Frequently
Asked Questions

Answers about our product, our partners, and how we work with our clients

Product

What does Collective Health do?

Collective Health is an alternative to traditional health plans. We support the most innovative self-funded employers and their populations nationwide.

The core pieces of our offering include:

  • Integrated plan administration: Integrated administration of your medical, pharmacy, dental, and vision plans, medical claims adjudication, and the networks and health programs that fit your needs.
  • Elevated member experience: Concierge-level services, compassionate personal support, and convenient digital tools to make understanding, navigating, and paying for care easier.
  • Smart employer tools: Streamlined operations, live dashboards, payments and accounting support, and analytics to help you and your consultant partner make the most out of your benefits investment.

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Of the health benefits vendors I work with today, who do you replace?

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 and other redundant member support services like third party mobile, online, or telephonic solutions. You can think of Collective Health as one platform for plan administration, claims adjudication, member engagement, and integrated analytics.

With our model, you have the flexibility to work with a selection of the nation’s leading medical, pharmacy, dental, and vision networks along with any health and wellness programs that fit your population’s needs. We bring all these pieces together into a seamless experience for your members, while also streamlining the administration experience for you and your consultant partner.

Do you support Centers of Excellence (COEs), Accountable Care Organizations (ACOs), and/or other innovative care delivery models?

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.

Do you offer concierge-level member services?

Yes, our team of Member Advocates and Care Navigators provide concierge-level member support. In fact, we believe our support model is more effective than third party concierge providers because our service team is built directly into the health plan. This integrated approach enables stronger, more impactful member relationships that simply can’t be achieved with a third party program.

Can you help drive engagement in our other health and wellness programs?

Yes, our platform is designed to create a seamless experience across your entire health benefits ecosystem, from your medical, pharmacy, dental, and vision plans, to your health and wellness programs and spending accounts. This means that our integrated online portals, mobile app, and Member Advocates help connect the right members to the right programs at the right times. And—with our new product CareX—we are able to leverage artificial intelligence and patent pending technology to proactively reach out to members and drive even more engagement.

Partners

What networks do you work with?

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.

Our specific network partnerships vary by geography, so we’re happy to set up some time to talk to you about the options available to your organization.

What third party health and wellness programs do you work with?

The Collective Health Platform is designed to support whatever third party health and wellness programs you prefer. Today, we integrate with a wide variety health and wellness programs from telemedicine and maternity to disease management and behavioral health.

With our platform, we’re able to streamline the day-to-day management of your programs for your benefits and finance teams and create an all-in-one health benefits experience for your members.

Clients

Who are your current clients?

We currently work with companies like Activision Blizzard, Counsyl, CrossFit, DataSafe, eBay, Jazz Pharmaceuticals, Palantir, Red Bull, Trace3, Zendesk, and many more!

What size companies do you work with?

We generally work with clients who have anywhere from 1,000 to 50,000 benefits eligible employees.

Do you work with fully-insured or self-insured companies?

We’re focused on serving companies who are already self-insured or are looking to transition from fully-insured to self-insured.

In what geographies is Collective Health available?

Currently, we can work with clients headquartered in the following states: California, New York, Connecticut, Georgia, Colorado, Ohio, Virginia, Indiana, New Hampshire, Nevada, Kentucky, Wisconsin, Maine, and Missouri.

This list will expand over time—stay tuned for updates.

Can you support companies who have employees across the U.S.?

Yes, our clients access provider networks nationwide. That means our members benefit from great provider networks, with great discounts, no matter where they live. In fact, we already have members in every state.

Pricing and Procurement

How much does Collective Health cost?

Our pricing structure mirrors the integrated pieces of our solution. Clients pay a medical plan administration fee, network access fees, and have the option of adding additional platform modules.

For most companies, the total price is equal to or less than their current health benefits investment.

Would you be included in a typical carrier RFP process?

Yes, we’re often included in medical carrier RFPs. Although, we think it’s helpful to be able to talk to companies and their consultants prior to the RFP to quickly explain how Collective Health is both similar to and different from traditional health plan options.

How long does it take to implement Collective Health?

We can fully implement our solution in as short as 90 days. However, most of our clients begin the implementation process early so that Collective Health’s printed materials, digital tools, and Member Advocates can play a key role in helping members understand and navigate their choices during Open Enrollment.

Have more questions?
Reach out to us!

Our customers include:
eBay Red Bull Activision Blizzard
Zendesk Counsyl eBay
Red Bull Trace3 DataSafe
eBay Red Bull
Activision Blizzard
eBay
Zendesk Counsyl
Trace3 DataSafe
eBay Red Bull Activision Blizzard Zendesk Counsyl Trace3 DataSafe