About Us

Benexcel Consortium is a for-profit corporation and wholly owned subsidiary of the Delaware Valley Health Care Coalition Inc (DVHCC). It is through Allied Benefit’s partnering with Benexcel Consortium and their relationship with DVHCC’s vast member consortium that we have the ability to utilize highly leveraged contracts. Benexcel Consortium negotiated both deep discounts with premier health plan services organizations, and also de-bundled program components. As a result, customized plans can be constructed, either duplicating your existing benefit structure or changing it as you wish, and at the same time save your plan administrative and medical costs. Additionally, the plan will be transparent to your members or employees, causing little or no disruption with the providers they currently use.

The new Benexcel Consortium plan produces significant reductions in medical and administrative costs for those labor and labor friendly groups choosing to participate in the program. Program providers include:

Aetna Signature Administrators® program provides access to the Aetna PPO network – one of the country’s most complete network solutions. Aetna is ranked by Fortune magazine as one of the most admired health care insurers in the world. It is one of the largest and most respected health benefits companies in the United States, serving over 33 million people. The Aetna PPO network is a national network with over 950,000 participating physicians and ancillary providers with over 6.000 hospitals.

Aetna can also provide catastrophic Stop Loss coverage, including:

• Specific coverage: initiated when claims incurred by an individual covered member reach a threshold selected by your organization. From that point your policy would pay the balance of any claims for that individual for the plan year up to the life max, if any.
• Aggregate coverage: initiated when your total claims for all members covered under the plan reach a stipulated threshold selected by your organization, typically 125% of annual estimated medical claims.

Rated number one in Pharmacy Benefit Manager’s Institute survey during the last three years of published outcomes, this PBM is known for producing the savings promised, with highly satisfied customer rankings. EnvisionRxOptions is a leading pharmacy benefit manager with:

• 100% pass through pricing
• Lowest net cost strategy
• Full claim audit capability
• A range of full provider to labor-friendly pharmacy networks
• Rebate applied at point of sale
• Value & clarity

Health Care Strategies (HCS) is a next-generation health care information technology and informatics company that specializes in the delivery of high-quality, informatics-driven health management services. HCS deploys its sophisticated technology platform, deep domain experience and skilled Care Counselors to merge predictive analytics, risk stratification and evidence-based interventions into effective programs that improve outcomes and reduce overall health care costs.

INDECS is a Third Party Administrator that handles claims processing and other administrative services. A self-funded program administered by INDECS will assist you in regaining control of your resources. INDECS is one of the leading third-party administrators, focusing on customer service and functioning as the administrative arm of your benefit program, allowing your Trustees’ philosophy to reach your members. INDECS was selected for their:

• Prompt claims turn-around with timely, efficient and accurate payments
• On-line access to plan and members’ information including claims, eligibility and administration information
• Plan documentation with customized benefit plan design
• Coordination of claims with stop loss insurance provided by Aetna

TFG Partners is an independent healthcare claims audit and consulting firm providing comprehensive cost containment solutions to self-insured employers for over 20 years. Allied Benefits partnered with TFG because they have:

• Proven Client Track Record, serving a mix of Fortune 500 and mid-sized self-insured companies.
• Extensive auditing experience, healthcare expertise, experience dealing with all major plan administrators, and a track record of working closely with clients.
• Extensive Administrator experience in dealing with all leading health plan claims administrators, and can help develop detailed information to optimize recovery and put sustainable future cost savings measures in place.
• Multi-disciplined with extensive experience in health care administration, medical management, medical claims processing, claims auditing, healthcare cost containment, consulting, and computer science.
• Responsive and proactive cooperation: Short communication lines ensuring approachability and personalized services.

Linking Pharmacists to Improving HealthCare Outcomes, (LPiHO), works with employers to offer consumer incentive programs that focus on patient self -management education and techniques to help patients with chronic conditions improve health outcomes. The program matches health plan beneficiaries with community pharmacist “coaches” who provide hands-on education, while monitoring and evaluating the employees’ health improvements. Through one-on-one counseling sessions with pharmacists, employees can learn how to better manage their chronic conditions (diabetes, high blood pressure, cholesterol) and reduce associated risks.

Positive biometric changes, which measure illness acuity, demonstrate patient improvement. Financial savings ranging from an average of $3,000 to $4,000 per participating member per year is an expected saving for standard patient profiles after all costs for the program are accounted for. Savings persist for at least five years, according to long-term outcomes studies.