Hospitalization
Prime Liberty’s Hospital Negotiation Service provides Members access to experienced Case Managers who work with Member’s physicians and area hospitals to negotiate reduced fees for a Member’s hospital procedure.

When a Member contacts the Call Center regarding an upcoming procedure, a Case Manager is assigned to work with the Member on their case from beginning to end.  The Hospital Negotiation Service uses a state-of-the-art database which allows Case Managers to access the actual cost of procedures in any hospital in the U.S.  Using this information, Case Managers negotiate on a cost plus basis as opposed to a percentage off the hospital’s retail charges.

Case Studies:

Sample Case A – A member living in Arizona went to the emergency room of a participating hospital and was diagnosed with appendicitis.  The member received an emergency appendectomy and was in the hospital for two days.  Charges submitted to International Med-Care included claims from the hospital, as well as the ER physician, surgeon, anesthesiologist, and pathologist.

Total Charges:            $16,157
Total Savings:             $6,775
Total Saved:                41.9%

Sample Case B – A Member in Texas was pregnant and called International Med-Care to make arrangements for the delivery. After determining the potential savings for the Member, certified funds were deposited, and a referral was sent out to the hospital. The Member delivered a beautiful baby girl.

Total Charges:            $4,532
Total Savings:             $1,781
Total Saved:                39.3%

Sample Case C – A member in New Jersey was in need of preventative surgery.  While the Member’s selected surgeon was not a participating provider, the hospital was, and an International Med-Care Case Manager worked with the surgeon’s office to find a participating lab and anesthesiologist recommended by the surgeon.

Total Charges:            $10,623
Total Savings:             $3,853
Total Saved:                36.3%

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