Stop Loss / Capitation
Allocate a fixed amount of money per patient for the delivery of appropriate drug benefits.
Control prescription costs while securing access to high-quality health benefits for your patients.
The capitation agreement process is complex. Phoenix PBM simplifies requirements and customizes innovative stop loss solutions for brokers, consultants and TPAs. We work directly with dedicated Managing General Underwriters (MGUs) who concentrate on prescription drug stop loss insurance, helping to produce sustainable cost efficiencies.
Phoenix capitation solutions minimize risk and the high claims costs associated with self-funding prescription benefit plans. By allocating a fixed amount of money per patient for the delivery of drug benefits, we position you to control costs and secure access to highest quality health benefits for each patient.
Our team is readily accessible, knowledgeable and committed to developing an alliance between health care demands, employee benefits and employers’ success.
Phoenix provides access to the fundamental resources that help people live healthier lives.
We have excelled in this effort for decades by providing bigger savings, more options, better resources, and the best customer service in the business.
The Phoenix System is a static transaction-based fee structure that is simple to understand provides access to the greatest possible benefits for brokers, agents, TPAs, organizations and patients.
Phoenix PBM clients have the prescription benefits they need at the fairest price. We review financial, plan design, eligibility, and rebate details with you to verify that you're getting the greatest value from every element in your plan.
Better information is at the center of better health. The Phoenix dashboard puts your accounts, options, and statistics like user demographics, claims reports, and brand name and generic use reports at your fingertips.
Customer service excellence lives at our core. When you call, we answer. When you have a question, we have a thoughtful answer. Our team is pharmacy trained, bilingual, and committed to meeting your specific prescription benefit needs.
Phoenix retail pharmacy benefits give you choice and convenience. Access independent and chain pharmacies to get the prescriptions you need quickly – no claims to file and no waiting for reimbursement.
Counteract the high cost of specialty pharmacies. Trust Phoenix to connect you with providers who offer appropriate solutions and the most competitive pricing on your particular medications.
Prior Authorization & Step Therapy
Phoenix helps to satisfy the need for affordable and effective specialty medications with pharmaceutical benefit solutions built on collaboration between physicians, pharmacists, and other healthcare professionals working with current, peer-reviewed, clinically relevant research.
With Phoenix, brokers, TPAs, labor unions, and consumers benefit from scalable, low-cost individualized prescription benefit plans and the very best customer responsiveness and care.
Learn how Phoenix is simplifying complex healthcare solutions and creating successful, affordable prescription benefits programs for our clients and their customers.
What can your PBM do for you? If your PBM is Phoenix, everything you need.
Count on Phoenix for personalized, flexible benefits backed by absolute service excellence. We know this complex market. We listen first and innovate wisely. Phoenix is your best source of savings, options, and reporting resources because we turn our strengths into benefits that become yours.