Group Retiree Processing

Are You Interested in a New Health Insurance Delivery Model That Reduces Costs and Improves Benefits for Medicare-Eligible Group Retirees?
As a result of rising costs, employers are forced to look for strategic and creative methods to deliver retiree health benefits to their Medicare-eligible retirees. The delivery of retiree health benefits and Medicare benefits is largely uncoordinated and inefficient and fails to take into account new insurance models, total health care expenditures and proven methods of reducing costs through disease management.

TMG Health can provide employers with an insurance model designed specifically for the group retiree marketplace that takes advantage of Medicare reform law measures to enhance group retiree coverage and cost savings.

TMG Health's employer-sponsored Medicare retiree services include:

• National coverage area capable of serving all retirees in a group
• Comprehensive national provider access
• Enrollment application processing & ID cards
• Member premium billing
• Claims payment & CMS encounter data
• CMS status/eligibility maintenance
• Member/provider customer services
• Comprehensive care coordination
• Coordinated administration of Part D drug benefits
• Risk minimization through reinsurance
• Reduced current and future medical cost trends