AI member apps for unbundled self-funded plans

Benefits your employees will actually use.

Employees juggle portals, plan documents, network rules, and too many care choices. The Better Benefits Experience gives them one branded front door for answers, guidance, and access — personalized to their plan and situation.

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One appWeb + mobile access to every benefit.

Plan-specific AIAnswers based on the member’s actual plan.

Less wasteBetter pathways, fewer repetitive HR questions.

The unbundled plan problem

Self-funded plans are powerful — but confusing at the moment employees need them.

When an employee needs care, the plan may have excellent options. The hard part is knowing what they have, where to go, and what to do next.

Virtual urgent care?In-person urgent care?ER?Virtual primary care?Specialist?Which provider is in network?What is the lowest-cost quality option?

Employees don’t know what they have

Multiple vendors, portals, cards, PDFs, and plan rules create friction before care even starts.

Questions fall back on HR

Repetitive benefit questions eat up HR time and still may not guide the member to the right pathway.

Wrong pathways drive waste

Confusion can steer members toward higher-cost settings or underused benefits already paid for by the plan.

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Complexity blocks utilization

Even great benefits go unused when employees do not know when, how, or why to use them.

The solution

One branded member app that turns a complex plan into clear next steps.

You’re already paying for great benefits. The member experience makes sure your people find them, understand them, and use them.

One place for everythingEvery benefit in a single branded web and mobile app with one clear starting point.

Built for your populationThe experience is tailored to your workforce, plan design, vendors, and common member needs.

AI that knows the planA navigation tool trained on plan documents answers “What’s covered?” and “Where do I go?” instantly.

One click from finding to usingOptional SSO integrations drop employees inside the right benefit with fewer clicks and less friction.

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Employer value calculator

Model the potential value of better member navigation.

Use this as a consultative estimate across three buckets: HR inquiry savings, avoided wrong-care-pathway spend, and reduced plan waste through better utilization.

Employees Questions / employee / month Minutes / HR question Loaded HR hourly cost ($) % HR questions deflected % employees misrouted / year Average savings / corrected event ($) % events influenced Annual plan spend / employee ($) % plan waste reduced

Annual employer value$0

Per employee / year$0

Per employee / month$0

% plan spend addressed0%

HR inquiry savings

employees × questions × 12 × minutes/60 × HR cost × deflection

Wrong-care pathway savings

employees × misrouting rate × event savings × influenced events

Plan waste reduction

employees × annual spend × waste reduction

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Use employer-specific plan data when available.

What employers get

Guidance for members. Visibility for the plan sponsor.

Higher utilization

Help employees use the benefits already funded in the plan.

Fewer HR questions

Give employees a better place to get answers before HR becomes the help desk.

Plan insight

Analytics help employers see what is working, what is confusing, and where waste may be reduced.

Schedule a better benefits strategy call

Turn a complex self-funded plan into a member experience people actually open.

Bring your plan structure, vendor list, and the questions HR hears most often. We’ll map the member app experience and identify where better navigation could reduce confusion, save time, and improve utilization.

Book a call to learn more