Group Health Services

Use EliteCare solutions to get the most value from your drug benefit. We help you do it with the most complete family of IT management solutions.all based on proven processes and industry best practices.

Custom Design

All benefit programs are customized to fit the Client's needs.

No Outsourcing

All administrative, claims processing and technical solutions are performed in-house. Prescription claims are processed with proprietary systems and software applications.

Relationships

Specialized teams of Account Management Representatives and Pharmacists. Each Client will work with its own dedicated staff. Many of our Clients have worked with us for more than 10 years and have become like part of our family.

Real-Time Updates

Clients are allowed complete access to all aspects of their benefits design including updating their employee census or printing any of our management reports.

On-line Real Time Adjudication

With programs supporting formulary, step therapy protocols, complex plan benefit structures, etc.

National Pharmacy Network

More than 56,000 Chain and independent pharmacies.

MAC Generic Pricing

The most aggressive MAC generic pricing in the industry.

On-line Peport Access

All of our clients have online access to all their employee prescription history, real time transaction data.

24/7 Live Help Desk

24 hour access to a real person. A member services team trained to provide the highest levels of customer service. No confusing touch-tone menus. When you call EliteCare, your call is answered by a live representative at our U.S.-based Central HelpDesk.

Maximum Benefit Design Flexibility

Unlike traditional PBMs, EHO's plan changes can be executed in real-time. Our experienced staff is readily available to assist clients at every phase of the plan design, monitoring and adjustment phases, so they can easily implement plan designs that will have a positive impact on their bottom line. Features include:

Plan Analysis, Design and Implementation - allowing clients as much or as little control over the process as desired. Our seasoned team ensures seamless implementation and timely launch
Customized Benefit Structures - providing exceptional control down to the patient level, allowing for inclusions and exclusions for greater plan flexibility, accommodating even the most complex plan design
Automated Therapeutic Protocols TheraMac™ to more effectively execute plan-specific step protocols and reduce cost of interventions
Brand Interchanges - allowing for exceptions to ensure appropriate generic substitution and therapeutic interchange
Mail order options - allowing clients the option to offer mail order delivery, in an effort to save enrollees money and increase payer profits

EHO's simple approach is to provide unparalleled claims payment accuracy in a processing environment where plan updates and benefit parameters are updated in a matter of hours, not weeks or even months.