How it Works

After the base medical plan out-of-pocket maximum is set at the legal maximum - $8300 for HSA-eligible programs or $9200 for other programs - MediBridge buys down the member responsibility to a reasonable level.  We take responsibility for the liability between the desired out-of-pocket and legal maximum, which allows the plan to reduce its claims funding and decrement its stop loss, netting savings of 25% or more.

MediBridge receives claims directly from TPAs and proactively advocates on behalf of members before they receive a bill, providing savings of 15-25% through prompt pay discounts, financial assistance program reviews, No Surprises Act (NSA) audits, coding audits and soft steerage.  

After negotiating savings, MediBridge proactively contacts the member and if the member wishes, MediBridge pays providers on their behalf - without charging any interest or fees!  In addition to proactive communication, we are available to answer any questions that may arise.