Welcome to the DirectCARE Health Alliance
DirectCARE allows both individuals and employer sponsored health plans to purchase health care services directly from providers. We cut out the middle-man and save the employers 20% to 60% off their health care spend.
We communicate directly to the health providers with fair and reasonable pricing and direct contracts. You get your choice of a Major Medial health plan with the medical and pharmacy coverage you expect and optional alternatives or gap plans like Indemnity, First Dollar, MEC Compliant (Minimum Essential Coverage), Stand-Alone RX and Direct Primary Care (DPC)
DirectCARE is dedicated to helping members navigate their health care experience. Health plan enrollees never have to question their coverage.
Technology and telephone access to a Care Concierge to answer any questions and provide support including:
Finding a Provider
Confirm network status of providers and coordinate scheduling and transportation
On-Demand Provider Network
See one of 900,000+ contracted providers OR... let us create an on-demand contract for the personal care you seek
Quality Physician Referrals
Receive primary care and specialist recommendations based on patients needs. Confirm availability, appointments and acceptance of payment
Support Direct Contract Options
Maximize the utilization of the high quality, high value providers
Verify Benefits and Coverage
Explains and resolves billing issues, denials and balance bills
Out-of-Pocket Assistance Program
Receive member discounts and payment plans for Out of Pocket expenses
Incentive Management & Proactive Population Health
Incentive Management Program:
Continually engage members promotes clinical, emotional, and financial wellness
Saves money and increases member satisfaction by supporting Center of Value utilization
Reduces employer’s medical spending by + 6% - 12%;
Employees save 40% on Out of Pocket & 15%-80% per Episode of Care
The only program that supports network optimization, direct contracts and variable incentives
Proactive Population Health Management
Identifies avoidable spending ER, Branded Rx, High Cost Providers
Improves Rx Compliance and Reduces Population Health Risk
Monitors Screening compliance and identifies gaps in care
Offers a proactive outreach program
Get Paid to Save!
CareBond Advanced Funding with AblePay Health
Discounts & Pay Over Time on all Out of Pocket & Deductibles
Let Your employees consolidate all healthcare bills into one convenient payment platform, ensuring payment compliance and discounts. Choose to pay off over 1, 3, 6, or 12 months. Communicate with Care Advocates to ensure proper billing, answer any questions and coordinate care. Text HELP to negotiate unexpected costs or to find a preferred provider
3 Year Rate Guarantee on Health Care Costs
The Advanced Funding Model, which is AAA rated (the highest rating), is a turnkey solution joining actuarial sciences, health care benefits specialization, corporate, legal, accounting and asset management into an ERISA compliant grantor trust structure to remove the healthcare benefits expense from the plan sponsor’s balance sheet. The plan sponsor simply executes a contribution agreement consisting of the Employer and Employee monthly contribution amounts. CareBond provides all the proprietary documentation, the validated funding amounts, and identifies the financial institution to provide the funding elements.
We Pay Now, You Pay Later ... For Less!