Our Mission:

At MagnaCare we are our clients' healthcare advocate; we work to understand each client's unique health benefit needs and provide high quality, cost effective solutions.

Health Plan Solutions for Today and Tomorrow

MagnaCare is an agile and responsive company offering custom-designed health plan solutions within the complex world of healthcare. We listen carefully, respond quickly and offer you the right solutions to fit your unique requirements.

Sponsoring a health plan is one of your biggest challenges and largest expenses. How can you ensure that your network of providers is the highest quality and the most cost-effective for your members and employees? How can you manage costs? How do you make certain your members and employees get access to the doctors and services they need, when they need them?

Answers to these important questions can be easier to find if you work with a health plan management company whose priorities are the same as yours: access to high quality providers; cost saving; and outstanding administrative services. A company that’s focused on both the health and well being of your members, yet understands you must also focus on the bottom line.

Products and Services

We are a health plan management company serving organizations throughout the New York and New Jersey region. Our main goals are to understand your health benefit needs and requirements – and offer high-quality solutions that are also cost-effective. We want to be your advocate for the best healthcare solutions at the best possible price.

We serve a range of organizations, including self-insured health benefit plans, Taft Hartley Funds, third party administrators, workers' compensation and no fault payors, and municipalities. Our broad set of health plan management services can meet the unique needs of each – whether electing to utilize our provider network, administrative services organization, medical management or other solutions as individual products or together in one integrated solution.

Quality, Savings, Flexibility...

• MagnaCare Access is our provider network, and is among the best in the tri-state area
  
  
• Over 59,000 provider locations
  
  
• Over 240 hospitals, from large teaching hospitals to community hospitals
  
  
• Ancillary providers such as radiology/imaging centers, laboratories and home health care providers
  
  

• MagnaCare National Access making high quality doctors and hospitals available to your plan participants wherever they are
  
  
• Over 4,600 hospitals in all 50 states
  
  
• Approximately 177,000 Primary Care Physicians
  
  
• Approximately 333,000 Specialists
  
  

• MagnaCare Plan Management administrative management services, including:
  
  
• MagnaCare Access
  
  
• Claims Adjudication
  
  
• Claims Repricing
  
  
• Eligibility Management
  
  
• Member Enrollment
  
  
• Customer Services
  
  
• Provider Services
  
  

• MagnaCare Health Advocacy Programs, offering a set of products and services that arrange for delivery of quality care in an appropriate setting, at a competitive price

• MagnaCare Pharmacy Benefit Management, bringing great savings on prescription drugs to you and your members.

• MagnaCare Benefits Online, opening up a new source of access and information for you and your plan participants

The Markets We Serve

MagnaCare works with plan sponsors of all sizes, offering customized products and services that match each one’s unique requirements. Types of organizations served by MagnaCare include:

• Self-insured corporations
  
  
• Taft Hartley Funds
  
  
• Third Party Administrators
  
  
• Workers' Compensation and No Fault Payors
  
  

Our Capabilities

The MagnaCare provider network is designed to achieve substantial cost savings for our clients, while providing access to high-quality providers for our customers. When members use the network, everybody benefits. Our clients benefit through savings from our negotiated rates. Members benefit by accessing care from highly credentialed providers. Providers benefit through increased patient volume.