Inventors:
William Ashley - Spring Hill KS, US
Jeffrey Miller - Overland Park KS, US
Assignee:
Allied National, Inc. - Kansas City MO
International Classification:
G06F017/60
Abstract:
A benefit plan system is provided with multiple categories of benefits. The benefits are subject to controls, which are independently variable. The controls can comprise one or more of limit amounts, deductible amounts, coinsurance percentages and copay amounts. A catastrophic attachment point (CAP) can represent a predetermined incurred expense amount, a medical condition or some other criteria. Major medical benefits can be available upon reaching the CAP, and likewise have independently variable controls. A benefit method is provided in includes the steps of providing limited medical benefits, assigning independently variable controls, providing a CAP, providing major medical benefits when incurred expenses exceed the CAP and negotiating with healthcare providers for favorable pricing within said controls. Additional CAPs can be provided, and can correspond to other criteria such as medical conditions, etc.