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Home  MEBS Service Solutions
MEBS Service Solutions
Better Decisions. Better Healthcare.
Runaway healthcare inflation has made it very difficult for employers to offer quality, cost-effective medical benefits. MEBS develops strategies aimed at stabilizing healthcare expenses without compromising the quality level of benefits offered to an organization's employees. As a trusted advisor, MEBS listens to clients as they share with their employee benefits needs such as:
- Control their employee benefits program costs
- Help their Human Resources staff attract and retain employees
- Assist their benefits department staff in reducing administration time and overall claims
- Promote a healthy workforce in their organization
For all of above client needs, the summary question is: What is the quality of healthcare being delivered? Whether clients need to improve just one part of their benefits program or find a full-service program manager, MEBS improves the quality of healthcare being delivered to their employees. Clients seek out MEBS practical solutions to improve employee health, satisfaction and productivity while minimizing costs.
MEBS E3 Advantage – Engagement, Empowerment, Enhancement
The E3 Advantage is a wellness and chronic disease management program. E3 engages members and their dependents to improve their health and reduce the risk of disease. E3 empowers members with the knowledge of the early identification of disease or risk of disease. The E3 result is an enhancement of health through behavior modification and appropriate treatment of chronic disease. MEBS E3 Advantage plan results in a comprehensive strategy and implementation steps for health and wellness program success.
MEBS expertise in benefits strategy combined with employee cooperation can save money and transform employees into smarter healthcare decision-makers.
- Analysis of medical, pharmacy, disability claims and other data to identify individual cost drivers
- Identification of risk factors and conditions that are costly to an organization
- Optimization, coordination, and measuring of existing health management programs
- Identification of additional programs that will enhance the effectiveness of their health management initiatives
- Education of employees on the benefits of self-managing their healthcare and on how to integrate these practices into their everyday lives
MyMEBS Web Portal Self-Service Solutions for Members, Providers, and Employers Customized Data Presentation
- Medical, Dental, Vision, Pharmacy, FSA, HRA, Authorization, and Eligibility
- HIPAA Compliant Views
- Sortable Data and Search Criteria
- Claim Status, Medical Provider, Amount Billed, Amount Paid, Date of Service
- Protected Information for Adult Dependent and Personal History Information (PHI)
- PHI Screened from Employer Views
- Online EOBs
- Customer Service/Messaging Tool
- Supports All Languages, i.e. Spanish
- Searchable on Multiple Fields
Document, Reports and Content Management Services
- Secure Distribution of Reports for Clients
- Invoice and Billing Presentation
- Single Sign-On (SSO)
- PBM, FSA Accounts, Wellness, Reporting Tools
Integrated Partner Solutions
- Enrollment Services
- Health and Wellness
- Disease Management
- Health Consumer Decision Support Tools
- Surgical Benefit Management
- Imaging and Lab Network
- Notifications Links to Client Site, Event Triggered (claim paid, question answered, report posted)
Enrollment Services
- Open Enrollment and Life Status Eligibility Changes Implementation Planning
- Employer/Payor Enrollment Strategy
- Targeted Timelines
- Open Enrollment/Life Event
- Benefit Plan Design
- Routing and Approval Process Enrollment Application Build
- Age Dependent, Employee Status, Location
- Allows for Enrollment in All Benefits Offered by Employer
- Health, Dental, Vision, Voluntary Benefit Offerings
- Life, ADD, FSA, HSA, 401(k) Plans
- Customized Elections by Employer
- United Way/Charitable Contribution Match
- Premium and Benefit Statement Options
- Total Benefit Value and Compensation
- Human Resource Dashboard
- Eligibility Management
- Review and Process/Enrollment activity
- Employee Enrollment Applications Stored and Retrieved from Desktop
- Process, Pend and Approve Enrollment
- Reporting Package and Data Entry
- HR Enters Data Directly into Site
With value added services such as MEBS E3 Advantage for health and wellness, COBRA administration, Online Enrollment, just to name a few, MEBS is the better decision for better healthcare. MEBS Experience and Partners
As a licensed third-party administrator in Michigan and Ohio, MEBS has been providing enhanced benefits to both public and private sector groups since 1986. MEBS currently provides plan administration for over 40,000 employees. MEBS business partners include: Michigan AFL-CIO Public Employees Trust (PET), Ohio Health Care Trust (OHCT), Associated Mutual, Blue Cross® Blue Shield® of Michigan (BCBSM), CVS Caremark®, National Vision Administrators, Dentemax®, and A.D.N. Dental Network.
MEBS Liaison Service Advantages
- Representatives who take a consultative approach with clients
- Medical claims processing accuracy rate of 98%
- Financial administration accuracy rate of 99% with 82% of claims processed through auto-adjudication
- Dental/vision claims processing accuracy rates of 97% procedural, 99% financial
- Accessibility and resources to exceed member expectations
- Customer service hours 7:30 am – 5:30 pm with email service and 24-hour access at www.mebs.com
MEBS Eligibility and Value-Added Services
MEBS can assist with employee eligibility maintenance services when utilizing other vendors’ plans. This service eliminates the need for you to have to notify each and every vendor of an employee’s eligibility, as MEBS will do it for you. MEBS works with its client health plans to achieve and maintain compliance with the HIPAA Privacy and Security regulations. MEBS has available, through its HIPAA Compliance Kit, sample documents to assist health plans with HIPAA compliance, including Notice of Privacy Practices, forms for employees’ use in exercising their individual rights, and authorization forms. MEBS delivery of healthcare solutions offers other comprehensive client services with seamless implementation such as BCBSM claim adjudication savings and auto-adjudication claims processing reports.
MEBS Accountability
Clients expect that vendors will live up to their responsibilities. The process of evaluating and measuring vendor performance is complex and time-consuming. MEBS can provide an auditing system for tracking outside suppliers. COBRA Basic and Full Administration Options
Administering a COBRA program can be a full-time job. Let MEBS administer your COBRA program and allow your employees tAfocus on your core business. Penalties and sanctions for non-compliance can be severe. Trust the experts. MEBS' COBRA administration options include basic administration and full administration. MEBS basic COBRA administration provides Department of Labor initial notices outlining rights under COBRA, mailing of qualifying event notices to each qualified beneficiary, and tracking all dates required by law to comply with COBRA regulations. The basic plan also covers the handling of questions from COBRA enrollees via e-mail or toll-free number, maintaining documentation, monitoring changes in COBRA regulations, and providing HIPAA certificates for members covered by MEBS.
Summary Plan Descriptions
ERISA requires almost every employee benefit plan to have a summary plan description (SPD) and to furnish copies to each individual entitled to the benefit. The Department of Labor indicates that the SPD is the primary vehicle that informs the participants and their dependents about their benefits, as well as their rights, under the employee benefit plan. Many insurance companies only provide a benefit description, not the required summary plan description. The summary plan description is the responsibility of the sponsor of employee benefit plan. Let MEBS lend their expertise and their compliance reputation to you. Allow us to provide you with an all inclusive SPD that not only is a valuable resource to your employees, but a valuable compliance tool for you and your organization.
MEBS Consulting Services
MEBS Benefits Consulting takes great care to evaluate various platforms for the best offering of plans.
- Provide complete transparency for independent decision-making
- Group specific data to promote full understanding of their current plan
- Claims history including hospital, provider, BCBSM discounts, Rx, and areas that drive claims
- Funding mechanism to clarify the understanding of the group's funding for delivered savings
- Vendor evaluation
- Plan design evaluation and customization
- Professional plan review
- Implementation planning
- Vendor monitoring for consistent costs and services
- Track progress of vendors
We work closely with clients matching their resources with MEBS proven benefits perspective. MEBS strategic approach has a clear proof of impact: effectively designed, communicated and implemented plans that meet employer goals, satisfy employee needs, and optimize bottom-line results.
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