TANDEM HEALTH ADVANTAGE SERVICES: BE A SMART HEALTH CARE SHOPPER. EARN REWARDS. THE CHOICE IS YOURS.
INFORMATION AND REWARDS FOR HEALTH CARE CONSUMERS
With Tandem, it's easy to be a smart health care shopper. Just call Tandem whenever you are scheduled for an outpatient test or procedure. Tandem's specially trained team of nurses will help you compare the cost and quality of health care facilities in your area. You save money and earn a cash reward when you choose a low cost facility. A Tandem nurse will even reschedule your appointment for you and take care of any paperwork required when you choose a low cost facility.
Tandem's Health Advantage services are personalized to your group health plan and your medical needs. Price comparisons are based on your health plan's negotiated discounts with your network providers. When you call to compare prices, a Tandem nurse will search your network's most recent paid claims data to find the low cost providers in your area for the specific test or procedure you need. Tandem is a voluntary program. You decide where to receive your care. Tandem's job is to be sure that you have the information and support you need to make an informed decision.
Here's how it works.
Within your health plan?s provider network, the price of health-care services varies significantly from facility to facility.Although your health plan has negotiated discounts with many facilities in your area, the discounted price for a particular service is not the same for all facilities.The difference in price for the exact same service can be thousands of dollars.
Using your health plan's paid claims data, Tandem can identify the lowest priced facilities in your network for any health care service.Plan participants who choose to use this voluntary service, will speak to one of our nurses to get the cost and quality information they need to make informed health care choices.
Tandem's personal service model assures that members receive the right information for the exact health-care service they need.Our nurses will also help with all the paperwork and scheduling changes whenever a member chooses a low-cost facility, including changes to any existing referral and/or authorization when necessary.
Participants who use the service and choose to use a low-cost facility earn cash rewards.
By empowering and rewarding health-care decision-makers, you can reduce medical costs without changing benefits or cost-shifting.The amount of savings will depend on your group's location and employee demographics.