Solutions

EDHC for Plan Members

Even if you have really good insurance, you could still owe hundreds or even thousands of dollars on your procedure, unless you take action and schedule your medical procedure with Employer Direct Healthcare.

You might save thousands in out-of-pocket expenses.

Even with really good insurance, nothing's murkier than medical costs, because you're never sure what it will really cost with co-pays, deductibles, and coinsurance. Well not anymore, because with EDHC there are usually no co-pays, deductibles or coinsurance, plus there are no out-of-network fees. That means you could save hundreds or even thousands of dollars on your medical procedure.

Receive the best care at some of the best medical facilities in the U.S.

Now through EDHC, you can choose from top-quality medical facilities across the country for your planned medical procedures. To ensure the highest quality of healthcare for our members, we've partnered with industry experts to develop strict criteria for our providers and facilities. EDHC providers are:

  • Top-quality medical facilities
  • Best-in-class teams with leading medical providers
  • Ranked in the top 25% nationally

EDHC manages a rigorous quality and satisfaction monitoring program to ensure that every medical provider in our network efficiently delivers and you receive only top-quality care.

We've got your back with comprehensive care coordination.

Unlike traditional networks that simply present a list of participating facilities and wish you luck, EDHC offers you comprehensive care coordination services to help you find the best care available for your unique situation. These services make it easy for you to receive the medical care you need, so you can focus on what's most important: your health.

You can count on us for assistance from initial inquiry through follow-up care. Our full-time care coordinators can help you select your provider, schedule your procedure, transfer medical records, work out travel logistics and manage follow-up care instructions from your doctor that can help improve your results.

From start to finish, you have a team of care coordinators helping you through the entire process, whether you're getting care from across town or across the country. And in many cases, your travel costs for you and a companion are covered.

Many procedures and medical providers are available to you.

Employer Direct Healthcare has an extensive network of top-quality medical providers and facilities across the country, offering many procedures to choose from, such as:

  • Major heart (valve replacement, coronary bypass)
  • Orthopedic (knee & hip replacement, shoulder & knee arthroscopy, ACL repair)
  • Spine (fusion, laminectomy, pain management)
  • Colonoscopy & endoscopy
  • Minor outpatient procedures
  • And more

Your employer sets up the procedures available to you. Click here to learn about the procedures and medical providers established by your employer for you.

You can even earn cash back after your medical procedure.

At EDHC, we're committed to helping you experience a positive outcome for your medical procedure, and a critical part of your care is following your doctors instructions after you have your medical procedure. So we offer an EDHC Reward Card™ that comes pre-loaded with cash for you, just for following your doctor's orders. It's such a simple concept it's a wonder nobody ever thought of it before. And you can earn more by participating in a follow-up survey to tell us about your healthcare experience, because we'd like to know what we did well and how we can improve. It's our way of saying thank you for helping us improve our service.

Say goodbye to medical bills.

Have you ever received a medical treatment and paid your medical bills, only to see more medical bills arrive in your mailbox? And then more bills arrive, and so on? Well, those days are over when you choose EDHC for your medical treatment, because typically there are no bills after your procedure*. That's because with EDHC your employer pays your medical provider in advance for your treatment. The only thing you should receive in the mail after your procedure is a thank you note.

* Outliers not included.

† Your plan details will vary, based upon the plan design established by your employer.

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