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Our Products and Services
Health Future's high level of service is clearly tied to the products we administer.
The following is a look at some of the plans we manage and the services we provide
in conjuction with those products.
Claims Administration (TPA)
Claims for medical, dental, and vision are processed on an automated basis. Health Future adjudicates
both paper and EDI claims with an 85 percent auto-adjudication rate. With system availablity greater
than 99.99 percent, Health Future stores benefits directly in the system, tracks claims data, and adjudicates claims.
Our system produces EOBs, checks, and reports output. Components of the system include files for each covered
individual, full plan descriptions, files of all providers, and files of reasonable and customary cost data.
The database maintains full historical information on claims processed by claimant and includes various other
associated information.
Health Future recently retained an external audit firm, Trilogy Consulting Group, Inc., to perform a review
of our claims administration capabilities and to ensure that our client's claims were being accurately. Health
Future is proud to have a 99.58 percent financial accuracy and our claims turnaround is 90.41 percent of claims
processed within 14 calendar days. Both our payment accuracy and turnaround findings exceed industry averages.
Regulatory Administration
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 made changes to group health coverage rules
that affect waiting periods, pre-existing condition limitations, privacy, security, and standardized electronic
transactions. Additional regulations address claims and appeals and coverage of newborns and adopted children.
Health Future is proactive in incorporating current and future rules into our administration.
COBRA Administration
The Consolidated Omnibus Budget Reconciliation Act of 1985 mandated the continuation of group health coverage for
qualified terminated employees and their covered dependents. Health Future assists our clients by sending continuation
notices to the qualified beneficiaries: coordinating enrollment, coverage and eligibility, administering billing:
receiving premium payments: and handling a range of related details until the individual is no longer covered under
COBRA.
Plan Design
Strong planning and execution can assure not only the monetary success of your program, but also its enthusiastic acceptance
by your employees. Health Future assists company managers in developing meaningful plans tailored to the needs of the
employer and its employees. Here, we help you sort through the maze of HMOs, PPOs, POSs and other benefit programs and
assist in designing a plan that is valuable to you, the employer, and the plan participants.
Benefit Analysis
Health Future can conduct a comprehensive study of your current benefits program, taking into account your company's history
of claims, employee demographics, and additional details. Such an analysis may help you decide to stay with your existing
benefit plan design and providers, or make changes.
Flexible Benefit Plans
Health Future has been providing Benefit Administration for comprehensive flex plans for over 8 years. Such
plans can offer employers and employees considerable tax savings and other advantages. Employees and/or employers
can deposit pre-tax dollars into a flexible spending account to pay certain health and related expenses not covered
by the medical plan. Flexible spending plans, sometimes referred to as cafeteria plans, let each employee elect an
annual dollar amount and choose services to be covered from a menu, which may include out-of-pocket medical expenses
and dependent care expenses. Over-the-counter medications may now be reimbursed as well. Health Future helps companies
install flexible benefit plans while meeting the requirements of Section 125 of the Internal Revenue Code. We educate
and inform employees through benefits fairs, on-line access to account balances and contributions, and individual account
reports. We administer the flex funds in accordance with federal regulations, and keep detailed records on behalf of the
company and the employee. We place priority on accurately processing claims, and reimbursing the employee in a timely
manner.
Health Reimbursement Arrangement (HRA)
Sometimes called defined contribution, personal care accounts, or Health Care Accounts, HRAs are employer-funded medical
expense reimbursement plans that, coupled with a High Deductible Health Plan (HDHP), provide employees a method of paying
for first dollar health care expenses and the ability to carry over unused funds to future coverage periods. Health
Future assists our clients in the analysis of the benefits and savings and provides the claims administration.
Health Savings Accounts (HSA)
The newly created HSA has been touted as "the health care IRA." An employer, an account holder, or both
may contribute to an HSA. Like an IRA, the money in the account is invested and grows tax-free. And like an IRA,
unspent funds carry over from year to year. But HSAs go one step further and are fully portable, allowing employees to
keep them as they move from job to job and into retirement. Health Future has entered into an alliance with HSA Bank,
to act as the trustee. The new Health Future - HSA Bank product combines the financial strength and
expertise of HSA Bank with Health Future's expertise in health care administration. We believe we have created
a single program that results in a seamless experience for both the employer and the employee.
Pharmacy Benefit Mangement Services
Health Future has established a stratigic relationship with Walgreen Health Initiatives (WHI) to provide pharmacy benefit
management services. WHI continues to receive high marks from customers for service, quality, and overall customer
satisfaction. Health Future and WHI will work to establish the best program for each client. WHI's integrated approach
to pharmacy services not only includes retail and mail service components, but clinical services, home care, and specialty
pharmacy services. Together we offer the tools to provide a quality healthcare benefit.
Provider Networks
Health Future has the knowledge and experience to analyze provider networks and offer viable alternatives to direct provider
agreements. Our unbiased approach to information analysis allows us to assist our clients in identifying the most appropriate
network(s), based on each client's criteria (such as location, plan design, and most frequently utilized providers). Health
Future has formed parnerships with both national and Oregon PPO provider network vendors to ensure the best savings to the
employer and employee. The Health Future website offers employees the ability to search for network providers nationwide,
24 hours a day.
Customer Service
In addition to a wide array of excellent products, our clients receive superb customer service from our highly-trained and
experienced benefit professionals. This includes assistance with plan design, data analysis, paperless claims processing,
online and telephone customer support, and managed care coordination. In the highly regulated, ever-changing world of
employee benefits, we also give you peace of mind by ensuring you stay compliant with the many federal and state
laws governing benefit plans.
Annual Customer Satisfaction Survey
The complete satisfaction of our customers is the ultimate goal of our service effort. Health Future believes that our
performance must be continuously measured and improved. One mechanism we use to measure the results of our service
performance is our annual Customer Service Satisfaction Survey. Health Future is proud of the high marks we continue
to receive from our membership.
Health Future Benefits Website (www.hfbenefits.com)
Health Future understands that our members are very busy. That is why we have designed the Health Future secured website.
It is often not convenient for a member to try and find the time to place a telephone call. The Health Future Benefits
website allows members to obtain answers to many common questions 24 hours a day, seven days a week. Our members have the
ability to access multiple functions, such as:
- download forms, plan documents, provider lists, and applications
- review pharmacy prescription history and research less expensive alternatives
- tools to learn how to make smarter healthcare descisions and find the best treatment options
- ability to view eligibility, benefit status, claim status, and view/print EOBs
- access to a 24 hour nurse help line
- access to personal Flexible Spending Account for contributions and account balance, and reimbursement history
- ability to contact our Customer Service Representatives via Email
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Address:
777 Murphy Road
Medford, OR 97504
Marketing Department
Phone: (800)452-2558
Fax: (541)772-1054
Email:
info@hfbenefits.com | |
