Health insurance with no co-pay or deductible?

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 Central Texas this month.

This plan is for employers with 51 or more employees living or working Travis or Williamson sections. Curative, which made its name building platforms for testing COVID-19, hopes to expand in a year to more regions Central Texas then in a few years Texas before it expanded to the whole country.

Exercise in Angels, Austin and Washington, DC, providing testing and vaccinations in more than 40 states during the COVID-19 pandemic. It was looking at what would happen to health care after the pandemic. It noted that many health care systems were not set up to avoid collecting money to pay for free testing or free vaccinations that were part of the epidemic.

Health care is “not built for innovation,” said the Curative CEO Fred Turner. “What’s next? What do we want to build in the next ten years?”

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 $400 to $800, which Turners said is comparable to other PPOs. Premiums are based on the amount of insurance previously requested and the risks each employer group has. Family wages will vary greatly, Turner said, because some employer groups may have more employees with more children and others may have fewer.

Insurance professionals in Texas and Nationwide declined to comment on the specifics, but viewed Curative’s approach as unusual within the industry.

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 $5,000 deductible for a person or $10,000 to the family. Those numbers double if the trip is with an out-of-network provider. Children are exempt from paying as long as one parent attends.

“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 St. David’s HealthCare hospitals, Austin Diagnostic Clinic and Austin Regional Clinic. Members also have 24 hours a day, seven days a week access to a local doctor via telehealth.

Austin Regional Clinic is excited to partner with Curative and its new health insurance strategy,” said Dr. Anas DagestaniPresident and CEO of Austin Regional Clinic. “Providing access to high-quality, integrated care has always been part of ARC’s commitment to our patients and our communities, focusing on improving our patients’ health and helping them achieve their goals. The Curative Model is designed to do just that.”

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 HEB pharmacies. Instructions are divided into parts 1, 2 and 3. Part 1 is $0 co-pay. Part 2 is $50and Part 3 is $250. Each type of drug has a Tier 1 drug, but if there is a medical reason why the drug won’t work for the member, they can get a Tier 2 or 3 drug that is like Tier 1.

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. $0 online price.

Curative is currently in discussions with many health care providers and practices to reach an agreement to expand its online inventory and January 1, when many people start new health plans. It does not currently exist Austin is Level 1 acute care hospitals for adults or children if in-network yet.

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 Commons in January on 900 Congress Ave. which will have a fitness center, classes and health counseling for its members.

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.