Title: National Health Options - Medical Insurance Plans, Healthcare Assistance & Hospitalization Programs
1National Health Options is a comprehensive,
low-cost medical assistance program including all
medical providers. Offers membership based
pharmacy, dental, medical and hospitalization
programs starting as low as 7 per month for
individuals and families.
2What is National Health Options
- National Health Options provides our nations
uninsured and underinsured individuals with
unprecedented access to both insured and
non-insured healthcare programs. -
- Highlights
- Comprehensive portfolio of medical services and
Guaranteed Issue, A Rated, Immediate Coverage
limited liability medical plan for individuals,
groups and associations. - Telephonic and Web based sales, enrollment and
service differentiation - Eight current product options designed to fit any
need or budget. - Post sale consumer advocacy to assist with
all healthcare matters. - Private labeled capabilities and customized
options according to your needs - Substantial commission share
3Business Background
- Developed and backed by The Lungen Group
- The Lungen Group leverages market expertise and
analysis, thought leadership and industry
perspective and to create innovative and
strategic solutions that drive revenue growth. - Employs expertise with deep healthcare payer
knowledge to cost-effectively drive profitable
revenue on behalf of service providers - Support business development initiatives with
operational project management based on actual
experience working in the payer, provider and
service sectors - A focus on specialization ensures that every
relationship fostered is efficiently and
cost-effectively implemented with all party's
expectations optimally satisfied - The Lungen Group assembled partners and solutions
to create what is the unique promise of value
that is National Health Options
446 Million Uninsured Americans
Sources WLP estimates Dubay, Holahan, Cook,
The Uninsured And The Affordability Of Health
Insurance Coverage, Health Affairs, 11/2006
U.S. Census Bureu, 2009.
5NHOs Mission
- To assemble the nations best affordable
healthcare assistance program with options that
help eliminate the widening disparity in access
to quality dental and medical care - To ensure that these options address the daily
challenges faced by the individuals and families
we serve and offer information and support in a
clear, fair and equitable manner - To include options which emphasize preventative
healthcare and improved quality of life - To treat our members with dignity, empathy and
respect while supporting efforts to better their
access to quality healthcare
6Solutions
- Limited Liability Plans
- cost effective
- A rated
- Guarantee issue/immediate coverage
- viable solution
- Wrap-around Value Services
- Debit Card
- Pharmacy Card
- Wellness Platform
- Telephonic Physician Access
- Delivery managed by NHO
- No administrative or start-up headaches
- Structured for direct contact with the employee
- Substantial incremental revenue
- Commissions can be earned by your organization
- Fully accredited methodology
7Available Products
8Consumer Experience
- Seamless - web based or telephonic service
- Simple
- Bilingual
Print Cards for immediate use
Bilingual Support
New Customer Inquiry
Web
Product/ Service Selection
Phone
New member packet mailed
9Consumer Experience
- One phone number
- Post sale advocacy to assist with all healthcare
issues
I need to find a doctor.
Can you find me a Spanish speaking doctor?
Where can I get my lab work done?
One Phone Number NHO Healthcare Advocate
My doctor prescribed antibiotics. How much will
I pay?
I thought my surgery was discounted. Can you
help me ?
I want to add a family member to my plan.
How do I file a claim after an accident?
How much will my dental visit cost?
10Operations
- One number call center for sales and service
- Bilingual healthcare advocates
- Payment triggers fulfillment process custom kit
built each time based on purchase elections - Enrollment files create eligibility that is
routed to discount and insured product partners - Payments and claim processing routes payment to
partners based on member elections
11Compass
Group increases revenue, adds cost free coverage
and increases employee satisfaction
Package within Value Proposition
Consumer
Purchase
Monthly auto payment
Service Inquiry
Insured product claim
Print materials online
NHO
Central call center for all service and sales
inquiries
Enrollment kit fulfillment
Monthly fee disbursement
Insured product claim routing
Add to eligibility file
Compass
Receive eligibility notification
Receive monthly fee where appropriate
Insured product claim processing and payment
12Fulfillment and Billing Resources
- Fulfillment
- State-of-the-art, in-house fulfillment services
- Ability to produce 50,000 fulfillment pieces per
eight hour shift - Design, production and mailing services
- Enrollment brochures and booklets
- Enrollment notifications and welcome letters
- Membership booklets and ID cards
- Multiple branding options
- Private label
- Co-branded
- Detailed reporting and tracking capabilities
- Billing
- Group Billing
- Individual Billing
- Check
- ACH
- Credit Card
- eCheck
- Commission payments
- Order processing and payment processing
- Member reporting
- PCI compliant
13Revenue Opportunity
- Revenue share vehicles designed to drive revenue
back to you, where applicable - Discount medical programs do not require agency
status for revenue share - Partners with in house agencies can receive
commission premium on medical products
14Next Steps
- Designate implementation team
- Identify initial group for trial/beta
- LOI
- Revenue share options discussion
- What is the balance of the to dos?
15Contact
National Health Options Suite 340 100 South
Bedford Road Mt. Kisco, NY 10549 www.nationalhealt
hoptions.com Office (914) 304 - 8127 Fax (914)
304 8137 Richard Lungen President richardl_at_nati
onalhealthoptions.com Charlie Falcone Chief
Operating Officer charlief_at_nationalhealthoptions.c
om