No exemptions. No co-payments. No out-of-pocket expenses. No prescription drug costs. All health insurance benefits.
That’s the idea behind a new health insurance option that healthcare company Curative recently launched.
The plan is for employers with 51 or more workers living or working in Turkey.
Healing built-in operations
Curative’s CEO said healthcare is “not built for innovation.”
The curative health insurance plan is based on the idea that people can save money if they enter preventative care early, and health insurance companies can, too. It is also based on the idea that providers can simplify the process without having to take downloadable or co-pay.
When insurance companies increase co-payments and deductions, people delay care, Turner said. “There’s a short-term drop in costs because people stop getting care, but they don’t stop getting care. They stop doing preventive things – mammograms, colonoscopies. Healthcare costs are rising again with everything they’ve put off…. They ended up in the ER and didn’t need to be there. “
Turner compares Curative’s health plan to Netflix. You pay one price each month and you have access to everything. In insurance, this monthly cost is that the employer pays part of it and the employee pays the rest of the monthly premium. For a single person, he estimates most of the monthly premiums for a single person will be among the following.
Insurance industry experts
To take advantage of non-stop, out-of-pocket and co-pay benefits, individuals must make an annual primary health care visit with Curative within 120 days of the start of the plan. After this period, if they have not made this base visit, then a
“Design is a great financial incentive for preventive health,” Turner said. Said.
The baseline visit establishes that the person has their primary care physician and receives preventive care on a regular basis. If they are not present or have been absent for a while, they will be bled during the initial visit and connected to their primary care physician.
Even if they have recently seen a doctor, Curative will offer members some advanced diagnostics and a whole genome sequencing test that looks deeper into issues like cardiac risks to help a member and their doctor make more tailored healthcare decisions.
This test could help determine which drugs would work better for that person, what their genetic risks might be, and what inherited traits they might pass on to future children, Turner said. Genome sequencing is not required, but will be free for the patient and available for future use when making medical decisions.
“It’s all part of the long-term investment in the patient,” Turner said.
Currently, Curative has a maintenance network that includes:
If a member wishes to see a doctor outside the network, they will, like any other PPO, make co-payments and make a deduction for that office visit. However, if they can prove that there is no in-network option, or if the referring physician can claim that another doctor is medically unsuitable for that patient, that specialist will be covered as in-network.
The same is true for drugs. Curative has its own pharmacy that delivers to your home as well as uses.
If a person requests emergency care rather than an in-network hospital, they are still welcomed in-network. If they still have surgery scheduled, they must prove that it is medically necessary to be in that hospital rather than an in-network hospital to make the payment.
Curative is currently negotiating with more healthcare providers and systems to reach agreements to expand its in-network staff.
During this base visit, the health navigator the member meets will also review everything in the Healing plan as well as how to take advantage of everything not covered and link them to the services they may need.
The healer is also
Curative invested the first three years of expected costs for the wellness program. Turner said he used his own finances to do so. It has added 70 positions to launch its health insurance program and expects to add more as it grows.
Turner said Curative expects to make a profit from its health insurance in two to three years.