2. Home
  3. Our-Services
  4. Eliance-Administrators

Eliance Administrators

Providing self-funded group health plan administration for companies with 15 or more employees.

Our health plans 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 into health plans
  • Local customer service based in Lancaster, PA
  • Extra protection against large claims

A Clinically Integrated Network you already trust

Our group health plans for business are driven by advanced clinical initiatives and provide savings and health benefits through our network. The Eliance Preferred Network is our proprietary Clinically Integrated Network. It is comprised of all the physicians and hospitals of Lancaster General Health and select private practice, primary care physicians and specialists throughout the community. These are the same providers most employees in Lancaster already trust with their care.

These providers follow protocols that meet or exceed national guidelines for evidence-based care. So your employees are able to participate in our convenient, cost-effective provider network, and never compromise quality. The program also offers substantial rate reductions for services provided by Lancaster General Hospital.

Our program includes the Eliance Preferred Network as well as a very comprehensive secondary network for your employees. We also offer robust solutions for employees who are out of the area.

Navigating the complexities of employee benefits

Selecting the best group health plan for your Lancaster County business can be intimidating. Our team partners with you to help you navigate the enrollment and eligibility processes. We provide our clients with outstanding hands-on customer service. We help clients by providing 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 are driven by advanced clinical initiatives and follow strict protocols to enhance patients’ experience and decrease overall costs. 

Flexibility and freedom

Our group health plans for businesses are self-funded products. Because of this, they are not subject to several key regulations of the Affordable Care Act. Specifically, they are exempt from mandated benefits and the Health Insurance Tax.

Long-term solutions

We partner with employers to develop long-term care and cost strategies. Our group health plan designs for businesses 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. We help you take better control of your medical benefits, reduce costs and improve the health of your employees. 

Pharmacy benefits management

Our pharmacy benefits management program includes:

  • 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. Personal health advocates help with finding caregiver support services, in-home care and rehabilitation sources. They support clients who need expediting of coverage for special procedures and medical equipment. They can also assist by 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