WHAT IS SELF-FUNDING?

When companies choose a self-funded medical plan for their employees, they are choosing a plan in which the company pays all medical claims up to a certain limit, usually ranging from $40,000 to $60,000 per person up to around one million dollars for the entire group.

From an employee perspective, a self-funded plan works exactly the same as any other health plan, except for one important benefit: self-funded plans give the you, the employee, the ability to affect the cost of the health plan. This means that employees’ choices today can affect the cost of the insurance plan at renewal time.

When working with Butler Benefit Service, Inc., each client is assigned a committed benefit specialist to make sure all of our its needs are being met. The plan administrator and the benefit specialist work together to provide you with the information you need to make wise spending decisions. This means making sure you are getting the best medical care for the plan’s dollar, nothing less and nothing more.  Making these consumer focused decisions throughout the year can potentially mean less expensive benefits for you at renewal time.

WHERE DOES BUTLER BENEFIT SERVICE, INC. FIT IN?

Butler Benefit Service, Inc. is the third party administrator that administers your claims, provides employee education, and works to get you the lowest rates and the highest discounts possible. Butler Benefit Service, Inc. is not your insurance company. We are the people working for you, to keep dollars in your pocket and your medical care coverage up to the highest of standards. At Butler Benefit Service, Inc., we are passionate about setting the standard for customer service in our industry.

How are claims handled on a self-funded case?

Your claim administrator may be the most important component of your health plan and have the biggest impact on cost savings.  BBSI will process claims according to your Plan design. 

BBSI will assign a team of dedicated claim service representatives to your account.  They will be familiar with your Plan, and be available to answer questions from you regarding your benefits and claims.  We also have the ability to generate employee education materials to ease the transition to Butler Benefit Service, Inc.

HOW WILL YOUR MEDICAL CARE BE MANAGED?

Employee education is often ignored by health plans, and can have one of the most significant and important roles to play in reducing Plan costs while improving your understanding of the benefits offered by your employer. 

Managed care offers education before, during and after the need for health care. Butler Benefit Service, Inc. uses a managed care company called HealthCorp.  HealthCorp is a care management company that coordinates and reviews health care resources.  During your use of the health care system, nurses can maintain contact with you and let you know what options are available to you.  This can result in more appropriate levels of care, as well as a higher comfort level for you, the patient, when you have questions regarding your medical care.

Ideally, people should know what options are available to them regarding medical care them before they actually need health care. If you are aware of your options when the need does arise, you will be able to make an educated decision.