92% of AultCare clients renew year after year. Find out why.

Population Health Management (PHM)

• A key differentiator that sets AultCare apart from other health plans.
• PHM offices have AultCare nurses on-site to coordinate care between the member, their physician, and the health plan.
• A quality healthcare experience using a PHM office provides positive health outcomes and cost-saving opportunities; all of which we have studied and analyzed to measure the success for all parties involved, including you as the employer.
• A statistical analysis concluded members of a PHM office's cost of care was $30 less per employee per month, compared to members of the non-PHM office. 
• Learn more about this cost-savings program

Pharmacy Management

• With pharmacy carved into your medical plan, AultCare and OptumRx integrate medical, pharmacy, and clinical data to improve your cost savings
• Variable Copay Solutions (VCS) leverages pharmacy coupon cards for the employer benefit
• The AultSaveRx platform allows members to view plan claims, identify savings opportunities (an average savings opportunity is $31 per fill), and ROI reports Learn more

Reference Based Pricing

• Alternative payment methodology promoting in-network care to optimize medical spending Learn more

Consumerism

• IBM Medical Cost Estimator 
  • Empower your employees to take control of their healthcare decisions as they compare quality, cost, and location for in-network procedures
  • Review estimated range of cost to treat a disease or condition for an entire year Learn more

Artificial Intelligence

• Promotes process improvement to enhance the integrity and financial savings

High-Risk Claims

• Identifying and managing high-risk claims towards successful cost control strategies Learn more

Workers' Compensation 

• AultComp MCO upholds local connections to manage your workers' compensation needs as a Managed Care Organization (MCO). They know the facilities and providers directly, which makes managing your claims run smoother and more efficiently. They can get your employees back to work safely and quickly as the #1 rated MCO in Ohio. 
• AultComp TPA is available to review your group savings opportunities as a Third Party Administrator (TPA). AultComp TPA has some of the lowest administrative costs of any TPA in Ohio and their local, customer service is exceptional.

Multiple Employer Welfare Arrangement Administration (MEWA) Learn more

Medicare Plans 

• Medicare Advantage with PrimeTime Health Plan
  • PrimeTime Health Plan is rated 5 stars by the Center for Medicare and Medicaid Services (CMS). Learn More
  • Recognized as one of the Best Medicare Advantage Plans in Ohio by U.S. News and World Report. Learn more
• Medicare Supplement with PrimeTime Choices
  • Allows members to see any physician who accepts Medicare. PrimeTime Choices is offered through the entire state of Ohio. 

Other Ancillary Products

• Life Insurance
• Accidental Death and Dismemberment 
• Short Term Disability
• Long Term Disability
• Pet Insurance

Wellness Learn more

• Comprehensive, customized health and wellness programs are created to provide your employees with improved health
• On-site flu/vaccine clinics are available
• Dietitian programs are available
• Behavioral health programs are available
• Customized monthly fitness initiatives are available
• Dashboards and reports on the progress and engagement level of employees are available
• Average savings of $69.97 per employee

Data Reporting and Analytics

• Predictive Modeling
• Self Service Employer Reporting

EnrollX (formerly NWGS)

• Bringing ease to Ancillary Products

Canton Regional Chamber of Commerce Health Fund (MEWA) Learn more

• Partnership to support small businesses within our community

HealthEquity Learn more

• The healthcare industry’s #1 Health Savings Account (HSA) Administrator

DenteMax Learn more

• DenteMax is one of the largest leasable dental PPO networks in the United States

IBM Learn more

• Providing your company and employees with medical cost estimates

AllHealth Choice

• AllHealth CHOICE integrates the latest in remote health and activity monitoring, telehealth, socialization, patient engagement, and care coordination technologies into one comprehensive service combined with dedicated, 24/7 nurse care managers and navigators

Milliman MedInsight

• Milliman works with clients to improve healthcare systems, manage emerging risks, and advance financial security, so millions of people can live for today and plan for tomorrow with confidence

OptumRx Learn more

• Making it simpler and easier for you to get the health care you need. OptumRx strives to improve experiences and lifelong health outcomes for everyone served while discovering new ways to make care more affordable. 

CCS Medical

• One of the country's leading providers of home delivery medical supplies, CCS Medical offers a complete line of quality products to our Diabetic population.

VSP Vision Care Learn more

• The first and only national not-for-profit vision benefits company providing vision benefits to our members

Population Health Management Learn more

• Serves as the link between the member, the Primary Care Physician (PCP), and the health plan to help the member navigate the healthcare system and receive integrated care
• Provider-based allowing for close partnerships with community providers

Pharmacy Management Learn more

• Works alongside prescribing physicians to ensure your employees receive the most appropriate, cost-effective medications

Disease Management Learn more

• Provides your employees with education on prevention; ensures employees with chronic health issues have the tools and services necessary to improve their health, including remote patient monitoring

Case Management Learn more

• Equips employees with quality, cost-effective outcomes through assessment, planning, coordination, education, and referral

Utilization Management Learn more

• Helps your company control costs through efficient management of healthcare resources

Wellness Learn more

• Identifies and helps your employees understand their risks and assists in decreasing those risks through coaching, goal setting, education, encouragement, and support

• An ever-growing network of local and national hospitals Learn more
• Over 16,000 network providers 
• 24/7/365 telehealth access through AultmanNow Learn more
• All CVS MinuteClinics nationwide Learn more
• Cigna National Network Access (available to members outside the AultCare network) Learn more

A personalized approach tailored to your company's needs

Superior customer service was embedded in the AultCare philosophy from the beginning. A simple request to answer the phone launched an organization-wide campaign to deliver personalized customer service. With each day, employees and members alike take pride in the human aspect of the AultCare culture.

Our dedicated team continually strives to provide our members, employers, and providers with the information and resources they need to receive the most from their healthcare plan. As we correspond with your employees over the phone, via email, or during personalized visits, AultCare will always be here to answer each question and provide resources to help understand the healthcare system.

Convenient solutions to managing your employees' care

• Member portal
  • Our online portal features an updated look and easy-to-access resources to enhance the member experience and provide the tools members need to take an active role in their healthcare. Learn more.
• Mobile app
  • Our mobile app provides convenient access to member healthcare information. Download the app for free on the Apple App Store or the Google Play Store. Learn more.
• Online chat
  • Your employees can use the online chat service to conveniently receive efficient and knowledgeable customer service administered by our trained representatives. Learn more.