Plan Design Guidelines

The Signature Care PPO network recognizes that area employers have varying needs to gain control of their healthcare costs. For that reason we have designed a portfolio of products to meet those needs. As you consider which product appears to be an appropriate fit, please consider the suggested guidelines. If your plan design varies slightly from these guidelines, contact us to determine for which product your group qualifies.

Signature Care EPO (Exclusive Provider Organization)

Our most aggressive product is built using a three-tiered plan design. The top tier is for the EPO hospitals. Signature Care EPO employers will receive unsurpassed discounts at those facilities. However, all members still have access to the entire Signature Care network expanding to include more than 21,000 Healthcare providers and facilities in Indiana and northwest Ohio. In addition to each of the high quality, 4-star rated Parkview Hospitals, Signature Care is pleased to have the Cleveland Clinic, Indiana University Health and University of Michigan as in-network Centers of Excellence Hospitals.  

The second tier is for all other Signature Care in-network services.

The third tier is for out of network services. The second and third tiers are similar to a typical plan design.

To qualify for EPO, we ask that the differentials are as follows: 

 

 

Tier 1

(EPO Hospitals)        

Tier 2

(Other in-network)

 Tier 3

(Out of network)

 Coinsurance      

Starting Coinsurance         

10% more than Tier 1 

 30% more than Tier 1 

 Deductible 

Starting Deductible            

$1,000 more than Tier 1   

 $3,000 more than Tier 1

 OOP Max

Starting OOP Max

$3,000 more than Tier 1

 No Limit

 

For additional information or to review a sample plan design, contact us.

Signature Care Exclusive Elite and Exclusive Advanced

Employers who choose an exclusive arrangement with the Signature Care PPO network are quick to discover the additional savings by forming that partnership. Whether you choose Exclusive Elite or Exclusive Advanced you can expect more than just noteworthy discounts. Exclusive Elite and Exclusive Advanced employers receive case rates on the most common inpatient procedures at Parkview facilities. As you progress to higher levels of exclusivity, you can expect additional discount savings.

The suggested differentials between in and out of network for Exclusive Elite and Exclusive Advanced are as follows: 

 

 

  Exclusive Elite        

Exclusive Advanced

Coinsurance Differential      

 30%       

20%       

Deductible Differential

 $1,000 

No Requirement

OOP Max

 $5,000

$3,000            

 

Signature Care Dual Choice

Employers can expect more substantial savings by choosing an Exclusive arrangement with Signature Care. However, we are aware that often companies prefer multiple options for their employees. With that in mind, we offer our Dual Choice product.

When Signature Care is offered with another network, the suggested differentials between in and out of network are as follows:

 

  

Dual Choice              

Coinsurance Differential        

20%

Deductible Differential

No Requirement      

OOP Max

$3,000

 

Signature Care is an innovative network and appreciates that no two companies are alike. If you have multiple locations but would like to take advantage of these significant savings, contact us to learn more about your options.

Call today for more information 260-373-9017
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