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

Tiers

Benefits

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)

 

Featured Insights on Provider Network Design

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