#1 Health Plan Movement for Wisconsin Employers
The Self Insure Wisconsin movement has unmatched value adds, transparency, and tools to help your company and employees save time, money, and taxes! Here is what you get choosing Self Insure Wisconsin movement plans:
Transparent Partners
All vendors used in the Self Insure Wisconsin movement must abide by the HealthRosetta Bill of Rights, which upholds transparency and accountability. Which is a group of 200+ benefit agencies across the country and hundreds of vendors building better health plans. We believe in transparent fees, contracts, and commissions, plus removing incentives that drive health costs up and worse outcomes for clients.
Tier 1 Direct Contracts
Employees will have an incentive to work with InterceptCare Nurse Advocates to use Tier 1 Direct Contracts because the employee and company will save money!
- Direct Primary Care & Urgent Care
- Lab work
- DOT and Sports Physicals
- Cardiology & Oncology Specialists
- J-Code Drug Infusion Therapy
- Mental Health
- Colonoscopies
- Specialty Medications
- Bundled Surgery Centers
- Physical/Occupational Therapy
- Outpatient/Inpatient Orthopedic
- Imaging/Diagnostics (MRI, X-Rays, CTs, Ultrasounds)
Direct Primary Care (DPC)
Direct Primary Care (DPC) is a critical piece to Self Insure Wisconsin’s health plan movement and the ability for the plan, employers, and employees to keep costs down.
Self Insure Wisconsin partners your company and employees with a Direct Primary Care (DPC) provider that knows the Tier 1 Direct Contracts in place and can cut retail expenses. When you use the DPC there are NO claims that get billed to the employee, employer, or the plan. Because the DPC monthly fee is included in the premium.
Benefits of using a DPC versus a hospital doctor:
$0 cost to the employee if use the DPCHelp employees use Tier 1 Direct ContractsNo billing, CPT codes, or EOBs neededIn-house or At-Work servicesFaster access and more convenient Patients get more time with the provider 
InterceptCare Nurse Advocates can see all the claims/prior authorizations and intercept high-cost medical and prescription claims in real-time to help employees and the plan pay less!
Example of InterceptCare advocates doing an “intercept” in real-time when employee needs to get a MRI :
InterceptCare helps save the employee and employer money!
Pharmacy Solutions
Self Insure Wisconsin has amazing transparent Pharmacy Benefit Managers (PBMs) built into the health plan movement for members.
Pharmacy Benefit Managers have over 58 different ways they can charge employees and employers on prescriptions including spread on fills, clawbacks to pharmacies, rebates, mark-ups, and limiting where you can fill your medications. Self Insure Wisconsin PBM’s don’t do that.
Self Insure Wisconsin also allows SOURCING of medications from manufacturers and internationally to try to get expensive specialty medications potentially for FREE to employees! Mail order services and even Mark Cuban’s CostPlus Drugs are in network which helps drive down costs buying at wholesale.
Self Insure Wisconsin is not a health insurance plan. Instead it’s the name of the movement towards self-insured plans and all the recommended value adds when going that direction. Companies going to self-insured plans must thoroughly review all contracts including stop loss contracts, TPA Administrative Services Agreement (ASA), and other vendor contracts. Companies must work their TPA compliance requirements and required notices including Transparency in Coverage and other reporting requirements. This is not a guarantee of coverage.
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