CUSTOMIZED,
AFFORDABLE
GROUP HEALTH CARE
even for furloughed employees
Choose from our extensive offering of health plan and TPA services
Health care is in the middle of an affordability crisis.
We want you to have the right medical coverage for your needs and budget. That’s why we offer the most customizable health plan solutions on the market. Choose any of our products, or combine them to create a tailored solution.
MagnaCare offers the most flexible health plan and administrative solutions:
Customizable provider networks and plan design
Open Access
PPO Network
Our leading, comprehensive network of more than 220,000 doctors and other health care providers, and more than 200 hospitals in New York, New Jersey, Connecticut, and surrounding areas.
Tiered Benefits
Tiered Benefit Design
Using the MagnaCare PPO network, we work with you to define your preferred providers who will provide your group with better care at lower cost. Through your health plan design, we direct your members to your high-value providers.
Custom Network
Custom Network
Pick and choose the facilities, doctors, and other health care providers to be included in your network. We can add providers or systems that aren’t participating in our PPO network, and exclude any existing providers. You can define preferred providers and have benefit tiering with your custom network.
High-value Narrow Network
Create® Flex is a network of high-performing integrated hospital systems in NY, NJ and CT, selected based on cost and quality. Create Flex includes 35 hospitals and 50,000+ provider locations.
Integrated Health System Network
Our lowest cost network options, your members receive all of their health care from a single integrated hospital system that has partnered with Create®. On average, Create health plans reduce health care costs by 10-24%.
See the available health system networks.
MEC Plans
Minimal Essential Coverage Plans
With access to our extensive MagnaCare PPO network, our wide range of customizable MEC plans provide convenience and affordability.
Expert health plan management
Our administrative and TPA services do the heavy lifting in administering your self-funded health plan
Use the TPA trusted for 30 years by employers, Labor Funds, carriers, and other TPAs. We help you control costs with ease while delivering the appropriate care to your members.
Benefits technology, simplified
Our secure, proprietary, advanced technology platform gives Benefits Managers and members the control they need, with the personalized experience they expect.
It integrates with any health plan and ancillary benefits vendors, providing a single destination for all your benefits needs.
- Easier, faster health plan management
- Intuitive member portal
- Award-winning mobile app
- Easy online enrollment tool
Reducing the cost of medical care
Prices for medical services vary widely among health care providers. Yet research shows that higher prices don’t correspond to better health outcomes.
Our in-house Medical Management team can lower your medical costs, anywhere in the country.
We’ve developed several innovative programs to lower your medical costs while maintaining the same or better level of care for your members. Our in-house clinicians will ensure the best possible care based on medical necessity, while eliminating waste and unnecessary services.
Some of our Medical Management programs:
- Utilization management >
- Case management >
- Population health management >
- Centers of Excellence
- Pain management and opioid oversight >
- Economical pharmacy benefits management (PBM) >
- Redirection of care services