There is no deductible. There are no co-payments. There are no out-of-pocket costs. There is no money to buy medicine. All health insurance benefits.
This is the concept of the new health insurance system that the health care company Curative has launched
This plan is for employers with 51 or more employees living or working
Health care is “not built for innovation,” said the Curative CEO
The Curative insurance plan is based on the idea that if people participate in preventive care early, they can save money, as well as their health insurance company. It’s also based on the idea that service providers can simplify the process by not collecting deductibles or co-pays.
When insurance companies increase premiums and deductibles, people drop out of care, Turner said. “There’s a short-term decrease in income because people stop getting treatment, but they don’t stop getting treatment. They stop doing preventive things – mammograms, colonoscopies. Health care costs also go up with everything they stop doing….they end up in the ER, and they don’t need to be there.”
Turner compares Curative’s health plan to Netflix. You pay one price every month and you get everything. In insurance, the monthly premium is where the employer pays a portion and the employee pays the remainder of the monthly premium. It estimates that for one person, the maximum monthly income of one person is in the middle
Insurance professionals in
To receive cashless, out-of-pocket and co-pay benefits, people must have an annual medical visit with Curative within 120 days of the plan’s start date. After that time, if he hadn’t done the initial tour, he would have had a
“The design is one way to raise funds for prevention,” Turner said.
An initial visit ensures that the person has a primary care physician and has been receiving regular preventive care. If they don’t or haven’t for a while, at the initial visit, blood work is taken and contacted by the general practitioner.
Even if they see a doctor soon, Curative will provide advance screenings to its members that look deeper into things like cardiovascular risk and genome testing respectively to help the member and their doctor make informed health decisions.
Those tests, Turner said, can help determine which drugs will work best for the person, as well as the risks and traits they may pass on to future children. It is not necessary to sequence the genome, but it can be free for the patient and can be used in the future to make medical decisions.
“It’s all part of the long-term costs for the patient,” Turner said.
Currently Curative has a network of care including
If a member wants to see an out-of-network doctor, they pay a co-pay and have the same office co-pays as any other PPO. However, if they can prove that there is no online option or if the referring doctor can say that another doctor is not a good fit for the patient, the specialist may be listed as online.
The same is true of medicine. Curative has its products delivered to your home and work
If a person does not seek emergency care at a non-in-network hospital, it would still be provided as in-network. If they have surgery planned, they must prove that it is necessary for them to be in a hospital instead of an in-network hospital for payment.
Curative is currently negotiating with many health care providers and practices to reach agreements to expand its online inventory.
During this first visit, the health care provider that the member meets with will also discuss how to use both the Curative plan and what is not covered and connect them to the resources they may need.
Curative is reopening
Curative has invested in the first three expected years of the medical program. It has used its own funds to do so, Turner said. It has added 70 positions to support the health insurance program and expects to add more as it grows.
Curative expects to turn a profit on its health insurance policy in two to three years, Turner said.
Editor’s note: This article appeared on Wednesday