Self Funded Health Benefit Administration

Self Fund with PAI: Experience the Distinction

With more than 40 years in the industry, we continue to refine and expand our distinct product offerings and services to remain ahead of the competition. Our comprehensive vendor relationships offer customers the opportunities to meet their goals and exceed performance expectations. Contact us for more information. 

Advantages

  • Strong network savings, including South Carolina's preferred provider network
  • Plan design flexibility
  • Integrated solutions offering seamless experiences
  • Comprehensive vendor partnerships to target needs
  • Best-in-class administration to enhance plan manageability

 

  • Funds retention through lower than expected claims
  • Stewardship of plan funds through a focus on total cost of care
  • Extensive analytics and data interpretation support to drive strategies and improve performance
  • Service excellence

Effective Administration 

Implementing and monitoring programs that address clients' needs and serve employees where they are is paramount. With no oversight, opportunities to control costs and enhance members’ lives are being missed. Our in-depth analytics capabilities can help you determine the best way to invest your resources to get the benefit plan that exceeds expectations.

Pharmacy Benefit Management

Our goal is to provide members with medications they need, while keeping costs down. Partner with us and the best-in-class pharmacy benefit manager in the nation for improved care and cost efficiency.

Health Coaching & Wellness Programs

A range of affordable solutions targeting areas of high cost. Health coaches engage directly with members, working one-on-one, to improve behaviors and outcomes to drive lower health care costs.

PAI Analytics & Reporting

Comprehensive plan level reporting to navigate, benchmark, and manage plan performance, resulting in cost savings and better opportunities to invest resources towards benefit plan design solutions.

Proactive Total Care

Proactive MD and PAI bring a new approach to Direct Primary Care Health Plan

Tools and Resources

With our tools and resources, members have access to great services, the information to manage their benefits, and a road map to better health.

Preferred Provider Network

Strong savings through network relationships, including South Carolina's preferred provider network.

HSA/FSA/HRA Accounts

Personal spending account options allow members to easily pay for qualified medical expenses.

Health Coaching

Confidential customizable engagement programs can guide members through healthy behavior changes.

Mobile Reminders

On-the-go mobile messaging offers health and wellness reminders, cost-saving tips, and more.

Telehealth

Round-the-clock access to affordable, convenient, and quality care.

Added-Value Discount Programs

Take advantage of offerings that go beyond traditional health plan benefits with discounts on health and wellness products and services.
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Level Funded Health Plans

Direct Primary Care Level Funded Health Plan

Patients gain a real relationship with their physician, with full access for as much as 90% of all medical needs. A trusted personal primary care physician knows the patient and guides them through the complicated and expensive healthcare system.

Reference Based Pricing Level Funded Health Plan

Instead of a traditional PPO Network, your benefit plan utilizes Reference-Based-Pricing (RBP) for all healthcare services that are performed in a medical facility, such as a hospital or outpatient surgical center, as well as for physician visits.

MedWatch Concierge

Learn more about how MedWatch paves the way to accessible healthcare and better savings.

Level Funded Quote Forms

Access the forms needed to obtain a level funded health plan quote.

Proactve Total Care

Proactive MD and PAI-provided approach to a direct primary care health plan.

This product is not available in the state of South Carolina.