Site of Service Expansion Means Groups and Members Save
Next year, Premera is expanding its value-based benefit design for elective surgeries and low-risk pregnancies. The site-of-service benefit reduces member cost shares for high-value care at selected locations like ambulatory surgical centers (ASCs) and freestanding birth centers for low-risk pregnancies.
Pillars to our value-based benefit design
Delivering value goes beyond just lowering costs. Our benefit design aims to:
- Improve member satisfaction
- Provide cost-effective care without sacrificing quality
- Reduce administrative burden
- Lower total cost of care for members and employers
Why ASCs
ASCs are held to rigorous safety and quality standards and perform several common procedures like total joint replacement, biopsies, colonoscopies, and more. With a specialist focus, members often experience better outcomes along with lower costs.
Why freestanding birth centers
Freestanding birth centers apply a midwifery model of care during pregnancy, labor and delivery, and postpartum care. These birthing centers have increased in popularity and have improved access to care for low-risk pregnancies. This model of care has consistently shown that women and babies have better outcomes, including lower rates of preterm- and low-weight births, and higher breastfeeding rates.
The right care at the right place
An ASC or birthing center may not always be a good fit all members. For any medical procedure, members should consult with their provider about the best place to receive their care.
Download the site-of-service flyer and talk to your Premera account representative to learn more.
Availability by funding type:
- Fully insured – Included with the health plan for 51+ groups.
- OptiFlex – Included with Preferred Choice plans. Opt in for flexible plans
- Self-funded – Opt in for flexible plans for 100+ groups.