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Provider Excess

At HCC Life Insurance Company, we simplify the process of crafting coverage designed to protect at-risk provider groups.

• Provider Excess is distributed directly and through select broker relationships.
• Purchasers of Provider Excess are Physician Groups, Hospital Groups and integrated provider organizations.

HCC Life's unique, solutions-oriented approach helps these groups budget for low frequency, high-cost medical expenses and helps protect their bottom lines through creative coverage options and competitive pricing.

HCC Life Provider Excess is designed to protect provider groups by covering their risk exposure. For example, some provider groups agree to provide all of the healthcare needed by HMO members in exchange for the HMO paying the provider group a set fee. The provider group is then liable for the entire medical risk of these members. The provider group buys Provider Excess to reimburse the most costly expenses.

Provider Excess from HCC Life offers

• A proven track record of consistent and stable underwriting
• Underwriting credits for your network and management skills
• Predictable and affordable renewal rates

Product Overview

• Specific (individual) coverage
• Flexible attachment point
• Generous reporting provisions
• Coinsurance
• Contracts that clearly define eligible expenses
• eClaims Management Program
• Commitment to prompt, responsive claims service 
• Expert medical Management resources
• Timely experience reports

Coverage Availability

• Provider organizations
• Physician groups
• Hospital groups
• Capitating entities:
  – Employers
  – Government entities
  – HMOs/MCOs

Coverage Options

• Acute care inpatient
• Outpatient care
• Sub-acute care
• High-cost drugs
• Professional services
• High Excess coverage
• Aggregating specific coverage
• Alternative funding arrangements (experience refund, swing rates, riskshare corridor)
• Different deductibles by line of business
• Different deductibles by diagnoses or claim type
• Specific lifetime maximums to $5,000,000

 

For more complete information, please contact an HCC Life Insurance Company Representative.

* In certain states, this product is underwritten by U.S. Specialty Insurance Company (USSIC).  USSIC is a fully-owned subsidiary of HCC  Insurance Holdings, Inc. Administration and service provided by HCC Life Insurance Company.