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Memberly is an employee benefits partner supporting employers throughout the US with a virtual care program comprised of urgent care and primary care, mental health, and specialized care.
At the core of Memberly is a 24/7 primary care doctor overseeing and directing care for employees via text, audio, or video. Doctors can remotely diagnose, treat, and write prescriptions for a wide range of conditions, avoiding the cost and delays of an in-person primary care visit.
Branded programs managed nationally
When image, uniformity, and engagement are important, Memberly is the partner of choice.
Having independently owned locations and territories makes it difficult, if not impossible, to harness buying power and deliver consistent support in the area of employee benefits. From one location to thousands, Memberly develops, implements, and manages branded benefits programs that enable franchise chains to offer a consistent experience for all team members. By offering affordable, branded benefits, franchises can better hire and retain their employees, supporting individual franchises and the health and growth of the franchise network.
“My doctor responds within 60 seconds.”
Managing a uniform benefits program across a national franchise network of 600+ locations can be challenging. In this case, the franchisor took the initiative to launch a telemedicine program, offering employees of independent franchise locations the opportunity to access care remotely. However, the program faced complexity in managing eligibility and subscription fees, putting its success in jeopardy.
Memberly stepped in to manage the program, identifying the optimal telemedicine provider, negotiating a favorable group rate, and seamlessly transitioning the franchisees and their employees to the new provider.
In 2022, an aerospace parts manufacturer in the New England area was grappling with another 15% increase in healthcare premiums. The escalating costs of the health plan raised concerns about its sustainability and the company’s ability to remain viable.
Memberly conducted a thorough analysis of the current plan and proposed a level-funded plan that promised immediate cost reduction along with the potential to recoup up to 40% of the annual premium. In the first year alone, the client received a surplus check amounting to $55,000. Subsequent years have yielded similar outcomes, with the client poised to receive another refund.
“I never imagined that I could receive a refund of $55,000 from our health plan. Now, I’m thrilled to be poised for another refund.”
Thanks, Memberly!
“My doctor responds within 60 seconds.”
Managing a uniform benefits program across a national franchise network of 600+ locations can be challenging. In this case, the franchisor took the initiative to launch a telemedicine program, offering employees of independent franchise locations the opportunity to access care remotely. However, the program faced complexity in managing eligibility and subscription fees, putting its success in jeopardy.
Memberly stepped in to manage the program, identifying the optimal telemedicine provider, negotiating a favorable group rate, and seamlessly transitioning the franchisees and their employees to the new provider.
“I used $5,000 trade dollars to pay for my son’s oral surgery.”
A labor union in New York expressed concern about the financial performance and administration of its health plan. With over $5 million in premiums and claims funding at stake, they sought clarity on every dollar’s allocation and purpose.
Memberly conducted a thorough analysis of the plan, identifying areas of improvement in claims funding, stop-loss policies, and administration. Our goal was to stabilize the plan and ensure its long-term sustainability.
We’ll breakdown level funded health plan design eliminating myths and uncertainty. Here’s a head start…
Stop-loss insurance protects against higher than expected aggregate and specific claims.
A portion of the monthly premium is set aside with a TPA to pay claims.
A Third Party Administrator (TPA) manages the plan and pays claims.
Unused claims funds are refunded to the employer when the plan year is settled.
A Medical network such as Cigna, Aetna, Anthem, or PHCS is contracted.
A Pharmacy Benefits Manager (PBM) is contracted to manage prescription.
A telemedicine provider is contracted to provide access to care by text, phone, or video.
If Reference Based Pricing (RBP) is used, the plan will contract with an RBP vendor.
We’ll delve into the specifics of your plan, reviewing invoices, renewal patterns, claims experience, potential refunds, and strategies for cost containment.
5 Pegs Lane
Cold Spring Harbor, NY 11724
