ARCSI (Association of Residential Cleaning Services International) partners with SASid to provide members with Health Insurance Marketplace 0
ARCSI is proud to announce a new partnership with SASid, Inc. to provide members a Health Insurance Marketplace online at ARCSIbenefits.com. This new program will allow members and their families to gain access to – and save money on – health insurance coverages, as ARCSI continues to uphold its mission to assist members as they build and grow their business.
“Health and wellness has been a long-time priority for our members and their families,” said ARCSI Executive Director Ernie Hartong. “With that in mind, we are pleased to announce this new partnership with SASid to help ARCSI members find the answers they need in order to secure effective and affordable healthcare in today’s constantly-evolving marketplace.”
SASid’s member benefit marketplace is a web-based software solution that helps individuals quote, compare, and apply for health insurance products such as Major Medical Insurance and supplements like Limited Medical Indemnity Insurance online. This private health insurance marketplace – exclusive to ARCSI Members – also gives individuals access to other products like Dental, Vision, Hearing, and more. The new members-only marketplace will provide ARCSI members the right tools to effectively shop for health insurance and avoid healthcare reform penalties.
In addition to the new members-only healthcare marketplace, the ARCSI’s partnership with SASid will include dedicated customer service professionals available to answer any questions about billing, claims and general product knowledge. This 24-hour service will provide members with expert guidance in order to find the right solution to help or meet individual needs. ARCSI Members may call877-658-1337 at any time to take advantage of this service.
NATIONAL BASKETBALL RETIRED PLAYERS ASSOCIATION OFFERS MEMBERS NEW HEALTH INSURANCE MARKETPLACE
CHICAGO, ILL. – The National Basketball Retired players Association (NBRPA), the only association comprised of NBA, ABA, and Harlem Globetrotters alumni, today announced a new partnership with SASid, Inc. and BWD Group LLC to provide members a Health Insurance Marketplace online at NBAalumniinsurance.com. This new program will allow members and their families to gain access to – and save money on – health insurance coverages, as the NBRPA continues to uphold its mission to assist former players as they transition into life after basketball.
“Health and wellness has been a long-time priority for our members and their families,” said NBRPA President & CEO Arnie D. Fielkow. “With that in mind, we are pleased to announce this new partnership with BWD Group LLC – a long-time partner of the NBA – and SASid to help former NBA, ABA and Harlem Globetrotters players find the answers they need in order to secure effective and affordable healthcare in today’s constantly-evolving marketplace.”
SASid’s member benefit marketplace is a web-based software solution that helps individuals quote, compare, and apply for health insurance products such as Major Medical Insurance and supplements like Limited Medical Indemnity Insurance online. This private health insurance marketplace – exclusive to NBRPA Members – also gives individuals access to other products like Dental, Vision, Hearing and more. The new members-only marketplace will provide NBRPA members the right tools to effectively shop for health insurance and avoid healthcare reform penalties.
In addition to the new members-only healthcare marketplace, the NBRPA’s partnership with SASid will include dedicated customer service professionals available to answer any questions about billing, claims and general product knowledge. This 24-hour service will provide members with expert guidance in order to find the right solution to help or meet individual needs. NBRPA Members may call 877-658-1335 at any time to take advantage of this service.
As an added benefit, NBPRA members who need additional support to evaluate their options will also have direct access to concierge services from BWD Group LLC. This service may be accessed by calling the same number listed above, as SASid representatives are able to assign callers directly to a representative from BWD for concierge service. Together these products and services will provide NBRPA members the right ingredients for effective and cost-efficient healthcare.
“Our Board of Directors is very excited to be able to provide new Health & Wellness benefits for our members,” said Steve Hayes, a member of the NBRPA Board and Chairman of the Member Services & Benefits Committee. “Healthcare has been a long-time focus area for our committee and we believe the new partnership with BWD and SASid will help provide real answers, guidance and options to save money in what can be a very confusing space.”
About the National Basketball Retired Players Association
The National Basketball Retired Players Association (NBRPA) is comprised of former professional basketball players from the NBA, ABA and Harlem Globetrotters. It is a 501(c) 3 organization with a mission to develop, implement and advocate a wide array of programs to benefit its members, supporters and the community. The NBRPA was founded in 1992 by basketball legends Dave DeBusschere, Dave Bing, Archie Clark, Dave Cowens and Oscar Robertson. The NBRPA works in direct partnerships with the NBA and the National Basketball Players Association. Arnie D. Fielkow is the President & CEO, and the NBRPA Board of Directors includes Chairman of the Board Robert A. (Bob) Elliott, Vice Chairman Otis Birdsong, Treasurer Marvin Roberts, Secretary Steve Hayes, Past President Dr. George W. Tinsley Sr., Thurl Bailey, Harvey Catchings, James Donaldson, Johnny Newman, LaRue Martin and Danny Schayes.
Simple and Smart insurance development (SASid, Inc.) is a privately held company with a solid reputation for building products and private labeling brands. Our SASid team enjoys helping people with their insurance needs and consistently providing best-in-class administrative, enrollment, billing and claims customer support. SASid is strategically looking for long term partners to grow, learn, and develop with. Let’s make insurance Simple to understand and Smart to have.
About BWD, Inc.
We are committed to providing our clients with the highest level of individualized service. BWD Group LLC provides a comprehensive range of innovative insurance products, risk management services and benefit programs for a diverse and distinguished clientele across the country and around the world. Known throughout the insurance industry as the worldwide leader in sports and entertainment insurance, BWD Group has also achieved international recognition for its expertise and capabilities in commercial and personal lines, individual and employee benefits, financial planning, consulting, program administration and claims services.
Vice President of Communications & Marketing
National Basketball Retired Players Association
One of the hottest topics in the healthcare arena over the past few years is that of prescription drugs. And with some estimates claiming that over half of Americans take at least one prescription, it’s not surprising. For many years Drug Card America has been helping individuals and families across America save significantly on their prescriptions, both Brand and Generic. This simple card, through the power of large numbers, brings access to discounts at over 61,000 pharmacies nationwide. So when the opportunity came to increase the discounts and add benefits we couldn’t resist.
Your Drug Card America card allows you access to:
Up to 55% off Generic prescriptions
Up to 15% off Brand prescriptions
Newly added benefits include:
Look up the price of your prescriptions before you have them filled. Compare the price at multiple pharmacies near you with this simple-to-use tool. Taking a Brand prescription and paying a ton? You can now compare the cost of the Brand and it’s comparable Generic!
Medical Bill Saver™
The Medical Bill Saver™ program can lower your out-of-pocket costs on medical bills not covered by your insurance. They will work with your providers to lower the balance on any uncovered medical or dental bill over $400. Through this negotiation process, you can see between 25%-50% savings on your medical bills. You only pay when they save you on your bills – you pay 25% of your savings for this service.
If you haven’t signed up for your FREE Discount Drug Card with Drug Card America, now is the time, click here. While you’re signing up be sure to refer DCA to friends and family – it should be in the hands of every American!
- Assignable Benefit – A way or method an insurance plan is designed to pay benefits. Assignable benefits pay directly to the doctor or hospital rather than directly to you. This is the most desirable method of payment since it eliminates the need for you to be involved.
- Carrier – The insurance carrier assumes the risk on an insurance plan. They provide the benefits of the plan and issue payment for claims.
- Certificate of Insurance – The document issued by the insurance company including the effective date, type of insurance coverage purchased, the specific coverage amounts of your plan and schedule of benefits. It’s important to review your Certificate of Insurance fully upon purchasing your plan.
- Claims – The formal request a doctor or hospital submits to an insurance company to receive payment for the services they provide to an insured person.
- Deductible – The dollar amount that must be paid before the insurance company will pay their portion of the benefit.
- EOB – Short for “Explanation of Benefits”, an EOB is the statement an insurance company issue to the planholder explaining what medical services they paid a benefit for. An EOB is not a bill but rather a summary of the claims received and benefits applied according to your schedule of benefits.
- Excess Benefit – The term defining the specific order for which a benefit is to be paid. An excess benefit will pay last, after all other eligible benefits have been paid out.
- Guaranteed Acceptance – An insurance term meaning there is no “review period” before the applicant is approved.
- Indemnity – A style of insurance plan that pays a set dollar benefit for a specific procedure or service.
- Surgical Schedule – A list of surgical procedures, often in excess of 5,000, and the insurance benefit available for each.
The growth of SASid, Inc. is profound, which makes the business a more valuable entity. Seemingly almost overnight it has transformed from a small business into a larger, thriving one. Being part of a rapidly growing company is exciting. An attitude of success pervades the organization. The work environment is highly energized, as all the team members seek to keep the momentum building. Some of this excitement is derived from a feeling of individual accomplishment based on metrics and individual goal setting. Each employee believes that he/she contributes to the growth and success that is occurring. With this type of exponential growth comes the need for recruting qualified individuals. SASid, Inc. recently earned a spot on the 2011 Inc. 5000 list, a compilation of the fastest growing private companies in the united States. We are currently in the market for a Medical Claims Examiner who is motivated, organized and a self started. The job descirption is as follows: Reviews medical claim(s) for completeness and accuracy
• Manages a caseload of insurance claims to assess their validity or if further investigation is required
• Consults policy & pertinent files to verify the information reported in a claim
• Authorizes payment, denies the claim or refers the claim to an investigator for a more thorough review
• Keeps current files with all the appropriate forms, statements and reports, and maintains medical records, reports and correspondence
• Responds to customer inquiries as needed in areas relevant to medical claims status
• Needs to be detail-oriented, precise and thorough, to be familiar with medical terminology and health insurance administration processes and to have good judgment and integrity
• Requires a minimum of 1-2 years experience in medical claims processing, medical terminology, ICD9 and CPT knowledge
• Customer service experience is helpful
• Exemplary verbal and written communication skills
• This position is a Salaried position with a 40 hour work week with hours of operation between 8:30 am-5:00 pm Monday through Friday.
Interested and qualified individuals should send their resume, along with a cover letter to email@example.com.
After you’ve enrolled in a SASid insurance plan, take advantage of what your customer login account has to offer:
- View/Print Plan Documents
- Make Payments
- View Claim Status and EOBs
Step One: Login
The first step in accessing your customer account is to login here. You will be asked to enter your username and password. Your username is the email address you used with enrolling into your SASid insurance plan. Your initial password was randomly generated and sent to you just prior to your enrollment. If you cannot remember your password simply enter your email address in the box below “Forgot your password?” and click “Request Password”. A new password will be sent to you via email.
Step Two: Navigate Your Account
Once logged into your account, you’ll find a row of tabs towards the top of your login screen which includes: Home | My Quotes/Plans | My Profile | Inbox | Logout. Here is a brief explanation of what can be found in each section.
- Home – will take you back to the original screen you came to upon initial login
- My Quotes/Plans – allows you to view any/all quotes and plans you have with SASid. This will include Active, Incomplete, and Canceled plans
- My Profile – update your mailing address, email address, and phone number
- Inbox – shows enrollment confirmation emails, declined payment emails, and any other important correspondence pertaining to your SASid insurance plans
- Logout – will securely log you out of your SASid customer account
View Plan Documents
Under the “My Quotes/Plans” tab you’ll find any SASid insurance plans you’ve enrolled in. Click on the GREEN link below the plans documents you’d like to view to open the plan details page.
You’ll then be taken to a page showing more details about your plan including the Plan Number, Effective Date, and Plan Type. To the right of those details is a drop-down box. Clicking on the drop-down button will open the plan documents available for your viewing and printing. To view, select the document and click the “Open” button to the right.
Also under the plan summary page you have the ability to make premium payments and change your payment method. Click the “Payments” tab under the plan logo to view payment service options. From here you can make a payment or change the method from which your future payments are made.
View Claims and EOBs
To view claims, click the “Claims” tab then click “View Your Claims” (both highlighted in yellow in the image below). This will allow you to check the status of any claims received by InsuranceTPA.com and to view their corresponding EOBs.
An EOB (Explanation of Benefits) is a report that reflects the costs and re-pricing for services/procedures performed by a Provider (Physician, Lab Facilities, Hospitals, etc.). Although not a bill, an EOB is an important part of the insurance claims and benefit process. As long as your health claim is submitted to InsuranceTPA.com for timely processing, you can expect to receive your EOB by mail 15-30 days after medical services were rendered. You can view your claim status and EOB’s online by logging into your account here, InsuranceTPA login.
Key Elements of an Explanation of Benefits (EOB)
Dates of Service will list out the dates for which the services were performed by the provider.
Services will show a brief description of the service that was performed by the provider.
Comment Codes reference notes or comments pertaining to individual services. These codes will correspond to specific notes below the EOB grid.
Billed Amount shows the cost of each service as billed by the provider.
Discount is the savings that were seen by using a provider in the PPO Network. In the example above, for the 2 services received the total charge was $206. Because this member used a Network Provider, they were able to save $104.64. Find a provider near you and start saving today – click here.
Excluded are amounts not covered under the plan. As with any health insurance plan, limited medical indemnity plans also have limitations and exclusions to coverage. However, excluded services/procedures are still eligible for Network Savings. In the example above, the “Professional Service” charge of $16 was excluded under the CoreHealth plan, but still received Network Savings of $9.68. The final excluded amount remaining after the Network Savings was a mere $6.32.
Adjusted is not commonly used. The “Adjusted” column would be used if a claim ever needed to be re-processed. Any additional payment resulting from the re-processing of the claim would be found under the “Adjusted” column.
Copay plans are no longer being used by InsuranceTPA.com so this column will be empty.
Deductible is the amount you must pay before your insurance reimbursement pays its portion for covered health expenses.
Balance is the amount that remains after any Network Savings are applied, but before the Insurance Benefits are applied.
% Paid shows the amount of the available Insurance Benefit that was paid out towards the remaining balance. In the example above, the Office Visit benefit was paid at 100%, or $125.
Plan Benefit shows the available Insurance Benefit being applied to the total remaining obligation.
Taking the time to review and understand your EOB will show you the real value your CoreHealth plan provides. If you have questions about anything seen on your EOB, please feel free to give us a call. We’re here to help in any way possible. With questions, call 800-279-2290 or email claims@insuranceTPA.com.
Our experience indicates that members who understand their plans retain them longer. With a good understanding of each benefit you’ll be able to maximize value while minimizing your out-of-pocket costs.
Something as common as a broken leg or bad strain of the flu virus can easily land you in the hospital. The indemnity benefit for a hospital stay with a Core Health plan ranges from $250 to $1,500 per day, depending on the chosen plan. The richest plan, Platinum, pays a benefit amount of $3,000 per day for stays in an Intensive Care Unit (ICU) or Critical Care Unit (CCU). The hospital benefit is limited to a 31-day maximum per person on the plan, per plan year. Of those 31-days, 15 days can be used in the ICU/CCU.
It is important to keep in mind that there is a 12-month pre-existing condition exclusion for the Hospital benefits of the Core Health plans. This means that for the first 12-months from your plans effective date, any hospital confinement related to a pre-existing condition would be excluded. A pre-existing condition is something that you were treated for, consulted a medical practitioner for, or were prescribed medication for, in the 12-months prior to your plans effective date.
As with all Core Health benefits, the Hospital benefit provides first-dollar coverage with no deductible or co-insurance. The benefit amount will pay in-full for each eligible day of hospital confinement. This means that if the provider bill is less than the plan benefit amount, Core Health Insurance will pay the remaining benefit balance directly to the member. And as always, you can see any provider (physician or hospital) of your choice. If you see a provider in the Beech Street PPO Network you’re eligible for additional savings of up to 40%. Help ease the cost of unexpected hospital stays with the valuable benefits of a Core Health plan.
To learn more about the benefits of your plan, contact InsuranceTPA.com at 800-279-2290. InsuranceTPA.com is the plan administrator for Core Health Insurance. Already a member? Login to your account here.
Gadgets…tools…gizmos…doohickeys, regardless of what you prefer to call them, if you’re anything like us, you love them. They can make your daily tasks more manageable and boost your productivity. It’s been almost 2 months since we implemented our newly designed sales, tracking, and reporting system christened the SASid Partner Login and we’ve already released our first update. Here are some of the new features partners can take advantage of:
- Request Tickets: This function allows you to request such things as re-sending a client their ID card, updating some information on an application, updating payment information and more. You’ll be able to submit requests, view any requests you’ve submitted and opt-in for email notifications of when a request is updated or completed.
- Lapsed Policy Report: This report allows you to see clients who’ve cancelled, been terminated or who’s policy has run it’s course. Report shows customer name, email, phone number, start date, end date, how long they kept the policy and the reason their policy ended.
- Growth Report: This report allows you to see how your block of business is growing. Report will show total number of apps, total cancellations and total active lives by month in either a graphical or spreadsheet format.
- Event Log Report: This report was built so that you can view your event log easier. You’ll now have the ability to filter by date range and type of event.
- *Just added* Payment Declines Report: You work hard to build your business. Payment declines are by far the #1 reason for lapsed/termed plans. This report will show you real-time results of clients who’ve had a payment declined for one of many common reasons (changed account, card expired, billing address changed…).
We are proud and delighted to be in the company of so many great private companies from across the USA. There are nearly 7 million private, employer-based companies in the U.S.A. SASid earned the position of 4511 on the 2011 Inc. 5000, Inc.’s annual ranking of the fastest-growing private companies in America. This is the second time SASid has made the prestigious list; in 2008 SASid was #1530.
Let us recognize those who got us here:
Thank you SASid employees; you are the reason SASid continues to grow. Your eagerness to work, play, and most importantly help others makes a difference in those we serve.
Thank you SASid partners; you believe in us (and likewise) and our products which help people with their needs and problems. You also help us design, tweak, and push us always farther to make the best products ever..
Thank you Inc. for the recognition… We hope to see you next year… and the next… and next!
Complete results of the Inc. 5000, including company profiles and an interactive database that can be sorted by industry, region, and other criteria, can be found on http://www.inc.com/5000.
Established in 2000, Smart and Simple insurance development (SASid) develops, administrates, and markets insurance products with proprietary paperless technologies. SASid distributes health, dental, and life insurance products through partnerships with national/regional associations and professional insurance agents. For more information, visit http://www.sasid.com
About Inc. Magazine
Founded in 1979 and acquired in 2005 by Mansueto Ventures LLC, Inc. (http://www.inc.com) is the only major business magazine dedicated exclusively to owners and managers of growing private companies that delivers real solutions for today’s innovative company builders. With a total paid circulation of 712,647, Inc. provides hands-on tools and market-tested strategies for managing people, finances, sales, marketing, and technology. Visit us online at http://www.inc.com.