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Backseat Driver

(4,629 posts)
Wed Jun 28, 2023, 09:27 AM Jun 2023

URGENT: Does anyone have any experience in a "health benefits plan" as opposed to "insurance."

My daughter's employer, a private family-run company, with divisions in other states having about 2700 employees made an announcement last week @ corporate headquarters site that company employees would be moving into a "health benefit plan." Her friend who moved to another division in a far western state had not yet been informed but July 1 the change takes effect. Employee contribution payroll deductions would remain the same; employees may NOT opt out of the plan; they must provide a consent for providing the plan their SS# and complete medical history; they have a single week to do so (note this info has already been provided digitally so that all employees' benefits can begin July 1 of this year so this consent is retro-active to the deed). This is apparently for instant enrollment prior to any open enrollment period.

Her employer is wealthy and we assume an investor in the venture capital money fund that has provided funds for what is apparently this "start-up" "health benefit plan" that no one has ever heard of before. There is a website without a provider list (called open access and neither PPO nor HMO and is the plan is not affiliated with any hospital networks) or plan costs but it does write about how much employers can save. This outfit claims "no copays or co-insurance" and no denials of claims nor any deductibles unless one's present "insurance" plan (option of previously offerred and provided insurance plan in which employer also pays partially) includes an HSA which the new health benefit plan does not offer. Apparently, their chosen doctors will be sent provider sign-ups after employees' visits and are without credentialing or accreditation information. I'm guessing this would make this newly offerred entity a type of "self-insurance." No privacy statement for employees either.

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URGENT: Does anyone have any experience in a "health benefits plan" as opposed to "insurance." (Original Post) Backseat Driver Jun 2023 OP
Pre-ACA, I had something that sounds like this-- viva la Jun 2023 #1
Not allowed to opt out - sign up or else Backseat Driver Jun 2023 #2
I'd bet it is ok IbogaProject Jun 2023 #3
See the updated comment above - it will be obvious and you can open a private page to go to the Backseat Driver Jun 2023 #4
You can bet it will MOMFUDSKI Jun 2023 #5

viva la

(3,728 posts)
1. Pre-ACA, I had something that sounds like this--
Wed Jun 28, 2023, 09:51 AM
Jun 2023

The insurer was Golden Rule, and it was awful. We had no choice. Most of the practitioners wouldn't accept the "insurance" for billing, so we had to file everything with the insurer, and half of what we filed was denied. As soon as the ACA came out, I transferred to that for normal insurance.

You might suggest she go on healthcare.gov and start the signup for that. Find out what her options are, then opt out of this company plan if the ACA is affordable.

It sounds so sketchy. Notice they're not calling it "insurance" so that they don't have to pass any state and federal regulations.

Backseat Driver

(4,629 posts)
2. Not allowed to opt out - sign up or else
Wed Jun 28, 2023, 10:55 AM
Jun 2023

and continue paying employee contribution. Supposedly, there will be employee meetings this week (probably to collect those consents). She's got an Aetna plan now, and she's on a super-charged job hunt as she says she won't sign the consent for her prior lifetime medical and script info. Dare I name the new outfit here??? I know, I'll post the link to the venture capitalist fund - it's got their "investments" shown and the viewer can scroll down and choose. It will be quite obvious. Yes?

https://www.bvlp.com/portfolio/

IbogaProject

(3,536 posts)
3. I'd bet it is ok
Wed Jun 28, 2023, 11:09 AM
Jun 2023

You're not marketing for them. You're just asking for help with research and warning the rest of us to watch out for this with our loved ones.

Backseat Driver

(4,629 posts)
4. See the updated comment above - it will be obvious and you can open a private page to go to the
Wed Jun 28, 2023, 11:28 AM
Jun 2023

site of the only "health benefit plan company" in the portfolio.

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