Self Fund Health, based in Madison, Wisconsin, revolutionizes employer-sponsored healthcare by offering a transparent, cost-effective, and employee-centric health plan. Moving beyond traditional insurance models, SFH empowers employers to "stop buying insurance and start buying healthcare" by directly addressing the inflated costs and misaligned incentives prevalent in the industry. Their integrated solution is designed to significantly reduce healthcare expenditures for businesses while providing exceptional value and $0 out-of-pocket costs for employees who utilize preferred providers.
The core of Self Fund Health's offering includes $0 Direct Primary Care, dedicated Personal Nurse Navigators, and a curated network of over 327 preferred providers offering services at or below 200% of Medicare rates. They also feature bundled surgery pricing, transparent pharmacy benefits with 100% rebate pass-through, and real-time savings reports, ensuring complete financial visibility for employers. By aligning incentives and focusing on value-based care, SFH helps businesses achieve sustainable healthcare costs and high member satisfaction, demonstrating average per-member-per-month reductions of $173.
Self Fund Health provides a complete plan replacement, not just an add-on, ensuring employees retain access to broad PPO networks while being guided towards high-quality, cost-efficient care. This innovative approach, backed by strong clinical navigation and a commitment to transparency, makes them a leader in transforming healthcare for employers across Wisconsin, Minnesota, Iowa, Illinois, and Michigan.