As you start researching your company’s health benefit plan options, don’t discount plans that feature Reference-Based Pricing (RBP).
Rather than using a Preferred Provider Organization (PPO) network for claims discounts and pricing, RBP plans use some other method on which to base medical claim reimbursements to providers.
Many plans, like Allied National’s RBP plans, use Medicare for its reference base. We reimburse physicians 125% of Medicare allowable and facilities at 150% of Medicare. This reimbursement level is often lower than many PPO networks but is still well above Medicare levels accepted by most providers. These savings immediately translate to lower premiums and lower out of pocket costs when you need care.
Why use this type of plan?
RBP plans are an alternative you need to learn about to make sure you’re spending your health care dollars wisely.
Tim is a 25-year group benefits veteran and the sales and marketing associate director for Allied Direct, a division of Allied National.
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Founded in 1970, Allied National is one of the nation's oldest and most experienced third-party administrators. As of June 2020, Allied National is a division of 90 Degree Benefits, a Blue Cross Blue Shield of Alabama company. We're the small group benefit experts working to provide unique and affordable group health benefits to small business employers.