MotivHealth ASO

Lower Claims Cost. Better Experience. Sustainable Benefits.

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Transform Your Employee Benefits with MotivHealth’s ASO Solution

MotivHealth’s Administrative Services Only (ASO) plans offer a flexible, cost-effective, and data driven solution for employers seeking to self-fund their employee health benefits. Unlike traditional fully insured plans, ASO allows companies to pay only for actual claims while MotivHealth handles administrative tasks such as claims processing, provider network management, and employee support. This performance based, pay-as-you-go model enhances cash flow and provides real-time data driven insights into healthcare spending, enabling tailored plan designs to meet workforce needs.

The MotivHealth Advantage

Claim Optimization Savings

We fine-tune every claim to ensure it’s accurate, compliant, and fully optimized—helping uncover hidden savings and reduce waste before payments go out the door.

Prescription Services

Our proprietary approach targets cost inefficiencies in prescription drug spending, securing substantial savings without compromising patient care or access.

Payment Integrity Savings

We dig deep into claims data to catch errors, overpayments, and billing discrepancies—restoring financial accuracy and protecting your bottom line.

MotivHealth is relentlessly focused on helping members get the right care at the right price while providing the support they need to navigate the complex healthcare system.

Engage.

MotivHealth’s Steps Program incentivizes members and their covered partner to walk 8,000 steps daily, earning $1 per day (up to $500 per year per couple) deposited into their HSAs. As members participate in this program, they begin to understand how MotivHealth is helping them reduce their out-of-pocket costs.

Educate.

Once members are Engaged, we invite them to enroll and graduate from MotivU.  The curriculum includes 5 modules that take about an hour to complete.  Upon graduating, members are awarded $50. MotivU helps ensure that healthcare spending is optimized, delivering sustainable savings without compromising quality.

Reward.

As members utilize MotivHealth’s programs, members are rewarded with lower out-of-pocket costs.  We operate a high touch, concierge model that helps members navigate the complex healthcare systems.  The end result is that members receive the best care while saving a significant amount of money. 
 

MotivRx

The Smarter Way to Save on Prescriptions

MotivHealth is committed to helping you reduce your prescription costs. If you or a dependent is taking a medication that costs $200 or more a month, we may be able to lower or eliminate your monthly out-of-pocket costs through our high-touch assistance model.

What We Offer

  • Copay card adjustments

  • Full assistance programs

  • Diabetic assistance

  • Formulary options

  • Alternative sourcing


SmartPay

HIGH COST ≠ HIGH QUALITY

Members pay lower out-of-pocket rates when they utilize specific high-quality providers that have partnered with MotivHealth.

Save significantly on planned procedures when you call us in advance.

High Touch Member Services

EASY-TO-NAVIGATE MEMBER PORTAL

  • Provider/Procedure Search Tool
  • Rx Formulary Search
  • Live Chat Support
  • Incentives Tracking
  • HSA Management

Our dedicated Personal Health Assistants are committed to helping members find the best care at the best price.

“This is the only time in 40-some-odd years of having insurance that I feel like the insurance company is also after my best interest.”

Phillip P.

MotivHealth Member
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Satisfaction rates of members who have talked to our Personal Health Assistants.

The Only Insurance Company with a Fully Integrated HSA Platform

MotivHealth has pioneered simplifying HSA-based health plans. Our integrated platform combines HSA tracking, claims payments, and investments all in one place.

The Cherry on Top: The MotivHSA platform is offered at no cost to the member and the employer.

Integrated HSAs

A simplified HSA experience where members’ health insurance, HSAs, and HSA investments live in a single platform.

 

Join the Healthcare Revolution with MotivHealth

As MotivHealth expands into Administrative Services Only (ASO), our commitment to transforming healthcare grows stronger. We empower employers and members with innovative solutions that drive informed, cost-conscious decisions—ensuring financial security and better health outcomes for all.

Ready to elevate your benefits strategy? Discover how MotivHealth’s ASO solutions can customize your healthcare experience. Contact us today for a consultation or explore our tailored plans to see the difference.

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Steps Program Basics


Why Participate: So, you and your covered spouse can earn $1 for each day you walk 8,000 or more steps up to 20 days a month. All incentives earned this way are deposited into your HSA.

How to Participate: Create your MotivHealth member account. Sync an eligible device (Garmin, Fitbit, or Apple) and walk your way to $1 a day.

Who’s Eligible: You, the policy holder and a covered spouse.

Rx Program Basics


Why Participate: Spending $200 or more on prescriptions each month? We can help you eliminate or significantly lower your out-of-pocket costs.

How to Participate: Simply call one of our Prescription Benefit Analysts:
(385) 247-1030

Who’s Eligible: You, the policyholder and your covered dependents.

Prompt Pay Program Basics


Why Participate: Save between $250-$3,000 on out-of-pocket costs on planned medical procedures.

How to Participate: Simply call us before your scheduling your procedure, and we'll help you find a participating Prompt Pay facility / provider.

Who's Eligible: You, the policyholder and your covered dependents.

Price Transparency Tool Basics


Why Participate: Lower your out-of-pocket costs by empowering yourself to take charge of your healthcare.

How to Participate: Our Price Transparency Tool is accessed via your member portal. Simply create your account and click "Find Care."

Who's Eligible: You, the policyholder and your covered dependents with member accounts can access this tool.