For employers
Direct primary care, alongside your self-funded or level-funded plan.
Foundation Health membership gives your employees real access to primary care for one flat monthly fee, while your health plan keeps covering everything outside our office. Here's how the two fit together.
The basics
Two ways to fund a plan.
Self-funded plans
Your company pays employees' claims as they happen, usually with stop-loss insurance that caps the cost of very large claims.
Level-funded plans
You pay a fixed amount each month that covers expected claims, administration and built-in stop-loss. If claims come in lower than expected, some plans return part of the difference.
How it fits
Membership alongside your plan.
You pay a set monthly membership for each enrolled employee. There are no per-visit charges and nothing for us to bill to the plan. Members get unlimited primary care visits, same-day or next-day appointments, 24/7 phone access and labs drawn in our office. Your health plan continues to cover specialists, hospital stays, surgery, imaging, emergencies and prescriptions.
Covered by membership
- Unlimited primary care visits
- Same-day or next-day appointments
- 24/7 phone access
- Labs drawn in our office
- One flat monthly fee, nothing billed to your plan
Your plan keeps covering
- Specialist visits
- Hospital stays and surgery
- Imaging, like X-rays and MRIs
- Emergency care
- Prescriptions filled at a pharmacy
Why it can help
Good for your team, and your plan.
Fewer small claims
Primary care visits and in-office labs with us don't run through your plan as claims.
Steady care for chronic conditions
Members with long-term conditions get unhurried visits and regular follow-up, so changes get noticed early.
A clearer claims picture
Fewer small claims can help your claims experience and the picture your stop-loss carrier sees. Ask your broker and stop-loss carrier how they treat it for your plan.
HSAs
High-deductible plans and HSAs.
Federal rules on direct primary care and health savings accounts changed recently. If you offer an HSA-qualified high-deductible plan, talk with your benefits advisor about how membership works with it.
Working together
We work with your partners.
Your broker and TPA
We work alongside your benefits broker and third-party administrator to fit membership into your plan.
Usage reporting
We can share de-identified visit and usage reporting, so you can see how employees are using their membership.
General information, not legal, tax or plan-design advice. Your broker, TPA and benefits advisor can tell you how membership fits your specific plan.
Questions
Good to know.
Does membership replace our health plan?
No. Membership covers primary care with Foundation Health. Your plan still covers specialists, hospital care, imaging, emergencies and prescriptions.
Do you bill our plan for visits?
No. Primary care visits with us are covered by the monthly membership, not billed as claims.
Will this lower our stop-loss premium?
We can't promise that. Fewer small claims can help your claims picture; your broker and stop-loss carrier can tell you how they'll look at it.
How does membership work with an HSA?
Federal rules changed recently. Talk with your benefits advisor about your specific plan.
What does membership cost?
Contact us for pricing for your company.
Also for employers
More ways we can help.
Let's talk about your plan.
Bring your broker or TPA, and we'll walk through how membership could fit alongside your plan.
Existing members and newly enrolled corporate patients: please call 303.449.0517 to schedule an appointment.