National Health Options - Medical Insurance Plans, Healthcare Assistance & Hospitalization Programs

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National Health Options - Medical Insurance Plans, Healthcare Assistance & Hospitalization Programs

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National 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, including access to a free co-pay pharmacy card. Healthcare assistance program designed to offer a comprehensive, retail solution offering multiple options for accessing high quality, affordable healthcare products and services for individuals and families. Visit us at : – PowerPoint PPT presentation

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Title: National Health Options - Medical Insurance Plans, Healthcare Assistance & Hospitalization Programs


1
National 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.
2
What 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

3
Business 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

4
46 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.
5
NHOs 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

6
Solutions
  • 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

7
Available Products
8
Consumer 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
9
Consumer 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?
10
Operations
  • 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

11
Compass
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
12
Fulfillment 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

13
Revenue 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

14
Next Steps
  • Designate implementation team
  • Identify initial group for trial/beta
  • LOI
  • Revenue share options discussion
  • What is the balance of the to dos?

15
Contact
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
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