Small Business Benefits

Referenced-Based Pricing Video

Reference-Based Pricing Options

Our affordable self-funded, reference-based pricing plan designs:
  • offer freedom of provider choice1 for most services
  • include a streamlined process for resolving balance bills
  • feature Trusted Member Care specialists who deliver a high level of personalized support to help members make the most of their benefits
  • control plan costs
For most covered healthcare services1, providers are reimbursed a Reasonable Fee, calculated as a multiple of the Medicare reimbursement rate.