Self-Insured Healthcare Programs

edHEALTH offers customized solutions for colleges, universities, and secondary schools. You choose the administrator and plan design that works for your school and its faculty, staff, and family members.

Healthcare Administrator, Network, and Design Options

Healthcare Administrator Options

edHEALTH currently has regional and national third-party administrators (TPAs) for healthcare. We also carve out prescription drugs and contract directly with pharmacy benefits managers.

Variety of Network Options

edHEALTH partners with national TPAs for access to many networks across the country. We use a customized approach to determine which network best meets the needs of a new member institution. We evaluate various options for network panel scope, how the network and types of care align with the institution’s utilization patterns, and for financial value. These findings are provided to the new member school and their advisor for final network determination.

Flexible Plan Designs

edHEALTH schools choose the plan designs that best meet the needs of their faculty and staff. Representatives from each member institution (typically benefits administrators) meet regularly to review benefits options and ensure optimal choice.