Benefit Solutions

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Smart Solutions for Smart People. We're HealthSmart.

We solve client problems and make life better for their people. Every single day.

HealthSmart Solutions

Benefit plans and solutions for worry-free administration, quality coverage and innovative care.

Rx Solutions

Integrated pharmacy benefit management, and tools to reduce the high cost of specialty drugs.

Care management

Integrated clinical solutions designed to fit your populations and reduce healthcare costs.

Network Solutions

Flexible provider networks for member access to quality care at the best value.

Casualty Claims

Innovative claims management solutions that leverage technology with unmatched experience.

HealthSmart Blog

Thoughts from HealthSmart Leadership

Survey Results Are In: Clients Are More Satisfied and Loyal

12/5/2022 10:11:42 AM

Every year, HealthSmart surveys our health plan clients about their satisfaction with the quality of service we deliver to them and to their members. Last year’s survey results were very strong. We have just tabulated the results for the 2022 plan year, and we are delighted to report that respondents indicated an even higher degree of satisfaction with the service we provide to them. Even more gratifying, their willingness to recommend HealthSmart jumped significantly! Read More>>>

News and Announcements

The Latest News From HealthSmart

HealthSmart Achieves Net Promoter Score of 80, Indicating "Excellent" Customer Experience and Loyalty!

HealthSmart recently conducted a client survey to determine our Net Promoter Score, or NPS, which measures customer experience, loyalty and satisfaction. Clients are asked how likely they are to recommend a company on a scale of 0 to 10. Those who select 9 or 10 are “promoters,” while those scoring 0 to 6 are “detractors.” Subtract the detractors from the promoters and that’s your NPS. Watch the video

We are very proud to announce our NPS improved from 71 to 80, which is in the “Excellent” category! Contact us at sales@healthsmart.com to learn what makes us different!

Helping Members Manage the Impact of Diabetes

Diabetes is the most expensive chronic condition in the country, accounting for about 25% of US healthcare costs. Costs of providing care for members with diabetes can be as much as 4 times higher than claims for members without diabetes. Effectively addressing diabetes is an important way to manage the cost of providing health care coverage for a group. HealthSmart offers a comprehensive approach for mitigating the costs to health plans.

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We take care of a company's most valuable resource. Its people.

HealthSmart is the premier provider of customizable and scalable solutions for self-funded employers.

I am a...

Member

Real-time, online access to your benefits information, explanations of benefits, member ID cards and other tools – whenever you need it.

Student

Especially for university and college student members, get instant access to your benefits information.

Broker

One-stop resource for brokers, distribution partners and consultants to bring the best solutions to clients.

Employer

Solutions for HR executives, plan sponsors and benefit administrators, plus access to employer services,

Payer

Claims inquiries, provider lookup, appeals and other tools for HealthSmart payer clients, including health plans and TPAs.

Provider

Provider services, including real-time, online access to member health benefits and claims information.

Why HealthSmart

Reducing costs while improving member health

HealthSmart is the premier provider of innovative, customizable and scalable solutions for employers, brokers and payers. Our solutions include health plan benefit administration, care management, pharmacy benefit management, provider networks and casualty claims solutions. We also offer business intelligence, onsite employer clinics, a variety of health and wellness initiatives and web‐based reporting.

Our mission is to improve the health of our members while treating them with dignity and respect, and reduce healthcare costs for our clients and members with innovative solutions and a flexible approach. We provide self-insured clients with a one-stop source for their health plan needs, and deliver best-in-class service, support, and intelligence..