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How does profit plan design affect member expertise?


How does profit plan design affect member expertise?

Employers are recognizing the necessity for fertility and household constructing protection – final 12 months, almost a 3rd of huge employers mentioned they had been planning so as to add fertility and household constructing protection to their advantages packages.1 

Nevertheless, employers evaluating choices for fertility advantages shortly discover that it’s tough to match options due to the number of protection fashions. How can employers perceive whether or not a present or potential profit will actually meet their workers’ wants? How can they consider whether or not it should drive the outcomes they need – glad, wholesome workers and efficient value containment?  

To assist profit leaders reply these questions, Progyny surveyed greater than 1,400 sufferers who used fertility protection by way of greenback cap and conventional provider within the final 5 years to search out out what their experiences have been like.  

The outcomes uncovered a plan design ripe for change: 

  • 53% of workers needed to compromise features of provider-recommended care on account of value 
  • 60% of workers spent cash on wasted medicine or ineffective remedy 
  • 1/3 of workers didn’t have a care path choice for his or her household constructing state of affairs 
  • 63% of workers mentioned their work productiveness suffered from elevated stress on account of insufficient assist 

It’s clear that fertility advantages could be delivered in a different way. The truth is, that’s why Progyny was based 8 years in the past, and why we proceed to innovate to fill gaps that different plans miss.  

In line with our members, the three issues that assist drive our +80 NPS rating are:

  • Full episodic protection that empowers them to pursue the remedy really helpful by their supplier with out having to fret about operating out of cash. 
    • Why you care: The cycle-based method ends in much less wasted medication, much less general remedy, and simpler spend for workers and employers
  • Clinically built-in, high-touch expertise that connects members with affected person assist, coated Rx, and entry to a nationwide community of completely vetted suppliers – multi function platform 
    • Why you care: Steady assist that streamlines care helps cut back fragmentation whereas mitigating gaps that result in high-risk conditions
  • Protection for all parenthood choices with inclusive assist out there for single mother and father, {couples}, these adopting or utilizing surrogacy, and so forth.
    • Why you care: When workers are locked out of entry to advantages, all people loses. Underserved populations don’t really feel valued or included, and organizations miss out on optimistic outcomes like improved recruitment, retainment, and decrease healthcare prices

Click on right here to obtain a full readout of the survey, be taught extra about how one can shut key gaps, and discover new information on why assembly worker wants is so crucial to outcomes in fertility. Our knowledgeable crew can also be out there to reply any questions you could have about fertility and household constructing advantages – get in contact right here or attain out immediately at gross sales@progyny.com.

1. Mercer, Well being & Advantages Methods for 2023 report

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