Eliance Administrators

Providing self-funded group health plan administration for companies with 20 or more employees.

Our experienced team partners with local businesses to offer:

  • A clinically integrated and aligned network of physicians, providers and facilities committed to enhanced quality and patient experience, and significant cost savings
  • Greater flexibility and long-term stability than traditional insurance carriers
  • A new approach that integrates wellness and occupational medicine into health plans
  • Local customer service
  • Extra protection against large claims

A Clinically Integrated Network you already trust

Our plans also provide savings and health benefits through the Eliance Preferred Network, our proprietary Clinically Integrated Network comprised of all the physicians and hospitals of Lancaster General Health, as well as select private practice, primary care physicians and specialists throughout the community—the same ones most employees already trust with their care.

These providers follow protocols that meet or exceed national guidelines for evidence-based care, allowing your employees to participate in our convenient, cost-effective provider network, and never compromise quality. Substantial rate reductions for  services provided by Lancaster General Hospital offer additional cost savings. 

While the Eliance Preferred Network is likely to be your first choice in provider network, a very comprehensive “tier 2” network will also be available to your employees at a higher cost share. Robust solutions for out-of-area provider access are also included.

Navigating the complexities of employee benefits

Partnering with you, we design custom plan solutions, help you navigate the enrollment and eligibility processes, and provide hands-on customer service, including claims adjudication, payment processing, stop loss coverage, medical management, pharmacy benefits and COBRA administration. 

We also help you understand the intricacies of the Affordable Care Act and how healthcare reform and other compliance regulations affect your business.

Experience the difference

Savings

The Eliance Preferred Network offers employers immediate savings for inpatient and outpatient services provided by Lancaster General Hospital. Providers will follow strict protocols to enhance patients’ experience and decrease overall costs. 

Flexibility and freedom

Employers can customize plan designs without the restrictions of a traditional carrier. Self-funded products are not subject to several key regulations of the Affordable Care Act, such as mandated benefits and the Health Insurance Tax.

Long-term solutions

We partner with employers to develop long-term care and cost strategies. Customized plan designs allow employers to share in the savings with the ultimate goal of providing rate stability.

Risk management

Enhanced patient experience, reduced cost, and improved quality will provide lasting cost savings to employers.

A better customer service experience

We’ve partnered with recognized leaders in benefits management to provide comprehensive customer service and seamless support. The dedicated team at Eliance Administrators provides local, hands-on guidance and oversight at every step. We are here to serve as your strategic partner, helping you take better control of your medical benefits, reduce costs, and improve the health of your employees. 

Pharmacy benefits management

  • 24/7 customer service for employers, members and pharmacists
  • 67,000+ pharmacy network including specialty and mail service pharmacies
  • Formulary management and compliance
  • OTC and generic drug initiatives
  • Efficient claims processing and reporting
  • Prior authorization services
  • Online tools for employers and members

Access to a personal health advocate

  • Your employees have access to a personal health advocate to help resolve a range of clinical, claims, coverage and billing issues
  • Clinical experts are available to answer questions about test results, treatments and medications
  • Employees can get assistance with special needs such as finding caregiver support services, in-home care, and rehabilitation sources; expediting coverage for special procedures and medical equipment; negotiating pre- and post-claim fees for medical cost savings
  • Employers benefit from increased employee satisfaction and retention, reduced claim costs and grievances, and increased utilization of network providers