A new kind of health plan is starting to turn heads. It’s the alternative health plan from SimplePay Health™. And it’s now available exclusively through Aetna® and Meritain Health®. Interested in a new way to health care? Get to know the benefits of SimplePay.
About SimplePay
So, why the sudden shift toward alternative health plans? Well, perhaps it’s not all that sudden. For years—decades even—rising health care costs, complicated payment models and a lack of options have caused frustration among plan sponsors and members. However, companies are now lining up to answer the call for something less complex.
Founded in 2018, SimplePay Health was formed with a mission to “untangle health care”, The model they’ve developed is designed with less confusing paperwork. It also favors copays over deductibles or coinsurance. And they boast an overall streamlined process for helping members find high-value care.
Key features
Here’s how SimplePay, in a nutshell, solves for cost and complexity in a reimagined, uncomplicated way. Key features of the plan include:
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- Cost certainty. Members can see exact costs before getting services from providers for predictable spending. So, no more surprise out-of-pocket costs.
- Simplified experience. With their copay-based plan, there’s no deductibles or coinsurance. Members just receive one simple monthly statement. They can even pay this over time, with zero-percent financing options.
- Seamless access to care. Members have access to the broad Aetna Choice Point of Service (POS) II network of trusted health care providers and hospitals. It’s easy to find affordable care using the mobile app, or a web/phone search. They can even utilize a Health Valet team for greater personalized assistance.
Benefits for plan sponsors
But don’t worry, there are plenty of benefits on the plan sponsor side as well. Here’s how it stacks up for employers looking to diversify offerings:
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- SimplePay can be offered alongside a traditional plan, adding to a broader, configurable health care benefits portfolio.
- It’s popular with employees, with a current 92-percent satisfaction rating among members.
- It contributes as a way to create more options for a diverse workforce.
- It guides membership to higher quality, best value providers. Right now, SimplePay delivers a 60 percent increase in usage of top-quality providers. This is also closely linked with improved health outcomes, another benefit.
Finally, let’s not forget the cost-saving potential SimplePay creates for plan sponsors and members. Both can save an average of 12 percent on medical claims. In fact, you can read more about potential results in our SimplePay case study.
Frequently asked questions
If you still have questions on how it works, below are answers to a few commonly asked questions.
Q: How is SimplePay different from traditional health plans?
A: SimplePay is an alternative health plan that saves money without sacrificing top-quality care. Members have access to any provider in the broad Aetna network. SimplePay identifies high-quality, best-value providers. Plus, they show members out-of-pocket expenses for every medical service in advance, so they know what to expect.
Q: What is a SimplePay Health Valet?
A: A SimplePay Health Valet is a concierge resource available to support employees. Members can email or call them if they have a question about their plan, costs, or need help finding a provider.
Q: How can I get started with SimplePay, powered by Meritain Health?
A: Connect with your Meritain Health or Aetna® representative to get more information.
Sources:
https://www.simplepayhealth.com/employers/
Meritain Health case study 2024, SimplePay Health: Simplifying the Path to Savings and Top-Quality Health Care; https://www.meritain.com/simplifying-the-path-to-savings-and-top-quality-health-care/
This communication is intended for informational, promotional purposes only. The reference to previous outcomes made as a part of this communication does not guarantee success or similar outcomes in any new or future cases, as the result of each case depends upon many factors, including but not limited to the facts of each case. Any actual savings will vary based upon numerous factors, and neither Meritain Health nor its affiliates guarantees any level of savings.
This material is for information only and is not an offer or invitation to contract. Health benefits and health insurance plans contain exclusions and limitations; see your plan documents for complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary and are subject to change.
