BENEFITS TO THE EMPLOYEE
Employee benefits insurance represents 8-10% or more of the typical municipal budget and is the second largest item after wages.
The creation of the HIF has helped its members gain control of their healthcare expenditures. The HIF provides savings and alleviates budgetary constraints affecting you as both an employee and a taxpayer.
How does the HIF save you money:
- More efficient claims processing
- Systems to detect fraud and/or abuse
- Lower fixed costs via the elimination of insurance company overhead, profit, premium, taxes, etc.
- Group purchasing power allows discounted fee arrangements with healthcare providers in the region.
THE HIF'S GOALS AND OBJECTIVES
The goal of the HIF is to to provide quality benefit plans and the necessary support and guidance to in the most cost-effective manner . Managed care plans have been made available to provide employees with higher reimbursement levels when utilizing in network providers.
We hope that employees will play an active role in their healthcare purchases, treating benefit dollars as they do any other household expenditure.
Whenever possible, you should report any suspected areas of abuse to the HIF. Recently, a trade magazine indicated that fraud/abuse may be responsible for up to 25% of the cost of healthcare.
The HIF publishes a monthly newsletters in an effort to provide you information on your benefits and trending wellness topics.
We continue to stress the importance of preventative care and routine visits and living a healthier lifestyle.
The "Team Approach", including you, your Municipal Employer, and your HIF professionals, is essential in meeting these goals. Let's work together with "A Healthier You in Mind."
-DAVID J. VOZZA
SMART USAGE = SAVES MONEY
Using network providers
Avoiding unnecessary hospital days (admitting on Friday for testing on Monday)
Questioning providers regarding services being proposed or that you feel may be rendered unnecessary or inappropriately
Reviewing explanation of benefits (EOB) submitted for accuracy
Understanding the difference between name-brand and generic drugs