Save money while getting even better coverage
Be a health insurance hero for your employees with Decent
Meet your employees’ favorite health insurance plans
We launched ACA compliant health insurance plans priced at 40% below market with a Net Promoter Score 5x industry average. Here’s what you’ll love:
Free concierge primary care
$0 medical deductible plans
Austin, TX based support team
A passion for affordability…
Decent has rethought health insurance from the bottom up in order to get you the best pricing in the market for ACA compliant plans.
Our revolutionary structure allows us to offer small businesses comprehensive plans at prices closer to those previously only enjoyed by large self funded company plans.
Meets an obsession with member experience
Imagine how your insurance company would treat you if they weren’t, well, your insurance company.
Your experience comes first at Decent. Every member is assigned their personal Customer Service Ambassador (based in Austin, Texas) who will move mountains for you and your team.
The future of primary care, today
Decent’s Direct Primary Care options are designed to keep your staff healthier than they’ve ever been.
They’ll never pay anything out of pocket to see their doctor, have 24/7 access to them remotely, and typically have access to half hour long same day appointments.
Where you can sign up for Decent
Starting October 1st, 2020, everyone in the great state of Texas can enroll in a Decent plan if they qualify.
Decode the jargon
Confused by odd health insurance terminology? Here's our guide to the lingo.
FAQs
Age-Banded rates are simple and predictable. Blended/Composite rates are more common for companies with 5 or more employees.
Age-Banded rates: These pre-established rates are based on age and location. Employee premiums are looked up by age, the age of their dependents, and where they live.
Blended/Composite rates: Blended/Composite rates include four rate tiers: Employee Only, Employee and Spouse, Employee and Children, and Employee and Family. These rates are calculated using the total of the Age-Banded rates for the company's employees and dependents.
All Decent plans include a subscription to a members only Direct Primary Care or Virtual Direct Primary Care Clinic. Members get the same doctor for every visit, so they can build a trusting relationship with their doctor. Direct Primary Care (DPC) is about focusing time and care on the patient instead of the traditional fee-for-service revenue model. This allows the DPC to spend more time with their patients and conduct comprehensive care management, while reducing the overhead and negative incentives associated with fee-for-service third-party-payer billing. As a Decent member, that translates to more savings and more access to their physician than the traditional primary care physician (PCP) model.
Generally, the more an Employer contributes to premiums, the more likely the company will reach the participation minimum (40%).
Employee premiums: Employers must contribute between 50% and 100% to Employee-only premiums.
Dependent premiums: While Employers are not required to contribute to dependent premiums, greater contributions generally result in a higher participation rate (and higher satisfaction) by Employees.
40% of eligible employees must enroll.
Consider what you have now:
Employees who currently have Gold-level plans may expect something similar.
Consider where your employees live:
Employees who live in rural areas will be best served by Remote plans, whereas those in metro areas may expect plans with in-person primary care.
Consider which 2-3 plans to offer as a set:
Consider a set of plans that are relatively close in price range, but have distinct benefits.
Direct Primary Care & Virtual Direct Primary Care doctors can address many medical questions and issues remotely, even when you're travelling out of state. Wherever members are, if they need Urgent or Emergent care, they should go get it - it's covered.
Metal Levels: Bronze, Silver, Gold and Platinum
- These "metal levels" determine how the plan and the member split expected expenses.
- The plan pays approximately 60% for Bronze, 70% for Silver, 80% for Gold, and 90% for Platinum.
Zero
- "Zero" refers to a $0 Medical deductible.
- These plans have a separate deductible for Specialty Pharmacy (Tier 4 & 5) prescriptions.
- Specialty Pharmacy (Tier 4 & 5) drugs account for 1.9% of all prescriptions, and are used by about 2% of the US population.
- Tier 1 (Generic), Tier 2 (Preferred) and Tier 3 (Brand Name) drugs do NOT count towards the Specialty Pharmacy Deductible.
- You can find a complete listing of Tier 1, Tier 2 and Tier 3 drugs in our formulary.
Remote
- "Remote" plans feature Virtual Direct Primary Care.
- Instead of travelling to an office, with Virtual Direct Primary care a mobile app allows you to securely connect to your personal Primary Care Doctor.
- Virtual Direct Primary Care enables the treatment and diagnosis of over 1,500 conditions, as well as writing prescriptions and creating referrals.
- If members are on a Remote plan and their Virtual Direct Primary Care doctor thinks they need to see a primary care doctor in person, they'll need to pay the specialty copay on their plan.
- Plans without the "Remote" designation feature in-person Direct Primary Care, where your personal Primary Care Doctor has a physical office you can visit.
- ALL PLANS feature $0, unlimited access to your personal Primary Care Doctor.
Saver
- "Saver" plans can be used with a Health Savings Account (HSA), and are considered High Deductible Health Plans (HDHP).
- HSAs allow you to save pre-tax dollars to use towards qualifying medical expenses, can earn interest over time, and do not expire at the end of the year.