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SelectHealth Share—The Future of Healthcare

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SelectHealth Share Network and Service Area

5,100+ Participating Providers; 23 Hospitals

SelectHealth works with employees, employers, and providers to ensure members receive the right care, at the right place, at the right time.

 

SelectHealth as the administrator of SelectHealth Share is committed to:

  1. Proposing meaningful incentives for employers to participate and actively engage in SelectHealth Share (e.g., predictable multi-year premium rates).
  2. Providing Healthy Living support for employers and employees so they can meet their engagement participation percentages.
  3. Creating evidenced-based plan designs that encourage appropriate healthcare use.
  4. Continuing to develop and maintain the SelectHealth Share provider and facility network.
  5. Promoting the use of evidence-based medicine and care process models in internal systems, processes, and practices (e.g., integrated Care Management).
  6. Developing reports that aid the employer/agent and physician in meeting their engagement responsibilities.
  7. Developing online tools to support cost and quality transparency.
  8. Implementing an efficient drug formulary to promote effective prescription drug use.

Underwriting and Plan Guidelines

  1. SelectHealth is the sole carrier within the Share service area.
  2. Employer contributes at least 70% of the premium (based on the employer's lowest cost SelectHealth Share product) across all rating tiers. This does not include HSA contributions.
  3. At least one of the SelectHealth Share plans offered to employees must be a qualified high-deductible health plan. A traditional plan design can be offered alongside.
  4. Employer must fund an employer-match HSA contribution equal to 25-50% of the plan deductible for employees choosing a SelectHealth Share high-deductible health plan.
  5. SelectHealth Share is the only SelectHealth plan offered to employees living in the Share service area.
  6. Plan designs align with SelectHealth Share benefit levels.
  7. Rates: New employer clients receive an underwritten rate in year 1, and then 2.5% annual increases in years 2 and 3 when commitments are met.*

SelectHealth Share Benefit Levels

High Deductible Health Plan
Traditional Plan
High Deductible Health Plan
Deductible
Individual
$1,500
High Deductible Health Plan
Family
$3,000
Traditional Plan
Deductible
Individual
$750
Traditional Plan
Family
$1,500
High Deductible Health Plan
OOP Maximum
Individual
$3,000
High Deductible Health Plan
Family
$6,000
Traditional Plan
OOP Maximum
Individual
$2,500
Traditional Plan
Family
$5,000
High Deductible Health Plan
ER Copay
$75 copay after deductible
Traditional Plan
ER Copay
$75 copay after deductible
High Deductible Health Plan
Non-preventive Office Visit
20 percent or $15/$25 after deductible
Traditional Plan
Non-preventive Office Visit
20 percent or $25/$40
High Deductible Health Plan
Inpatient Hospital
20 percent or $500 after deductible
Traditional Plan
Inpatient Hospital
20 percent or $500 after deductible
High Deductible Health Plan
Rx
20 percent or $7/$21/$42/$100 after deductible
Traditional Plan
Rx
20 percent or $15/$30/$50/$100
High Deductible Health Plan
HSA Employer Match
25-50% of annual deductible
Traditional Plan
HSA Employer Match
N/A

* For employers to receive guaranteed rates, employee participation in the employee engagements must reach 50% in year 1, 60% in year 2, and 70% in all subsequent years. The employee health assessment and health screening need to be completed within the plan year's first 90 days. All other employee engagements must be completed within the first nine months of the plan year. Current SelectHealth Share employers are averaging 70% employee participation.