Case Study: Eye Surgery Center
Innovative to Solve the Soaring Cost of Healthcare
Affordable
For middle income individuals and families
Flexible
Nationwide Open Network enables choice
Transparent
Medical procedure prices are made clear and known prior to scheduling
Robust
Non Medical expenses like travel, lodging coverage
Compare Plan Features and Costs
| Self-Funded Plan | MightyWELL | MightyWELL | |
|---|---|---|---|
| Plan Type | CSP | POS | Self Funded | Health Share |
| Premium | $750 EE & $2,136 family | $330 EE & $1,000 family | $330 EE & $1,000 family |
| Deductible | $1,500 | $1,000 | $1,000 |
| Coinsurance | 80% - 20% in network only | 100% all doctors | 100% all doctors |
| Network | Cigna | MultiPlan & All doctors | MultiPlan & All doctors |
| Office Visit | $30 / $60 | $50 / $100 | $50 / $100 |
Annual Cost Savings = $200,000
Monthly Rates
| Class | Self-Funded Paln | Health Share |
|---|---|---|
| EE | $560 | $70 |
| ES | $ | $212.31 |
| EC | $291 | $212.31 |
| Family | $532.20 | $306.92 |
View and Print Plan Benefit Details
Innovative Health Share has many advantages
Katie and Steve are having a baby !
Kate chose the Heath Share C0Pay Plan
The Best – Most family friendly maternity plan in America
Transparent – All cost known and paid upfront $6,000
Affordable – Katie’s total out of pocket cost $1,000
Amazing – All pre and post natal cost included
Healthcare Event 2023
Male age 63 diagnosis advanced prostate cancer
Affordable – Procedure cost fully covered by plan $0 out of pocket cost
Transparent – All cost known upfront $87K negotiated to $33K
| Expense | ACA | MightyWELL Plan |
|---|---|---|
| Premium | $7,400 | $4,216 |
| Deductible | $5,000 | $1,000 |
| Co-Pay | 80% / 20% | None |
| Procedure Price Quoted | $87,000 | $33,000 |
| Plan Benefit | ? hidden ? | $32,000 |
| Catastrophic Living Benefit | $0 | $100,000 |
| Client Financial Impact | $13,900 out of pocket | $94,800 client's to keep |
MightyWELL Client Difference $108,700
How Transparent Flexible Healthcare Works
Laparoscopic Gallbladder Surgery Female Age 38
Transparent – Piedmont Hospital $33,694 initial price quoted
Transparent upfront repriced at $9,500
Affordable – Procedure costs fully paid after $1,000 Health Share out of pocket cost
Advocate – Prior to the procedure MW assisted locating and negotiating with an alternative outpatient surgery center. Client used significate reduced price quote and upfront pay option to save thousands.
| Expense | Indemnity Limited Plan | MightyWELL Plan |
|---|---|---|
| Premium annual | $4,000 | $3,060 |
| Deductible | $0 | $1,000 |
| Co-Pay | None | None |
| Benefit Paid | $7,192 | $8,500 |
| Client Financial Impact | $2,231 out of pocket | $1,000 out of pocket |
MightyWELL Partners and Affiliates
