With the Samaritan Fund Program, Everyone Wins
Reduce high-cost healthcare claims while giving employees compassionate, personalized support during difficult medical situations.
How It Works
A Better Path Through High-Cost Claims
The Challenge for Employers
A serious medical condition can create significant financial pressure for both an employee and the employer-sponsored health plan.
High-dollar claims can increase plan costs and make future healthcare expenses harder to predict. At the same time, employees may face substantial out-of-pocket expenses that add stress during treatment and recovery.
Traditional, one-size-fits-all approaches may not address the individual circumstances behind each claim.
The Samaritan Fund Program Solution
Samaritan Fund Program provides employers with a compassionate, practical approach to managing high-cost healthcare claims.
Our team works directly with qualified employees to explore individual coverage options and available financial assistance. When an appropriate solution is identified, eligible high-dollar claims may transition away from the employer-sponsored plan.
The result is meaningful support for employees and greater cost control for the business.
How It Works
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Offer the Program
We provide you with the tools and custom communications to introduce your employees to the Samaritan Fund Program.
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Employee Qualification
Employees facing a serious medical condition connect with a dedicated representative who will help guide them through application, qualification, and available options.
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Transition of Eligible Claims
When appropriate, qualified employees move to an individual coverage solution and eligible claims are removed from the employer plan, while ongoing support continues.
Support for Your Employees and Your Business
For Your Employees
Qualified employees receive help exploring options based on their medical, financial, and personal circumstances.
Available program support may reduce or eliminate eligible out-of-pocket medical costs, giving participants Peace of Mind to Heal.
Employees have a knowledgeable point of contact to help them understand the process, gather documentation, and navigate available resources.
For Your Business
Having high-cost claims leave the group health plan can help reduce claim exposure and support more responsible plan management.
The program gives employers another way to support employees during serious medical situations without relying on a one-size-fits-all solution.
Addressing eligible high-dollar claims may help employers better manage unpredictable healthcare expenses and protect the long-term health of their benefits plan.
Frequently Asked Questions
Samaritan Fund Program helps qualified individuals facing serious medical conditions access individual options and financial assistance. It also helps employers reduce the impact of eligible high-cost claims.
When a qualified employee moves to an individual solution, eligible high-dollar claims may leave the employer plan, helping reduce overall claim costs.
The program is introduced through your benefits broker. We provide materials and support to help guide eligible employees through the process.
Employees facing serious medical conditions may qualify based on program requirements and their individual situation.
No. Participation is voluntary for employees who choose to apply and meet eligibility requirements.
The employee completes an authorization, then a Samaritan Fund Program representative contacts them to guide the next steps.
No. Our team works directly with the employee throughout the entire process.
All personal and medical information is handled securely and confidentially, with proper authorizations in place.
Yes. Participants receive continued support and may complete periodic reviews to maintain eligibility.
Contact the Samaritan Fund Program or your benefits broker to learn how the program can fit your organization.
Be the Help Your Employees Need
Give employees compassionate support through a serious medical condition while helping your organization better manage high-cost healthcare claims.
Reach Out Today