Services Offered by HMA Administrators

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Benefit Plan Design, Consulting and Implementation
Starting with your current plan documents, we will carefully review all specifications and develop a fully customized benefit program for your company. During implementation, we use a rigorous quality control process when setting up your plan on our systems to assure efficient and accurate administrative management.

Management Reporting
We provide comprehensive reports illustrating exactly where healthcare plan payment dollars are going.  Based on these reports and others, our client management team will provide scheduled ongoing consultations to demonstrate how to further reduce costs.

HSA and HRA plans
In addition to more traditional benefit programs, we offer HSA Qualified Health Plans to clients interested in this option, recently made available by Federal Legislation.  We also offer HRA plans, as well as other Alternative Benefit plans, and first dollar wellness programs.

World-Class Customer Service and HR Consulting
The customer service team at HMA Administrators is an integral part of your company's benefits department.  Our customer service representatives are experienced healthcare administration professionals who will assist callers with any concerns or questions, regarding plan provisions, eligibility or claims.  Our claims and customer service associates are available to assist covered individuals with any technical claims or benefit verification questions, and we always make sure your employees are treated with the respect and courtesy they deserve.  We provide around the clock self-service capabilities, both to employers and to their employees through a state of the art web portal system.  Improvements and more useful tools and features are being added all the time, due largely to the positive feedback we have received from our clients.

Disease Management and Wellness Programs
HMA Administrators provides its clients access to dynamic programs that look for solvable medical problems before they lead to catastrophic hospitalizations.  These programs are proven to help patients stay well longer, stay on the job, and reduce over-all health plan costs.  Through these programs, employees receive the attention, dedication and attention they deserve.

Pharmacy Benefit Management
Through our business partners we offer a full service RX program which includes home delivery service.  This benefit program returns 100% of collected manufacturers' formulary rebates at point of sale, as well as market share rebates, to our clients plans. We have also incorporated the expertise of medical doctors and clinical pharmacists by offering a three-tiered formulary approach emphasizing high quality generic and brand-name medications.  The first tier is made up of generic drugs.  The second tier consists of drugs on a preferred formulary list.  These preferred formulary medications are selected to provide a high level of prescription benefit while also controlling pharmaceutical costs.  The third tier includes all other covered drugs.  This program features a $0 co-pay for generics purchased at Costco or by mail order.

COBRA Administration
Through our integrated system we will coordinate, prepare and issue COBRA notices, track election periods, notify your company and the COBRA participants of election, or declination, monitor the COBRA  coverage period, and collect premium directly from COBRA participants.

5500 Preparation
Form 5500s are filed with the Department of Labor every year.  We will prepare the required annual form based on the information prepared by you and captured by us.