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For Brokers

An innovative administrative and service model that helps self-funded employers take back control of healthcare costs.

Get in touch
or call 207 786 1212
Pioneer ASO logo image

For Brokers

An innovative administrative and service model that helps self-funded employers take back control of healthcare costs.

Be a healthcare cost hero

Community Health Options is your local nonprofit company. Trusted by thousands of Mainers, we approach healthcare benefits by putting the Member first, looking for ways to help them find better value.

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Our best-in-class expertise and support means clients are always in the loop, with unparalleled access to information, tools, and most of all, direct access to people who can quickly answer questions and solve problems. Your clients will see fast, accurate claims management. You’ll get fewer phone calls asking for explanations.

Very simply put—time and money matter. You’ll enjoy working with us and your clients will be happy that you sent us their way.

With so many choices of self-funded plans, your clients need a reason to believe one will have their backs. We have four reasons.

With PioneerASO, your clients will get:

A new level of access and data transparency to help lower costs

  • Access to your claims and pharmacy data, when and where you need them
  • Meaningful insights to lower costs and improve results
  • Proactive reviews and optimal care support to improve outcomes
  • Local access to account management and senior management to support you

A smarter way to manage pharmacy costs

  • 100% pass-through of prescription costs and rebates
  • Evidence based formularies – reviewed regularly to ensure employees have access to safe, effective and affordable medications
  • A dedicated, licensed pharmacy team to manage costs
  • Monthly pharmacy data reports with meaningful insights
  • Pharmacy Member portal and mobile app

Accurate claims management you’ll never worry about

  • Efficient, accurate reporting and smooth administration
  • A next generation claims processing system
  • Clean claims average turnaround of less than a week
  • Claims adjudication accuracy in excess of industry standards

Local support making life easier for you and for your clients

  • Simple and transparent enrollment experience
  • Maine-based support teams that know the landscape
  • Local claims management to navigate life’s hard situations and deliver on supportive solutions
  • An easy-to-use self-service Member portal

Take control of your healthcare costs.

Reach out to us today to find out more.

Get in touch

or call (207) 402-3353

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