shield Association.

Is collective health part of Blue Cross Blue Shield?

New Partnerships with Anthem and BCBS California

Collective Health is also announcing that it is teaming up with leaders in healthcare across the U.S. including Anthem and Blue Shield of California to bring companies its complete health benefits solution.

Is collective health an insurance company?

Collective Health is a company providing an alternative to traditional health insurance.

What network does collective health use?

Yes, our platform is built to blend traditional PPO networks and new delivery options like COEs, ACOs, and other direct contracting arrangements into one seamless member and employer experience.

What is a collective health plan?

Collective Health is the first integrated solution that allows self-funded employers to administer plans, control costs, and take care of their people. —all in one place.

How does Collective Health work?

16 related questions found

Is collective health a TPA?

Is Collective Health a TPA? Collective Health performs all the core functions of a TPA, but we're so much more. You should think of Collective Health as a medical claims administrator, a member advocacy and navigation platform, an engagement hub, and an analytics engine.

What is collective health valuation?

Collective Health hauled in $280 million in series F funding led by major insurer Health Care Service Corporation. The startup has reached a valuation of about $1.5 billion, Bloomberg reported. ... Collective Health has more than 500 employees and serves about 300,000 members across more than 55 companies in all 50 states.

How does collective health make money?

Customers typically have at least 1,000 employees, and are self-insured – that is, they pay the medical costs for their health plans directly, and rely on insurance carriers only for administrative functions like contracting with doctors. Collective charges clients a per-employee-per-month fee for its service.

Are EPO and PPO the same?

A PPO offers more flexibility with limited coverage or reimbursement for out-of-network providers. An EPO is more restrictive, with less coverage or reimbursement for out-of-network providers. For budget-friendly members, the cost of an EPO is typically lower than a PPO.

Who are collective health competitors?

Collective Health competitors include Oscar Health, Castlight Health, Benefitfocus, Aetna and Jiff. Collective Health ranks 1st in Overall Culture Score on Comparably vs its competitors.

Is collective health good?

Collective health has a great use interface, making it easy to navigate the app. It also has a map feature so you can see what doctor or hospital is the closest place to make an appointment. You can download your insurance cards which is super nice. Review collected by and hosted on G2.com.

How many employees does collective health have?

With more than 120,000 members and 30 enterprise clients, Collective Health is reinventing the healthcare experience for self-funded employers and their employees across the U.S. Headquartered in San Francisco, Collective Health has more than 350 employees and an experienced leadership team from some of the country's ...

What is a guide PPO?

Guide PPO is a predominantly copay-based plan, as people are more comfortable comprehending copays than other cost-sharing forms. Lower copays incentivize the member to use benefits that are more highly valued by the plan. And there's nothing more intuitive than getting care for free.

What is an EPO plan with BCBS?

EPO -- stands for Exclusive Provider Organization -- is similar to an in that it is a healthcare plan that covers eligible services from providers and facilities inside a network.

What is Blue Cross Blue Shield EPO?

EPO (Exclusive Provider Organization) plan

With the exception of emergency services, there are no benefits for members who choose to receive services outside of the preferred provider network. Members do not need to select a primary care provider or get referrals from a primary care provider to see a specialist.

What's the difference between HMO PPO and EPO?

With an HMO, your physician network is local. A PPO (or “preferred provider organization”) is a health plan with a “preferred” network of providers in your area. ... An EPO (or “exclusive provider organization”) is a bit like a hybrid of an HMO and a PPO.

How many clients does collective health have?

With nearly a quarter of a million members and over 50 clients—including Driscoll's, Pinterest, Red Bull, Restoration Hardware (RH), Zendesk, and more—Collective Health is reinventing the healthcare experience for forward-thinking organizations and their people across the U.S.

What is a third party healthcare insurance plan?

Third-party health insurance is defined as insurance coverage in which a third party, namely the insurance company, pays the actual provider of healthcare services for services rendered to the employee. ... Third-party insurance is the most versatile and comprehensive option for health insurance.

How does a Third Party Administrator work?

A third-party administrator is a company that provides operational services such as claims processing and employee benefits management under contract to another company. Insurance companies and self-insured companies often outsource their claims processing to third parties.

Which of the following types of organizations are prepaid group health?

A Health Maintenance Organization (HMO) is a prepaid group health plan, where members pay in advance for the services of participating physicians and hospitals that have agreements.

Do doctors prefer HMO or PPO?

PPOs Usually Win on Choice and Flexibility

If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you won't likely need to select a primary care physician, and you won't usually need a referral from that physician to see a specialist.

Which is better a PPO or HSA?

Benefits of PPO vs HSA

An HSA is an additional benefit for people with HDHP to save on medical costs. The PPO is a more flexible health insurance plan for people who have doctors and facilities they use that are out-of-network.

Does Blue Cross offer HSA?

Blue Cross members with an HSA can manage their HSA through their online member account. After you log in: On the Blue Cross mobile app, look for the health spending account icon on the home screen. On our website, look for the health spending account link under My Coverage.

What happens to my HSA if I switch to a PPO?

Q: What happens to my HSA if I leave my health plan or job? A: You own your account, so you keep your HSA, even if you change health insurance plans or jobs.

Is an HSA a good idea?

HSAs Are Great If You Never Get Sick

So even if you're the model of perfect health right now, you can invest that money for 30-40 years and use it when you're retired. Money in your HSA can even be applied to deductibles, coinsurance and copays if you decide to switch back to a traditional plan in the future.