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ADVANTAGE Health Solutions
Frequently Asked Questions
Who is ADVANTAGE Health Solutions?
ADVANTAGE Health Solutions, Inc is a local, provider-owned health plan offering healthcare benefits and solutions to employer groups of all size.
What is the financial condition of ADVANTAGE?
ADVANTAGE has no debt, excellent liquidity with ample operational cash flow and liquid investments, and a RBC level that exceeds the Department of Insurance requirements.
What is ADVANTAGE's renewal history?
The average ADVANTAGE renewal during the 2006-2007 calendar year was in the single digits, which is well below the industry average.
Does ADVANTAGE have competitive pricing?
ADVANTAGE's relationship with our hospitals and their physicians allow for us to offer the best possible negotiated rates resulting in quality care in a cost effective setting.
Can ADVANTAGE use another carrier's health application for a final rate?
Yes, ADVANTAGE will accept another carrier's health applications.
How can ADVANTAGE cover employees that reside outside their service area?
Subject to underwriting approval, ADVANTAGE will cover employees that reside outside our service area. The Sagamore Health Network in addition to other networks can be used as appropriate.
How do PPOs and ADVANTAGE's managed care plans differ?
ADVANTAGE has an integrated delivery system model in partnership with Physical Hospital Organizations (Networks), focusing on wellness and medical management strategies that provide long-term savings.
What is the ADVANTAGE Choice product?
The ADVANTAGE-Choice product includes the Sagamore Health Network providers in addition to our more traditional hospital-affiliated networks. Please see our
page for more information.
Why is ADVANTAGE Choice a great alternative to a PPO product?
While employers have access to the deepest discounts through the ADVANTAGE Physician Hospital Organizations (Networks), they also have the freedom to choose the state's largest network of providers through the Sagamore Health Network. Please see our
page for more information.
What are ADVANTAGE's online capabilities?
is our unique online tool designed to complement the service members and employers receive from our Member and Account Service Representatives. Visit the
for more information.
Does ADVANTAGE have a wellness program?
Yes, ADVANTAGE offers a wellness program called Mountain of Wellness at no additional cost. The program is a points-based incentive program that rewards participants for completing healthy activities. Please see our
Mountain of Wellness
web page for more information.
Why is it important to choose a Primary Care Physician (PCP)?
The main benefit of having a PCP is the improvement in the quality of care. Your PCP can better coordinate your care with specialists and is available 24 hours a day.
Does ADVANTAGE offer a care management program?
Yes, ADVANTAGE's disease management programs are designed to focus on a member's specific health condition and to provide members with personal support and services.
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