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New! DPC Wrap-Around Enrollment Flow + Zion Health Wrap-Around

dpc-wrap-arounds
by Ariele Scharff
Apr 28, 2020 10:00:00 AM

There’s a new way for you to offer a DPC wrap-around to your members from your enrollment form. This means your members can sign up for a medical cost sharing service after they enroll in your practice, so there’s a clear separation between your practice and the wrap-around. This gives your patients more value and maintains your practice’s independence.

What is a DPC wrap-around?

DPC wrap-arounds are plans or services provided by another company that complement the services your patients receive from their DPC membership. Our wrap-around partners are Sedera and Zion Health, which offer two different versions of affordable medical cost sharing. Patients enrolled in your DPC practice are eligible for discounted rates on membership in both medical cost sharing communities. Once enrolled, their larger health bills can be shared.*

Right now, many of your members may be finding themselves without the healthcare coverage of an employer. The combination of a DPC and a medical cost sharing membership is an affordable option for people with few chronic illness needs. Cost sharing members have the advantage of a Member Services team that helps them navigate the complicated fee-for-service world as a cash-pay patient. 

By offering DPC wrap-arounds, you can overcome one of the most common objections to DPC: “What happens when I need to go to the hospital?” The answer for some patients can be, “You go to any hospital you like and share part of the cost with a medical cost-sharing organization.”

You can choose to enable both Sedera and Zion Health in your account, so that your patients may select the wrap-around that is right for their needs. Your patients get a discount on their cost-sharing memberships as a result of being a member of a DPC, so they are further incentivized to remain at your practice.

What’s new about this enrollment and billing flow?

In the past, DPC members who joined a wrap-around did so directly from the DPC practice online signup page. This led to a lot of confusion, because patients interpreted the wrap-around as being part of the same service provided by the DPC practice. Based on that feedback, we changed the enrollment flow and back-end processes significantly.

  • New members who sign up online will complete their registration for your DPC first.
  • Next, they will see a screen with the logo(s) of the DPC wrap-arounds that are enabled on that page. They will select the wrap-around that suits them and register for that wrap-around separately. 
  • For your existing patients who want to sign up for a wrap-around, you can trigger a wrap-around enrollment email from the patient’s chart in HintOS.
  • See the full enrollment details here

Nothing has changed about the billing of wrap-arounds; it is still separate from your DPC membership billing:

  • The patient receives two separate bills: one from you for their DPC membership, and from their wrap-around.
  • If a patient cancels his/her membership in their wrap-around, there is no effect on their DPC membership.

What is Zion Health, and how can my patients enroll?

Zion Health is a non-profit healthshare that shares the costs of members’ catastrophic medical bills after the member has already paid up to their “Initial Unshareable Amount” (IUA). It pairs well with a DPC membership for many patients because Zion takes care of large bills that may be unexpected. Zion also has a special COVID-19 sharing relief program for new members, making it a good option for your patients who may have lost their health insurance coverage. 

To learn more about Zion Health and enable it in your HintOS account, fill out this form.

What is Sedera, and how can my patients enroll?

Sedera is a medical cost sharing community (not insurance) that's more affordable than typical insurance plans. Patients use Sedera to share the cost of larger medical needs not included in their DPC memberships. 

To add Sedera enrollment to your HintOS account, complete the Sedera training. Once complete, our Customer Success team will be notified to turn Sedera on in your account.

 

*See details of what is and is not shareable in the Sedera Membership Guidelines and the Zion Health Membership Guidelines respectively.

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