Brokers & Consultants

A reliable partner to health insurance brokers

Close to home, far from ordinary

MagnaCare and brokers have the same goal: To provide customers with the best health plan to meet their needs. We have proven experience working with our broker partners to develop truly integrated solutions, custom-fit to each customer’s unique requirements.

To stem the rising health care costs for your customers, MagnaCare looks for ways to dramatically lower their costs, such as renegotiating fees with providers and reviewing medical utilization.

A reliable partner

For more than 25 years, MagnaCare has been meeting the health care needs of self-funded Labor Taft-Hartley Funds, commercial employers and other plan sponsors and TPAs and carriers throughout New York, New Jersey, and Connecticut.

Our high-quality PPO network includes more than 130,000 primary care and specialty providers and more than 225 leading hospitals in New York, New Jersey, and Connecticut. Most hospitals have been in the network for 10-15 years or more, and we have a provider retention rate of over 90%.

Wide range of services

Whether they want access to a broad provider network, predictive modeling analyses, member outreach programs, or an integrated solution that includes comprehensive plan management services including claims adjudication, eligibility management, and customer service, MagnaCare has your customers covered with the flexibility to choose:

Network Access

Ability to lease any portion of the MagnaCare network, with deep discounts to support your customers’ goals and reduce their overall health care spend.

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TPA Services

Comprehensive health care that controls health care costs. We combine our local health care expertise and thorough understanding of their needs to design a health plan and develop the most cost-effective solution.

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Workers’ Compensation

Managed care, outcomes-based workers’ compensation programs in New York and New Jersey that speeds up return to work and lowers total claim costs

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Medical Management

Services include utilization management, clinical claim review and repricing, population health management, nurse triage line, telemedicine, nurse case management, the opioid oversight program and more – to provide health plan members with the most appropriate care at the best cost.

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Pharmacy Benefits Management (PBM)

MagnaCare Rx, our Pharmacy Benefits Manager (PBM), controls the ever-rising prescription drug costs. MagnaCare Rx includes a national network of 64,000+ retail pharmacies, complete mail order and specialty services, and flexible plan designs.

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Minimum Essential Coverage (MEC) Plans

Employers can avoid the ACA penalty with MagnaCare MEC and MagnaCare MEC+, the most affordable MEC plans in the New York tri-state area.

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25 years

proven ability to serve large self-insured clients

1 million

members

$7 billion

in average health care expenses managed annually

10+ years

average customer loyalty

95%

average retention rate


Expand your network options with our innovative health plan marketplace where health systems compete on cost and quality.

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