Frequently asked questions

What solutions does Imagine360 offer?

Imagine360 delivers a range of innovative health plan solutions designed to give employers more control, more flexibility and better outcomes. Whether you’re looking to reduce costs, improve employee experience or gain more transparency, we offer tailored options to address your unique challenges and goals.

From reference-based pricing with access to high-quality provider partners, to level-funded plans that offer financial predictability, to traditional models supported by independent TPAs — we can help you build a plan that works for your business and your people.

No matter your starting point, we’ll help you move forward with a smarter, more sustainable approach to healthcare. Call 800-827-7223 or complete our contact form to get started.

If you already have a self-funded plan in place, Imagine360 can help you maximize its impact. Our solutions are designed to integrate seamlessly with what you’re already doing — so there’s no need to start over.
Whether you’re looking to lower costs, increase transparency or improve the member experience, we offer flexible options like reference-based pricing, direct provider contracting and level-funded arrangements that can be layered into your current setup. We’ll meet you where you are and work with you to make your plan more efficient, more sustainable and better aligned with your goals.

Imagine360 can help you evaluate your self-funded options. While there are many advantages to moving to a self-funded health plan, there are also many factors to consider. Imagine360 provides a portfolio of health plan solutions that help fully insured businesses migrate to a self-funded plan. We’ll work with you and your broker  providing our 50+ years of expertise in healthcare  to ensure a seamless transition.

Yes. Every day, we get clients that switch from big-box insurance plans to an Imagine360 solution. We make it easy with a solution that offers significant savings, plus an elevated member experience. Check out our success stories page to see examples of companies that have made the change.

We also work with companies that would like to provide their employees with a dual option — employees can choose between a PPO and a plan with the cost savings of reference-based pricing built in. This gives employees freedom of choice while still delivering savings for the company.

Yes. Imagine360 works for companies with 100 employees or more. Since our plans are completely customizable, we can build a money-saving health plan solution around your employee population, health plan goals and budget.

Yes. Our health plan solutions include built-in price protection that applies wherever your employees live and work. Our contracted physician network is nationwide, and our Open Access reference-based pricing model and concierge-level member support make it easy for your team to get care — no matter where they are. We have clients in all 50 states.

Definitely. Imagine360 partners directly with HR and Benefits teams, providing training, communications and a designated Imagine360 contact for complete support. This approach ensures HR can confidently guide employees and drive a smooth and successful benefits rollout.

Yes, Imagine360 provides a full suite of educational resources to help members understand and use their benefits. From onboarding and open enrollment materials – including welcome kits, flyers and videos – to year-round guidance, members get the support they need to manage their healthcare with confidence.

Reference-based pricing (RBP) is a cost-containment strategy that uses an established benchmark, like Medicare, to determine what’s paid for healthcare services. Self-insured businesses can add a reference-based pricing solution to their health plan and reduce annual costs by up to 30%. RBP providers review and audit medical bills, reprice them based on Medicare or some other benchmark like the actual cost reported by the hospital, and pay a fair markup on those charges. As a result, employers and employees can save money on their healthcare.

Think of reference-based pricing as a bottom-up approach, starting at the bottom with a reference metric – often the actual cost or Medicare – then adding a fair profit margin to determine provider payment. Visit our RBP page to learn more.

Yes. Imagine360 has established a network of contracted physicians and strategic partnerships in combination with an Open Access model to make care easy to access and more affordable for members. Our physician network offers access to 1 million+ contracted physicians nationwide, and we are continually exploring opportunities to add new contracts. For employers, we implement customized strategies using a mix of contracts and Open Access to offer employers breadth and flexibility to customize the configuration that best fits the needs of their employees.

Yes. With our core offering, Imagine360 serves as your third-party-administrator (TPA). That means we’ll handle all the essentials of running your health plan – enrollment, claims, processing, reporting and more – while also giving your employees access to our dedicated member support team for help with providers, bills and understanding their coverage.

Prefer to keep your existing TPA? That works too. We partner with a wide range of TPAs, so you can still take advantage of Imagine360’s cost-savings strategies and member support while maintaining your current relationship. We’re flexible and will support the approach that works best for your company.

You can explore our Success Stories page to see the Imagine360 solution at work. As you’ll see, most companies save anywhere from 15-30% on average while also improving the healthcare experience for their employees. You can also stay up-to-date with our latest news on our website and subscribe to receive monthly insights.

Imagine360 delivers solutions for employers looking to escape the escalating costs and inflexibility of traditional employer-sponsored healthcare. The best-in-class offerings of Imagine360 make it a leading choice for businesses looking to achieve cost savings, while giving their members personalized support to navigate their healthcare journey and achieve their health goals.

The best way to see if Imagine360 is a good fit for your organization is to talk to an Imagine360 representative. We’ll take the time to understand your unique challenges and then collaborate with you to create a solution that truly works for your company. Schedule a free consultation by calling 800-827-7223 or completing our contact form.

Once you’re done exploring our success stories and learning more about our solutions, the next step is to connect with an Imagine360 representative by calling 800-827-7223 or filling out our contact form.

Your health plan can do
better. We promise.