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Provider Excess Reinsurance
Provider Excess of Loss
RBS Re offers an Excess of Loss product to
assist provider organizations in minimizing their financial exposure to
catastrophic claims. Based upon an analysis of coverage needs, claims
experience, case mix and financial risk appetite, we will provide optimal
coverage options to your organization.
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Eligible expenses can include:
inpatient, outpatient, professional and pharmaceutical
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Available to Commercial,
Medicaid, and Medicare memberships
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Alternate funding available
(i.e. experience refunds, swing plans)
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Flexible minimum premium
requirements
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No per diem limitations
available for inpatient facility coverage.
Value Added Services
Every RBS Re
client receives assistance in the management of catastrophic healthcare
claims. These value added services are designed to complement and enhance a
client’s existing medical management programs. Here are a few examples of
services offered:
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Access to National
Transplant Networks |
Access to National PPO
Networks |
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Catastrophic Case
Management |
Neonatal Care Management |
|
Large Claim Reviews |
Bill Audits |
Coverage is underwritten by HM Life Insurance Company
or Highmark Casualty Insurance Company, Pittsburgh, PA in all states
except New York under policy form series GP895, GP895C, HL601, HC601,
HL904, HC PEL1105 or similar. In New York, coverage is underwritten by
HM Life Insurance Company of New York, New York under policy form
series GP895, HL601 or similar. The coverage or service requested may
not be available in all states. |
