Health benefits
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Collective Health is an alternative to traditional health plans. The core pieces of our offering include integrated administration of your medical, pharmacy, dental, and vision plans, medical claims adjudication, elevated member experience, and smart employer tools to help you and your consultant partner make the most out of your benefits investment.

We take over plan administration and member support for your self-funded health benefits. That means we replace the administration services provided by your current medical carrier. You can think of Collective Health as one platform for plan administration, claims adjudication, member engagement, and integrated analytics.

Yes, our platform is built to blend traditional PPO networks and new delivery options like COEs, ACOs, and other direct contracting arrangements into one seamless member and employer experience.

Yes, our platform is designed to create a seamless experience across your entire health benefits ecosystem. This means that our integrated digital tools, and Member Advocates help connect the right members to the right programs at the right times.

We partner with some of the nation’s leading medical, pharmacy, dental, and vision networks, so our clients and members can access broad, nationwide networks with strong discounts.

The Collective Health Platform™ is designed to support whatever third party health and wellness programs you prefer. With 90+ program partners across 18+ categories, we integrate with a wide variety of health and wellness programs from telemedicine and maternity to disease management and behavioral health.

Yes! Collective Health can be included in any Medical, Advocacy, Concierge, or TPA RFPs that you would typically send out to networks or advocacy vendors. Find out more here.

Collective Health provides services to employers ranging in size from 200 EE to over 10,000 EE. To find out if Collective Health is the right fit for your company, please reach us at hello@collectivehealth.com or try out our self-guided tour.

Though Collective Health works with self-funded employers to maximize their investment and health benefits strategy, we also provide support and direction for companies making the transition from fully-insured to self-funded. To find out if Collective Health is the right fit for your company, please reach out to us at hello@collectivehealth.com or try out our self-guided tour.

Due to the nature of how fully-insured plans operate, Collective Health does not have access to the claims data for members on Kaiser plans. As a result, we cannot offer much of the functionality that we provide for our self-insured plans, such as member claims assistance, analytics and reporting, or My Collective™ integration.

However, for members of fully-insured medical plans, we can offer the use of the Collective Health Platform™ to access details for other self-insured plans customers might have in place with us (i.e. dental or vision), as well as integrated third party health programs that they want fully-insured members to access. With that in mind, we can support the following level of integration with Kaiser: inbound and outbound eligibility, self-billing with the Financial Management and Payments (FMP) module, transfer to Kaiser for detailed medical questions, and link to Kaiser from My Collective™.