Stop Loss Insurance

When unexpected claims get too costly, Stop Loss Insurance is
there to provide financial relief.

What is Stop Loss Insurance?

Stop Loss Insurance helps to provide protection for your company against
catastrophic or unpredictable expenses. If your company’s insurance claims
exceed a certain threshold, Stop Loss Insurance can help you in your time of need.

From 2016-2020 the rate of high claims incidents and the severity has risen.
Highmark can connect you to an innovative Stop Loss insurance company for an integrated* experience with Stop Loss coverage that is easy to anage and helps reduce your overall costs.

Simplicity.

• Save time through streamlined claims processing.
  
• Gain easy access to valuable claims data and case notes with seamless nurse collaboration.
• Avoid jumping through hoops with a simplified disclosure process.
• Prevent delayed reimbursements from missing data or lags in reporting that can occur without integration.
• Reduce concern around errors from siloed medical policy, data configuration, and claims processing.
• Avoid being caught in the middle of timing and eligibility disputes.

Security.

• Reduced risk. You won’t be on the hook for all risk in the event of a large, expensive claims or numerous claims.
• The integrated experience ensures requirements for covered services are aligned with networks and benefit designs — keeping claims eligible for reimbursement.

Savings.

• Streamlined claims process resolution improves cash flow.
  
• Speed-to-reimbursement as well as technical and financial accuracy that far exceeds industry averages creates a best-in-class experience.
• Bill credit option eliminates the need to fund claims above the Stop Loss-specific deductible.
• Stop Loss coverage includes pharmacy claims, increasing the chance of hitting your payment threshold and maximizing your opportunity for cost savings.
• No reporting and file feed fees.

^{* These services and solutions are offered by separate companies and are not Blue products/ services. These separate companies are solely responsible for the products/services they provide.}