Retiree Health Plans

Rising healthcare costs are forcing retiree plans today to effectively manage healthcare dollars to meet the needs of retirees, survivors and beneficiaries. Historically, many retiree plans have been unaware that select classes of drugs and supplies are covered under the Medicare Part B DMEPOS benefit. Retiree plans often lacked market awareness and understanding of significant financial savings. Additionally, retiree plans were reluctant to address the opportunity because they perceived that a solution did not exist that could address concerns related to member risk and disruption due to increased Medicare medical necessity requirements. Today there is growing market awareness given the economic and financial pressures health plans face to reduce healthcare costs. Retiree plans are looking to their mail service and retail fulfillment providers to recover Medicare Part B reimbursement for covered members and implement proactive solutions to ensure that future claims for Medicare Part B members are paid under the appropriate benefit at the time they are dispensed. The market trend is evidenced through the competitive environment in the pharmaceutical benefit management space.

OmniSYS Medicare Part B DMEPOS Recovery services have saved millions of dollars for retiree health plans when members filling prescriptions at mail order or retail pharmacies do not have benefits properly coordinated. OmniSYS' proprietary systems and services proactively or retroactively recover dollars that should have been paid by Medicare Part B as the primary insurer. If you are serious about saving money and improving your bottom line, let OmniSYS simplify the work - from claims formatting to cost share retrieval.