We create tailored plans with our robust suite of benefit solutions that generate cost savings, and the best results for our clients.
Level Funded plans
Blackhawk’s level funded program is a flexible and cost-effective solution that maintains the reliability and coverage of a fully insured product. We know your needs are unique: for employers looking for the cost savings of a self-funded plan, but want the predictable payments of a fully insured plan, Blackhawk delivers a solution with Level Funding. A level funded plan ensures that an employer will never pay more than their set monthly cost, and after all claims are paid, they retain 100% of any unused funds.
THE THREE PARTS OF A LEVEL FUNDED PLAN
FLEXIBLE PLAN OPTIONS
We offer multiple options that provide a high degree of flexibility.
STOP LOSS COVERAGE
If claims exceed expectations, stop loss insurance covers the extra costs.
PLAN ADMINISTRATION
We provide enrollment, pay claims, provide customer service, manage billing, and more.
BENEFITS OF A LEVEL FUNDED PLAN
REFUND OF UNUSED CLAIMS RESERVES
We offer multiple options that provide a high degree of flexibility.
NATIONAL AND REGIONAL NETWORKS
Blackhawk gives you a choice of national and
regional networks.
24/7 TELEHEALTH
Members have 24/7 access
to physicians via telehealth,
no cost.
• Set Monthly Payments
• Access to detailed claims data
• Employer receives any unused claims funds
• Option to roll over unused funds to the following year
• Ability to adjust plan before years end
Fully Insured
✓
✗
✗
✗
✗
Level Funding
✓
✓
✓
✓
✓
Explanation of RBP
What is Reference Based Pricing?
Reference Based Pricing is a popular and cost-effective method to pay providers optimal, pre-established prices for medical services. The traditional medical services reimbursement system uses a set network discount applied to a negotiated price, not consistent or visible to the plan or the member.
RBP empowers consumers with an alternative to this unfavorable pricing model and can reduce the cost of health services, all while maintaining the same quality. RBP enforces maximum amounts that can be charged for specific services.
How it works
RBP ensures employers health care costs are set based on reference prices, established by a multiple of what Medicare pays. These set reference prices are the maximum cost that a provider can then charge for medical or pharmacy services. Rather than being charged traditional carrier-determined prices, employers and employees can enjoy costs set by reference points, not arbitrary carrier markups.
