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The GoHealth Private Exchange solution includes the following components to create a full-service operation for offering defined contribution and purchasing health insurance:
Employer Portal - Employers define contributions, customize benefits portfolio, and track employee activity.
Create HRA plan designs, manage contributions and configure employee date of eligibility to receive benefits
View reports on employee participation, financial exposure, etc.
Download approved claim information for employee reimbursement
Employee Portal - Employees can search, compare and enroll in health plans in addition to managing ongoing administration of qualified claim submissions for reimbursements.
Manage personal information and qualified dependents
Download documents by plan period
View quotes and enroll in plans through an integrated online apply process
Submit claims to be reimbursed for qualified health expenses
View employer contributions
Access guided shopping support to make sure a plan selection is the right fit
Claims Administration Portal - Management of claims queues by the GoHealth claims staff
Claims portal manages approval/denial of HRA claims submitted by employees
Reports on claim submissions, approval rates, and documentation requirements
The employer no longer has to administer group enrollment, changes, etc.
Broker Portal - Dedicated or third party agents can assist throughout the setup and enrollment process.
Move or setup employers currently offering group benefits to the platform
Assist employers with setup
Help navigate employees through the shopping, enrollment and claims submission process
Outsourced call center agents, such as GoHealth licensed agents, can log into the broker portal to provide assistance throughout the process to both employers and employees
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