A reliable partner to health insurance brokers
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.
A reliable partner
For more than 30 years, MagnaCare has been meeting the healthcare 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 proprietary PPO network in New York, New Jersey, and Connecticut includes more than 220,000 primary care and specialty providers and more than 200 leading hospitals in every major health system. Most hospitals have been in the network for 10-15 years or more, and we have a provider retention rate of over 90%.
Nationwide, we offer broad PPO networks as well as high-performing narrow networks customized to the client’s needs, including networks based on individual health systems.
Plus, our innovative technology platform integrates with the health plan of any insurer and with ancillary vendors, giving your clients an easy-to-use one-stop shop to manage all their benefits, eligibility, payroll, and more.
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:
Flexible Benefits & Provider Networks
We provide comprehensive healthcare that controls healthcare costs, customized to your clients’ needs. We offer benefit tiering, creative reimbursement models, and wide range of provider network options to reduce overall healthcare spend.
We combine our healthcare expertise and thorough understanding of your clients’ needs to develop the most cost-effective solution. We’ll custom-design the health plan and administer it any way your clients prefer.
Managed care, outcomes-based workers’ compensation programs in New York and New Jersey that speeds up return to work and lowers total claim costs
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.
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.
Minimum Essential Coverage (MEC) Plans
Employers can avoid the ACA penalty with our range of customizable MEC plans, the most affordable MEC plans in the New York tri-state area.