About
Alliance Med SupplementWhat is Alliance Med Supplement?
Alliance Med Supplement is a customizable supplemental medical expense plan that complements a group comprehensive major medical plan. Alliance Med Supplement is not a replacement for your primary coverage, but rather a supplement to your primary carrier’s health plan. Simply put, Alliance Med Supplement pays the member’s portion of an eligible medical claim (i.e., copays, deductibles, and coinsurance) up to annual maximum benefit. Benefits are paid directly to the healthcare providers upon submission of the patient’s Itemized Bill or HCFA and the Primary Carrier’s EOB.
By reducing the claims risk to the primary insurer, employers experience immediate savings and greater premium stability going forward. By providing an additional layer of protection for your employees, Alliance Med Supplement also reduces the employee’s out-of-pocket expenses. This combination makes Alliance Med Supplement one of the few employee benefits that can be mutually beneficial to all parties.
Claims Process
One of the advantages of Alliance Med Supplement is that healthcare providers are able to file all of the claims for patients via an electronic payer code that is clearly labeled on the member’s secondary insurance card (note providers can also file US mail). Here is how the claims process works:
Administrative Concepts Inc. (ACI) is a nationally licensed, full service, third party administrator providing enrollment, fulfillment, and claims processing for various insurance lines in the medical claims industry. ACI has been providing quality administrative services and support to our clients by delivering superior service and innovative solutions for over 20 years. At ACI we strive to put our clients at the forefront of every decision and action we make.
Frequently Asked Questions
What is Alliance Med Supplement?
Alliance Med Supplement is a supplemental medical expense plan that pays the member’s cost sharing portion of a qualified medical service (i.e., copays, deductibles, and coinsurance).
Who files and pays the claims?
The medical providers file all of the claims. Members simply have an additional ID card that allows providers to file claims electronically on their behalf and be paid directly by the insurance company. The insured also has the option to file a claim themselves.
Is Alliance Med Supplement intended to replace my current health plan or provider?
No. It is NOT intended to replace your current provider or health plan, but rather it works in conjunction with any plan or provider in the marketplace.
Is Alliance Med Supplement a HSA, FSA, or HRA plan?
No.
How is Alliance Med Supplement affected by the PPACA (Obamacare)?
In short, it is not subject to PPACA oversight because it is not a major medical plan.
Will Alliance Med Supplement increase the cost of our health insurance?
No. Even with the additional Alliance Med Supplement premium, your overall health premiums may go down.
Are preexisting conditions excluded?
No.
Who administers Alliance Med Supplement?
Alliance Med Supplement is administered by Administrative Concepts Inc. (ACI)
What is needed for an initial analysis?
(1) Current Summary of Plan Description;
(2) Current rates;
(3) Census of employees on your plan;
(4) Amount of HSA, HRA, or FSA employer contributions (if any);
(5) A meeting with one of our Benefits Consultants.