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Method and system for healthcare plan selection and administration

机译:用于医疗计划选择和管理的方法和系统

摘要

A method and system for administering healthcare benefits to members of an organization includes issuing voucher codes to the organization for distribution to eligible members of the organization. Members select a healthcare plan from a pool of plans offered by different healthcare insurance providers and enroll by redeeming a voucher code. The organization is billed only for the amount of premiums activated by redeemed voucher codes. Each enrolled member receives a membership card evidencing membership in the selected plan, which may further function as a discount prescription card. In one embodiment, a group of available healthcare plans is displayed to eligible members organized in a chart format. The displayed plans are selected according to availability of each healthcare plan within a given distance of a geographic identifier provided by the organization member and ordered based on a savings score relating to costs of providing a predetermined group of healthcare procedures.
机译:用于向组织的成员管理医疗保健福利的方法和系统包括向组织发行凭单代码以分发给组织的合格成员。会员从不同的医疗保险提供商提供的计划中选择一个医疗计划,然后通过兑换优惠券代码进行注册。该组织仅针对由兑换的凭单代码激活的保费金额计费。每个已注册成员都将收到一个成员卡,该成员卡显示所选计划中的成员身份,该成员卡还可充当折扣处方卡。在一个实施例中,将一组可用的医疗保健计划显示给以图表格式组织的合格成员。根据每个医疗保健计划的可用性,在由组织成员提供的地理标识符的给定距离内选择显示的计划,并根据与提供一组预定医疗保健程序的成本有关的节省分数对它们进行排序。

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