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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.
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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%
For more information CLICK HERE
*Hospital Discounts NOT available in Maryland and West Virginia
Disclosures:
1. THIS PLAN IS NOT INSURANCE. THIS IS NOT A MEDICARE PRESCRIPTION DRUG PLAN*
2. The plan provides discounts at certain health care providers for medical services.
3. The plan does not make payments directly to the providers of medical services.
4. Plan members are obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount medical plan organization.
5. Discount Medical Plan Organization and administrator: CAREINGTON International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone 800-441-0380.
Note to Texas Consumers: Regulated by the Texas Department of Licensing and Regulation, P.O. Box 12157, Austin, Texas 78711; telephone 1-800-803-9202 or (512)463-6599 website The program and its administrators have no liability for providing or guaranteeing service by providers or the quality of service rendered by providers. * Medicare statement applies to MD residents when pharmacy discounts are part of program. This program is not available in Vermont and Montana.
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