Frontier Direct Pay

Frontier Direct Pay is a healthcare payment solution that addresses up to 15% of a patient’s lifetime healthcare needs. It offers 100% transparent pricing on all referrals, connecting members directly to a nationwide network of specialists and hospitals for affordable care.

How does it Work?

Frontier Direct Pay is a healthcare payment solution that addresses up to 15% of a patient’s lifetime healthcare needs. It offers 100% transparent pricing on all referrals, connecting members directly to a nationwide network of specialists and hospitals for affordable care.

A member was unable to afford prenatal care due to her out-of-pocket costs and was receiving care out of the country. Frontier was able to eliminate her out-of-pocket cost and still generate more than $2K in savings for her employer after paying for all needed services with her preferred providers including the physician, the hospital and anesthesia.

A member had her left knee replaced using her health plan. The member paid $3K and the plan paid over $30K.  She had her right knee replaced with FDP.  Her plan paid $21K and waived her out-of-pocket cost completely, and she was able to use the same great surgeon.

A member that was using FDP for her expected vaginal delivery ended up having an emergency C-Section with a premature delivery. The total billed charges for the baby's neonatal intensive care stay were almost $1.2M. The hospital accepted a little under $125K as payment in full on a cash basis. The mother had no out-of-pocket costs for either her delivery or her baby's care.

A member needed an MRI and was referred to a hospital and was asked to pay their entire $3,500 deductible in advance. FDP found an independent imaging center where the employer paid ~$500 for the same MRI and the member's cost was $0.

Services

Frontier Direct Pay provides transparent pricing, concierge support, and access to a nationwide network covering all specialty and inpatient needs. It also offers live support and contracted cancer solutions, ensuring comprehensive care with reduced financial stress.

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Frontier Direct Care for Employers

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What are the features?

  • Can handle 15% of lifetime healthcare needs
  • 100% transparent pricing on all referrals
  • Concierge navigation and negotiation for all referrals
  • Nationwide network with direct contracts with specialists and hospitals
  • All specialty, ancillary, outpatient, and inpatient needs
  • Live support team
  • Contracted cancer solutions

How Much Is It?

Tiered per case fee schedule
Reference Price

  • Less than $3k
  • $3k - $7k
  • $7k - $25k
  • $25k+

Tiered per case fee schedule
Case Fee

  • $300
  • $900
  • $2,700
  • $5,000

What Are The Results?

  • 50% reduction in specialty spend
  • Guidance through every step of healthcare journey
  • Transparent pricing with live referral tracking
  • Admin Reduction: Benefits calls significantly reduced

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