Health coverage
backed by a care team.

Compare coverage support, care navigation and specialty-medication savings, then request a proposal that fits your workforce. Your employees get care with someone following through. You get a clearer handle on benefits spending.

See the Klinic Agents in action »

Coverage support.

ICHRA plus navigation. Set an employer contribution, support enrollment and give members a care contact once coverage begins.

Compare coverage support ›

Care navigation.

A care team for the next step. Members get help arranging care, clearing medication delays and staying on appropriate treatment.

Compare care navigation ›

Specialty Rx savings.

For self-funded employers. Evaluate specific medication and infusion opportunities, measured against an agreed net-cost baseline.

Compare Rx savings ›

The work after the benefit

See what follow-through looks like.

Pick a member request. The Klinic Agent and care coordinators confirm the service, the next action and the result, and bring in a person when a handoff needs help.

Every handoff keeps a next action and an owner.

Member information stays within authorized care teams. Employers see permitted aggregate reporting, never personal clinical records.

An unbooked referral

Done

    Illustrative example. The member and every record shown are fictional.

    Three ways to work together

    Compare programs.
    Start with the problem to solve.

    A benefits decision, a member’s care barrier and a high-cost treatment opportunity each need a clear scope and an accountable team. Choose one program or a scoped combination.

    01 / Coverage, with follow-through

    ICHRA + navigation

    Offer coverage employees can choose and use, with a care contact for the next step.

    Benefits budget

    Employer contribution, administration and navigation

    • Set an employer contribution
    • Support plan choice and employee enrollment
    • Give members a named care contact once coverage begins
    • Selected insurance and care costs stay explicit
    Request a proposal

    02 / A care team for the next step

    Care access and navigation

    Help members get care and medication on the benefits they already have.

    Navigation support

    Defined eligibility, services and availability

    • Arrange appointments and resolve unbooked referrals
    • Clear medication-access barriers with KlinicRx
    • Keep members connected to appropriate treatment
    • Scoped around your existing health plan
    Request a proposal

    03 / A defined cost opportunity

    Specialty Rx and infusion savings

    Find savings on specific high-cost medications and infusions for self-funded plans.

    Measured savings

    Against an agreed net-cost baseline

    • For eligible self-funded populations
    • Evaluate specific medication and infusion opportunities
    • Coordinate approved steps with the member and treating team
    • Count relevant rebates and program costs in the result
    Request a proposal
    Programs side by side
    QuestionICHRA + navigationCare access and navigationSpecialty Rx and infusion savings
    Main goalCoverage employees can useBetter access to careLower specialty-drug spend
    Change your health plan?Yes, a separate benefits decisionNo, works with existing benefitsNo, checks what your plan and contracts allow
    Who it fitsEmployers setting a contributionEmployer or plan programsEligible self-funded populations
    How it’s scopedContribution, administration and navigationEligibility, included help and hoursNet-cost baseline and measurement period
    What you seePermitted aggregate reporting on service use, care milestones and agreed financial measures

    Availability, coverage and costs are confirmed before support begins.

    One member. A connected path.

    “I have coverage.
    Help me get care.”

    Every member gets a named owner for the next step, and every step ends with confirmed progress.

    01

    Understand the benefit

    Plan choice and enrollment support, in plain language.

    02

    Meet a care contact

    A named owner for the member’s next step.

    03

    Get help with treatment

    Appointments, prescriptions and medication access.

    04

    Know what happened

    Confirmed progress and follow-up, reported to you in aggregate.

    A proposed service journey. Availability, coverage and costs are confirmed before support begins.

    Your plan stays in place.

    Navigation can be scoped around your existing benefits, and members keep their treating teams. A care team simply makes the benefit easier to use.

    Your benefits.

    Their doctors.

    One care team.

    Built around your role

    A useful next step
    for each partner.

    For employers

    Benefits employees can use

    Coverage and care support with an accountable team, and aggregate reporting that shows how the benefit is used.

    Request a proposal ›

    For brokers & benefits advisers

    A stronger client offer

    A practical way to add coverage and ongoing care support to the programs you already recommend.

    Partner with us ›

    For health plans

    Scoped population programs

    Programs for treatment access and continuity, defined around the members and outcomes you choose.

    Start a conversation ›

    Clear scope, before you start

    A proposal built
    around your team.

    Choose one service or a scoped combination. Agree the population, delivery responsibilities, fees and evidence of value before launch.

    Benefits budget

    ICHRA proposals identify the employer contribution, administration and navigation. Selected insurance and care costs remain explicit.

    Navigation support

    Define who is eligible, what help is included, when the team is available and how clinical care is accessed.

    Measured savings

    Savings programs use an agreed net-cost baseline and measurement period, including relevant rebates and program costs.

    Measure access and spending. Service use and care milestones show whether employees are getting care. Agreed financial measures show what the program saves.

    Request a proposal

    A few useful answers

    Know what you’re choosing.

    What changes, what stays and what you’ll see.

    Request a proposal
    Do we have to change our health plan?

    No. Navigation can be scoped around existing benefits. ICHRA is a separate benefits decision. A medication savings assessment first checks what your current plan and contracts allow.

    Does Klinic Choice replace an employee’s doctor?

    No. Members can keep their treating teams. Available clinical services and any direct care option are confirmed in the agreement and with the member’s coverage.

    What do employers see?

    Permitted aggregate reporting on service use, care milestones and agreed financial measures. Personal clinical records remain with authorized care teams.

    Can we combine programs?

    Yes. Choose one service or a scoped combination. The proposal sets out the population, delivery responsibilities, fees and evidence of value for each part.

    Who is eligible for specialty Rx savings?

    Savings programs are for eligible self-funded populations. Results are measured against an agreed net-cost baseline, including relevant rebates and program costs.

    Is enrollment or coverage checking live on this site?

    No. Explore the programs and send a proposal request here. Plan enrollment, benefits verification and member case management require a separately agreed service.

    Get started

    Build the right program for your team.

    Start with your workforce, your current benefit and the problem to solve. We’ll come back with a scoped proposal.