Care Choices PPO

Available through employers in Michigan.

Care Choices PPO is a flexible, one-stop, health benefits management solution for employers who want to self-fund. Our benefit consultants will work with you to determine the most appropriate, cost-effective plan design for your group.

With Care Choices PPO, your employees will benefit with all the options and strengths that have made our Care Choices HMO the top-rated health plan in Michigan for the second year in a row, according to U.S. News & World Report/NCQA "America's Best Health Plans."

Efficient Administrative Services

Care Choices PPO provides administration services including:

Enrollment
Billing
Claims adjudication
Risk management
Reporting
Quality customer service

Care Management Programs

Care Choices PPO is a superior integrator of care, connecting patients, providers and employers. Our comprehensive utilization and case management programs are core to our product and are designed to ensure that each patient receives:

the appropriate care
at the appropriate level
in the most cost-effective manner
with appropriate outcomes

We also offer the following optional programs:

Managed pharmacy programs
Wellness programs
Highly rated disease management programs for:
- Asthma
- Diabetes
- Heart disease
- Tobacco cessation

Extensive Provider Network

Members receive the highest level of benefits when they choose to receive care from the comprehensive Preferred Choices PPO network that includes more than 11,000 providers and 83 leading hospitals in Michigan. Care Choices PPO also provides direct access to multiple and regional provider networks, representing 95% of providers in the United States who participate with any PPO. Claims processing is simplified, too, with single-source re-pricing adjudication.

Consumer-Directed Options

A suite of web-based financial and benefit management support tools are integrated into the product to support employers and employees interested in consumer-directed options, such as Health Savings Accounts (HSAs) or Health Reimbursement Arrangements (HRAs).

Data-Driven Health Care Management

Care Choices PPO provides a cutting-edge tool kit and the expertise to measure, analyze, improve and control your self-funded plan. Our online management information system provides detailed reporting and analysis of the employer’s claims experience. This health utilization information and associated benchmark information provides decision support for cost-control initiatives such as:

Design changes
Health and wellness programs
Employee education

To Learn More

Not sure if self-funding is right for your group? Read our article, “Self-funding Can Help Control Your Health Care Costs.”

To learn more about Care Choices PPO

Talk to your agent or consultant
Call our Business Support Center at (800) 261-3452