Our team at Healthcare Xponents is driven by the desire to demystify the high level of complexity in our healthcare system.

Whether you are a Corporation or Small Business, Faith-Based Organization, Union or Association, we’ll help your employees and members intentionally select their healthcare coverage and make healthcare decisions so they can take charge of their health and the issues that directly impact their care. We will help them understand their options and make the best choices for themselves and their family.

The next section will provide you with an overview of the services we offer.

Consulting Services for Professionals

Correctly administered health benefits result in wins for everyone

We will:

  • Support your Benefits Administrators as they navigate healthcare laws and regulations.
  • Simplify your healthcare employee-centered communications.
  • Clarify the elements of your healthcare options to ensure each member of your workforce obtains a high level of healthcare literacy.
  • Help develop strategies to improve organizational efficiencies for healthcare spending.
  • Promote the nexus of employer-sponsored benefits and employer commitment to a healthy workforce and success for all.

Consulting Services for Employees and Union Members

The tangled web of healthcare can be very confusing for more than 90% of healthcare consumers

We will:

  • Explain complicated healthcare terminology and related information for your employees or members.
  • Help employees and members:
    • Understand the differences between various types of health plan options.
    • Evaluate cost for services under the plan and avoid overpayments.
    • Determine applicable costs and how they apply under the plan terms.
    • Monitor correct administration of covered benefits under the selected plan.
    • Stay up-to-date with any plan changes with focus on annual enrollment.
  • Empower employees and members to select the best plan option for their family situation.

Workshops Services

When everyone understands healthcare terminology and the way health benefits are delivered, both the healthcare system and healthcare consumers are better for it

We will offer workshops to: 

  • Demystify the healthcare system for your employees or members through deep-dive sessions.
  • Explain coverage options offered that could include PPO, HMO, HDHP, EPO, POS, HSA, Medicare, and Medicare Advantage.
  • Examine the delivery structure for benefits, key similarities, differences and common limitations among available options.
  • Help participants understand the cost structure and out-of-pocket costs they could incur.
  • Provide tools to understand, and effectively use, the applicable Summary of Benefits and Coverage (SBC).
  • Discuss the role and importance of various plan documents such as the Summary Plan Description (SPD) and how to apply the information provided.
  • Create an interactive environment for attendees to ask questions designed to increase healthcare literacy.
  • Identify life-changing events and what action is required to ensure continued effective coverage.

Seminars Services

Healthcare choices and decisions can significantly impact your employees (or members) and each eligible family member

We will provide: 

  • General information sessions for groups of healthcare consumers, including employees, members of Unions, Associations, and faith-based organizations, as well as family members who are eligible for coverage under the plan.
  • Broad-based discussions of the health plan options that are generally available, structure of benefits under these options, similarities and differences, and typical limitations on coverage.
  • Examination of typical costs design structure that goes beyond evaluation of annual premiums and co-pays.
  • Breakdowns of healthcare terminology, and how to factor in this information for selection of coverage.
  • Tools to apply when evaluating health plan options offered on the Marketplace (developed pursuant to the Affordable Care Act).
  • Discussions of coverage under Medicare and Medicare Advantage plans, including distinctions and limitations to be evaluated when selecting coverage.

Coaching Services

Often, information intended to assist healthcare consumers can overwhelm the individuals it is designed help.

As health care coaches, we: 

  • Provide one-on-one coaching sessions, through existing arrangements with participating employers, Unions and Associations.
  • Respond to, and resolve, questions with respect to coverage options, with special consideration of important factors of the individual, or family member, circumstance.
  • Offer individually focused support as the employee or member navigates coverage options, benefits, and evaluate any special healthcare needs to be considered in the plan selection process.
  • Educate employees or members how to maximize the selected coverage to be cost-effective and decrease existing, or potential, healthcare disparities.

Webinar Services

Creating a high level of healthcare literacy results in wins for everyone

We will offer tutorials on healthcare topics selected by, and specifically applicable to, you, your employees, and members. Topics include, but are not limited to:

  • The role of healthcare coverage in overall well-being.
  • Financial implications of being uninsured and the importance of healthcare coverage.
  • Barriers to enrollment and coverage, including language and cultural; lack of awareness and education; understanding the Enrollment period.
  • Various types of healthcare coverage, including employer-sponsored plans, governmental programs (Medicare, Medicare Advantage, Medicaid), individual plans, and plans available on the Marketplace.
  • How to select the optimum healthcare plan, effective comparison of deductibles, premiums, copayments, coinsurance, network coverage, prescription drug coverage, and other out-of-pocket costs.
  • The role of your Explanation of Benefits (EOB) and Summary of Benefits and Coverage (SBC).
  • Highlights of the Affordable Care Act - what you need to know.

Who We Serve

Click on the links below based on who you are to learn more about how we can help you.
Corporations and Small BusinessesFaith-Based OrganizationsUnionsAssociations

Struggling to understand
  • Affordable Care Act (ACA)?
  • High Deductible Health Plan (HDHP)?
  • Coinsurance Amount?
  • In-Network?
  • Preferred Provider?
  • Copayments?
  • PPO Health Plan?
  • Annual Deductible?
  • Medicare Advantage Plan?
  • Out-of-Network?

Partner with us as your healthcare interpreter and advocate.