Self-Funded Health Plans that Focus on People AND Health Care Savings

National General Benefits Solutions’ Self-Funded Program has health benefit plans for small to mid-sized businesses that could lower employer health care costs while providing quality major medical coverage to employees.

Flexible solutions to find a fit that’s right for your business AND your employees. Explore our product offerings¹:

Core Value (Reference-Based Pricing)

Our Core Value suite of reference-based pricing (RBP) plans pay benefits based on a multiple of the Medicare reimbursement rate or a derived equivalent. These plans deliver significant savings by paying a consistent and fair reimbursement rate to all providers. And, with our concierge Member Advocacy Program, you can be confident plan members are taken care of every step of the way.

In addition to the traditional Core Value design, you can also select from the following options:

Core Value Access adds the benefit of access to a physician network.
Core Value Flex allows employers to switch to a PPO network mid-year without a change in monthly payment.

PPO

PPO plans pay benefits for both in and out-of-network services, but everyone saves when members use network providers.

Network-Only

Our Advantage plan only pays benefits when your members visit network providers and obtain emergency services. Savings come from eliminating higher costs of out-of-network services.

Both our PPO and Network Only plans give you access to nationwide networks such as Cigna and Aetna Signature Administrators® and a variety of narrow and local networks. We will help you find the network that is right for your employees.

Select Path

A nationwide network plan with a cutting-edge provider navigation tool built in to maximize savings on health care costs. With Select Path, members use the Smart Match Scheduler tool, powered by Amino, to find high-quality, cost-efficient providers and schedule preplanned care. This customer-driven tool incentivizes employees to save money and lowers overall plan costs.

Group Dental

Our group dental plans can be paired with most of our self-funded programs to create a more complete benefits package. PPO dental plans are available with either the Aetna Dental Access® or Cigna Dental PPO SA network. There is also a no-network option.

For more information, contact your NatGen sales representative or call 1-877-225-5077.

See our product brochures

¹Product availability varies by state

Take control of health care costs with:

Predictable costs

If you choose a level-funded option, you make one simple monthly payment that goes toward three program components – claims, plan administration, and stop-loss insurance. The monthly payment is determined upfront and guaranteed not to increase for a full year as long as there are no changes to the group’s benefits or enrollment.

Real savings

You see where your claims dollars go and with built in cost containment programs, you have line of sight to making impactful plan decisions that protect your bottom line. At the end of the year, if claims are lower than expected, you may get a refund.

Financial protection

When a group has higher-than-expected claims, stop-loss insurance kicks in to pay for covered claims to protect your finances and limit financial exposure.

Seamless administration

Claims administration, member services, and reporting are all taken care of with the National General Self-Funded Program. This allows you to focus on what you do best – running your business.

Call us Today 877-225-5077 ext. 0