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HealthAmerica

Names You Can Grow To Trust

HealthAmerica has developed a solid reputation for leading. For more than 35 years, our organization has been a partner in good health to leading companies throughout Pennsylvania and Ohio. We offer coverage throughout a wide service area for employer groups of all sizes.

A Diverse Product Portfolio

Building strategic customer relationships means having the range of products necessary to support growing customer needs.

Download the 2012 HealthAmerica Bulletin

We offer a wide range of health benefits services including PPO, consumer-directed plans, individual products, Medicare Advantage plans, plus our small business solution, and self-funded group options. Our members enjoy value-added benefits such as free health education, online health resources and vision discounts. Additional benefit riders for prescription benefits and dental are also available.

Service When You Need It

With any health care plan, members are bound to need assistance now and then. Our Customer Service representatives are there to answer questions and give prompt, one-on-one attention. We have convenient hours during the week to allow members to talk to us when it best suits them. In addition, our Web site has a wealth of information available 24 hours a day, 7 days a week. Members may use My Online Services to manage personal health care transactions anytime it’s convenient

We offer employers a Web-based tool to assist with benefit administration. Our Online Account Management resource allows employers to view and change member demographics, add/term members, request ID cards, view online service-request status, view payment history and view invoices/statements. As part of your one-stop shopping experience, HealthAmerica gives you the convenience of online premium payment. With just a few easy clicks, you can eliminate paper invoices.

Quality You Can Count On

HealthAmerica ranks 14th in the nation for HMO and POS plans by the National Committee for Quality Assurance, and its Medicare plan ranks 28th nationally*. It has ranked among the top health plans by NCQA since the ratings began in 2005. Since 1993, we have received consistent quality accreditation from the National Committee for Quality Assurance (NCQA), an independent, nonprofit organization dedicated to measuring the quality of America’s health care. We currently hold the following accreditation from NCQA, which is the top accreditation level awarded to a health plan.**

HealthAmerica HMO Plan – Excellent
HealthAssurance POS Plan – Excellent

**NCQA’s Private Health Insurance Plan Rankings, 2011–2012. NCQA’s Medicare Health Insurance Plan Rankings, 2011–2012.
**NCQA Accreditation levels are Excellent, Commendable, Accredited, Provisional and Denied.

A Comprehensive Network

We have a provider network with more than 32,000 doctors and 218 hospitals, including Hamot Medical Center and Saint Vincent Health System.

Another significant part of our ability to provide comprehensive health benefits is our extensive provider and pharmacy network. We contract with the area’s leading practices, specialty providers and hospitals to ensure that our members receive the type of care they need at a fair price. Chances are that your doctor is in our network, and as an added piece of mind, we offer you worldwide emergency coverage no matter where you go. Visit our Web site, where you can search for your doctor or hospital, or build your own personalized provider directory.

The HealthAmerica Difference

More than 500,000 members and nearly 11,000 employer groups have selected us as their health plan of choice. We’re eager to serve you. Call us at 800/255-4281 or 814/480-5419 to find out how HealthAmerica can make a difference in your health care benefits, or visit our Web site at www.healthamerica.cvty.com.

Benefit Options

Whether you are looking for a high level of coverage or considering basic coverage to keep your costs low, the HealthAmerica Small Business Solution has the plan for you. HealthAmerica offer the following benefit options:

Preferred Provider Organization (PPO) Options

PPO plans provide comprehensive health benefit coverage that allows your employees to choose most doctors and hospitals. And, members do not need to select a primary care physician. This plan is attractive to employers who want to introduce managed care and control costs, while offering employees flexibility and freedom of choice.

When your employees visit participating doctors and hospitals, they receive a higher level of coverage and pay only a small copayment. Your employees may also choose to use non-network providers and pay more out-of-pocket costs. Our Premier PPO Saver plans offer greater cost savings. Employees pay greater out-of-pocket expenses that allow you to control your premiums, while providing your staff with the benefits they want.