By: Andi Stark
As healthcare costs continue to rise, self-insured companies seek ways to provide comprehensive care while managing expenses. TEG Health’s telehealth model offers a solution that integrates virtual healthcare services, focusing on reducing costs for employers and employees. This model focuses on minimizing employee expenses while aiming to help companies reduce premiums, creating potential benefits for all stakeholders involved.
Covered Expenses for Employees
One of the standout features of TEG Health’s telehealth solution is the elimination of deductibles and co-pays for employees. With streamlined access to healthcare, employees can connect with primary care, urgent care, and behavioral health professionals without worrying about upfront costs. This structure removes a significant financial barrier, making healthcare as accessible as a subscription service.
The plan covers a wide array of medical services, including preventive care, mental health support, and weight management programs. Bill Koehler, CEO of TEG Health, notes the simplicity and effectiveness of this approach: “We’ve designed this model to ensure employees aren’t deterred by cost when it comes to accessing critical healthcare. It’s about simplifying care while removing the financial roadblocks that often cause people to delay seeking help.”
Comprehensive Care from Primary to Behavioral Health
TEG Health makes its telehealth services accessible without the need for initial payments. Primary and urgent care services are available virtually, ensuring employees have access to consultations without the need to visit a physical office. This approach reduces time and travel costs and alleviates the strain on traditional healthcare facilities, particularly during busy seasons like flu outbreaks.
Beyond physical health, mental and behavioral health care is another cornerstone of TEG Health’s offering. Virtual consultations allow employees to access therapy and counseling privately and securely. Behavioral health is increasingly important in workplace wellness programs, and with mental health issues costing companies millions in lost productivity annually, this telehealth option presents a practical solution.
Michael Neal, CFO of TEG Health, highlights this dual focus: “Mental and physical health are deeply interconnected. By offering both, we aim to ensure that our clients’ employees are supported holistically. It’s more than just a healthcare plan but a long-term investment in workforce wellbeing.”
Benefits for Self-Insured Companies
Self-insured companies bear the risk and responsibility for their employees’ healthcare costs, so managing premiums and ensuring access to high-quality care is critical. TEG Health’s telehealth model offers substantial cost savings by reducing premiums, administrative fees, and unnecessary hospital visits. Through partnerships with high-performance healthcare providers and integrated technology solutions, companies can expect fewer claims and more predictable expenses.
Lenny Cagno, Director of Strategic Partnerships, explains how this model benefits employers: “We’re enabling companies to control their healthcare costs without compromising quality. Our telehealth solution integrates seamlessly with existing systems, reducing the administrative burden while ensuring compliance with healthcare regulations.”
Administrative efficiencies also come into play through electronic medical records (EMR) integration and streamlined payments. These innovations reduce non-clinical tasks for healthcare providers, allowing them to focus on patient care while simplifying the payment process for employers.
Regulatory Compliance and Transparency
TEG Health’s telehealth solution helps companies comply with key regulations such as the Employee Retirement Income Security Act (ERISA), the No Surprise Act, and the Price Transparency Rule. These regulations aim to protect employees from unexpected costs and ensure that healthcare pricing is transparent.
Tools for price comparison are integrated into TEG Health’s platform, allowing employees to make informed decisions about their care and avoid surprise bills. This emphasis on transparency benefits employees and employers by fostering trust and minimizing financial uncertainty.
Cagno adds, “By staying ahead of regulatory changes, we help companies focus on what matters—providing affordable, high-quality care to their employees while staying compliant with evolving healthcare laws.”
Technology Integration and Preventive Care
TEG Health’s telehealth solution focuses on technology integration. The platform utilizes advanced tools for real-time eligibility checks and direct payment processing, creating a seamless experience for patients and healthcare providers.
Preventive care is a crucial element of the model, encouraging early detection and management of health issues. By offering services like annual check-ups, flu shots, and health assessments through virtual platforms, TEG Health helps employees maintain their health proactively, reducing the risk of costly, long-term conditions.
“Preventive care is essential for creating a healthier workforce,” says Neal. “By making it easier for employees to access preventive services, we’re helping companies reduce absenteeism and long-term healthcare costs.”
High-Performance Pharmacy and Dental Networks
TEG Health’s healthcare offering includes access to a high-performance pharmacy network featuring partnerships with major providers like Costco Health Solutions. This network includes over 19,500 pharmacies across the U.S., providing employees with opportunities to access prescription medications at potentially lower costs.
Additionally, TEG Health’s dental program covers a wide range of services, from preventive cleanings to more complex treatments like oral surgery and orthodontics for dependents up to age 26. This comprehensive care helps ensure that employees and their families are covered no matter where they are in the country.
A Sustainable Solution for the Future
As healthcare costs continue to rise, TEG Health’s telehealth model offers a sustainable solution for self-insured companies looking to manage expenses while providing comprehensive care for their employees. By integrating technology, focusing on preventive care, and eliminating financial barriers for employees, this model represents an advanced and practical approach to modern healthcare.
TEG Health is helping self-insured companies stay competitive by offering innovative telehealth services that benefit employers and employees.
Published by: Khy Talara
