The Alliance® Premier Networks
The Alliance Premier Networks offer employers the flexibility of a multi-tier benefit plan, and is a great way to direct your employees to low-cost, high-value providers without limiting their provider options.
Tiers essentially provide a preferred option, a secondary preferred option (Comprehensive Network), and all other out-of-network options. This doesn’t limit where your employees can choose to seek treatment, but by using incentives, it allows you to direct them toward higher-value care.
You may want to offer more or less choice depending on where your employees live. The Alliance Premier Networks can support up to four customizable tiers. By offering different tiers, you can incentivize your employees to choose cost-effective providers. This reduces your plan spend and saves them money. The Alliance Premier Networks are the best option for employers that want to offer the widest range of choice possible.
The Alliance Premier Network will now be known as The Premier Network Ruby. This network will remain the same, retaining the current providers, including the UW Health System and Marshfield Clinic Health System, and serve the following counties:
The Premier Network Emerald by The Alliance provides an additional high-value network option for employers to manage healthcare costs. This network features a range of providers including UW Health System and Gundersen Health System and serves the following counties:
Here’s how a multi-tiered network works:
Here’s How Your Tiered Network Might Look:
The Alliance Premier Networks Sample*Benefits example for single participant |
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Tiers |
Benefits |
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Tier 1 |
Deductible $500.00 Coinsurance 10% Max out-of-pocket $1,000
|
ALL Marshfield Clinic Health System Clinics and Hospitals ALL UW Health System Clinics and Hospitals including Children’s, Rehabilitation, Health Care Direct and Home Health Family Health Center of Marshfield Madison Surgery Center Wisconsin Sleep Lab Generations Fertility Care UnityPoint Health – Meriter Hospitals and Clinics UnityPoint at Home Swedish American Health System Group Health Cooperative Clinics |
ALL Gundersen Health System Clinics and Hospitals ALL UW Health System Clinics and Hospitals including Children’s, Rehabilitation, Health Care Direct and Home Health Madison Surgery Center Wisconsin Sleep Lab Generations Fertility Care UnityPoint Health – Meriter Hospitals and Clinics UnityPoint at Home Swedish American Health System Group Health Cooperative Clinics |
Tier 2 |
Deductible $1,000.00 Coinsurance 20% Max out-of-pocket $2,000 |
The Comprehensive Network by The Alliance | The Comprehensive Network by The Alliance |
Tier 3 |
Deductible $2,000.00 Coinsurance 40% Max out-of-pocket $4,000 |
Out-of-network providers | Out-of-network providers |
How might it look on my employees’ card?
The ID card will include The Premier Network Emerald or The Premier Network Ruby logo*.
*Previously issued cards will have the generic Premier Network logo. This will not impact billing.
(This is a sample ID card)