About
Alliance HealthConnectWhat is Alliance HealthConnect?
Alliance HealthConnect is a product bundle that combines Walmart Health Virtual Care and TransConnect, a customizable supplemental medical expense insurance that complements a group comprehensive major medical plan. Alliance HealthConnect is not a replacement for your primary coverage, but rather a supplement to your primary carrier’s health plan. Simply put, Alliance HealthConnect 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 HealthConnect also reduces the employee’s risk to out-of-pocket expenses. This combination makes Alliance HealthConnect one of the few employee benefits that can be mutually beneficial to all parties.
Claims Process
One of the advantages of Alliance HealthConnect 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:
We bring creative solutions to health systems, self-funded employers, and insurance carriers and specialize in customized health care benefits administration. We thrive on finding solutions that fit our client’s unique business requirements, demographics, and strategies. While these would be “one-off” requirements for traditional carriers, they are what makes our customers the trailblazers. We work in out-of-the-box ways to meet our customer’s needs.
Frequently Asked Questions
What is Alliance HealthConnect?
Alliance HealthConnect is a product bundle that combines Walmart Health Virtual Care and TransConnect, a supplemental medical expense insurance 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 HealthConnect 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 HealthConnect a HSA, FSA, or HRA plan?
No.
How is Alliance HealthConnect affected by the PPACA (Obamacare)?
In short, it is not subject to PPACA oversight because it is not a major medical plan.
Will Alliance HealthConnect increase the cost of our health insurance?
No. Even with the additional Alliance HealthConnect premium, your overall health premiums may go down.
Are preexisting conditions excluded?
Who underwrites and administers TransConnect?
TransConnect is administered by WebTPA and is underwritten by Transamerica Life Insurance Company (A.M. Best Rating Report).
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.
