FOR BROKERS

Offer your clients an innovative administrative service model that helps self-funded employers take back control of healthcare costs.

Be a healthcare cost hero.

Community Health Options is a local nonprofit health plan trusted by thousands of Mainers. We approach healthcare benefits by putting the employer and Member first—always looking for ways to help them find better value.

Our best-in-class expertise and support means clients are always in the loop, with unparalleled access to information, tools, and most of all, direct access to people who can quickly answer questions and solve problems. You’ll get fewer phone calls asking for explanations. Simply put— time and money matter. You’ll enjoy working with us and your clients will be happy that you sent us their way— and will always find we have their backs. 

With PioneerASO, your clients will get:

A new level of access and data transparency to help lower costs

  • Easy access to your claims and pharmacy data
  • Meaningful insights to lower costs
  • Proactive reviews to improve outcomes
  • Access to local account management and senior management to support you

A smarter way to manage pharmacy costs

  • 100% pass-through of prescription costs and rebates
  • In-house pharmacists support the development of a cost-effective drug formulary in partnership with our PBM
  • Monthly pharmacy data reports with meaningful insights
  • Member pharmacy portal and mobile app

Accurate claims management you’ll never worry about

  • Sophisticated adjudication
  • In-house Medical Management review for complex claims
  • Detailed high-cost claims review process
  • Pre- and post-pay audit program

Local support making life easier for you and for your clients

  • Simple easy to use paperless electronic quoting and on-boarding system
  • Maine-based support teams that know the landscape
  • Local claims management readily accessible for follow up
  • Easy-to-use self-service Member and Group Administrator portals

Some call it innovation. Others call it common sense.
We call it working together.

 

Some call it innovation. Others call it common sense.
We call it working together.

 

86% of Brokers
rated us a score of 8 or higher (out of 10) for recommending our company to their colleagues

Oct. 2019, Broker Satisfaction Survey

86% of Brokers
rated us a score of 8 or higher (out of 10) for recommending our company to their colleagues

Oct. 2019, Broker Satisfaction Survey

93%
Employer Group Retention

2019 to 2020 Group Retention Rate

93%
Employer Group Retention

2019 to 2020 Group Retention Rate

Help your clients take back control of their healthcare costs.

We want to work with you and your client. Reach out today. If you're not sure your client is ready for self-funding ask about the PioneerASO Step-up Plan.

Get started

or call (207) 402-3353