Why Health Plans, Inc. (HPI)?

Health Plans, Inc. (HPI), a progressive third-party administrator with a growing national presence, brings 35 years of self-funding innovation and expertise to South Carolina employers looking for more value and better results from their health plan. Brokers and consultants continuously depend on HPI’s unprecedented flexibility to custom tailor benefit plans that perfectly fit each client’s unique need.

Get to know HPI. We offer the know-how, technology and transparency you deserve from a trusted business partner.

Why partner with us? Expertise. Performance. Value.

Self-funding options to fully-insured and carrier ASO arrangements

  • Full replacement or custom plan designs for your 50+ groups
  • Scalable, market-specific solutions across industries
  • Level monthly funding option for transitioning clients
  • Preferred stop-loss relationships

Comprehensive benefit administration

  • Medical, dental, vision, and disability claims with daily audits that result in 99.9% accuracy
  • Integrated pharmacy benefit management
  • Automated enrollment and eligibility
  • HRA, HSA, FSA and COBRA administration
  • Premium billing/remittance services for non-administered ancillary coverage
  • Tailored fund and premium accounting with simplified consolidated billing

TPA partner for Employers Health Network (EHN)

  • In partnership with the South Carolina Business Coalition on Health, EHN is an unprecedented health benefit solution, powered by HPI, offering plan savings and full transparency
    • EHN offers a one-of-a-kind, high-performance statewide network of award winning providers for quality care at competitive rates
    • Exclusive PBM integration through EHN’s Southern Scripts offers 100% pass-through transparent pricing that typically realizes an immediate savings of 15% or more on drug spend
    • Comprehensive out-of-area health benefit coverage
    • Integrated data and predictive analysis reporting
    • Reference based pricing

Risk management

  • Subrogation recovery
  • Large claim surveillance
  • Actionable reporting and prescriptive analytics
  • Legal and regulatory compliance expertise

Health Management

  • Fully integrated, in-house health and care management programs
  • Gaps in care monitoring
  • Proactive early intervention
  • Behavioral health
  • Health coaching and behavioral change programs
  • 24/7 tele-health services
  • Interactive online tools for members empower healthy lifestyles

Meaningful data and actionable reporting

  • Transparent data reports to evaluate plan performance
  • Prescriptive analytics direct long-term business strategies to the needs of employer’s populations
  • Secure online access to on-demand reporting

Unsurpassed service

  • Coordinated and efficient onboarding
  • Customized, multi-channel employee communications
  • Dedicated sales and client management from onboarding through renewal
  • Committed to empowering our people to do the right thing