We are both flexible and service-oriented. ELMCO utilizes provider networks and provider discounts while working closely with you. Together, we develop a customized plan that works best for your business.
ELMCO functions as a cooperative and
is 100% locally owned by its participating members.
You have the option of functioning as a member/owner or simply as a client. ELMCO provides its members and clients with the same unparalleled services.
Locally Owned and Operated
ELMCO has a working knowledge of the unique complexities of the Elmira health care environment and is always available for its clients and insured’s.
Preferred Provider Network
Hands down, ELMCO has the best local and surrounding area provider network. We are consistently growing our network to to include providers that aren’t currently available. Med Watch in Lake Mary, Florida and United Claims Services.
We offer our clients the flexibility to choose a level of managed care that best suits them. In fact, every plan is individually designed for each client, ensuring the best package possible. Clients can use our standard packages or develop new or revised plans to meet their needs. It is also possible to have more than one plan should the need arise.
Prescription Drug Coverage
In all ELMCO plans, prescription drugs are handled by Walgreens Health Initiatives.
Medical Benefit Plan Administration
ELMCO offers many benefits, including:
- issuing checks weekly or otherwise as requested by the client
- dedicated claims analysts to answer questions
- on-site visits
- monthly reports
- stop loss management (reporting monthly & large claim monitoring)
- coordination of benefits and discounts from the network (ELMCO does NOT keep a
- percentage of the savings)
- HIPPA Notifications
- Flexible Spending Accounts
Flexible spending account provide medical and dependent care payments to supplement your plans. ELMCO provides you with a dedicated claims analyst who can provide updated balance notifications and will issue weekly checks.
ELMCO’s plans are flexible enough to include dental coverage. A reasonable and customary fee schedule is available, and processing charges are minimal.
ELMCO offers these optional services in addition to its standard plans:
- case management + repricing
- medical claims reviews
- utilization reviews
- COBRA Administration