Real Healthcare Savings: SymplCare Case Studies That Deliver Results

Healthcare costs keep rising, forcing employers to raise deductibles and shop for new carriers every year. Employees struggle to make informed decisions without proper guidance. SymplCare changes this by doing the work for members, delivering measurable savings through expert healthcare navigation.

The Problem: Healthcare is Expensive and Confusing

Traditional health insurance creates a cycle where employers must:

• Shop insurance carriers annually

• Raise deductibles

• Increase premium contributions

  
  

Employees can't make informed healthcare decisions without the right information. Other concierge services provide information, but employees still do the work themselves.

Case Study 1: ENT Surgery Saves $17,151

The Situation: A member dealt with allergy-like symptoms his entire life, cycling through prescriptions without success. A second opinion revealed structural issues requiring surgery.

The Challenge:

• Hospital quote: $25,000

• Same provider, same quality needed

• Member wanted cost-saving options

SymplCare's Solution: The team found the same surgery with the same provider at a different location, moving from hospital to ambulatory surgical center.

The Result:

• New cost: $7,849

• Total savings: $17,151

• Same successful outcome

This shows how location alone creates massive savings. The exact same knee surgery could cost $38,000 at a hospital versus $18,000 at an ambulatory surgical center, a $20,000 difference.

Case Study 2: Medication Sourcing Saves $5,000+ Annually

The Situation: A member needed expensive medication with high out-of-pocket costs.

The Challenge:

• Cost: $1,653 per fill until deductible met

• $40 copay after deductible

• Essential medication the member couldn't skip

SymplCare's Solution: International sourcing of the identical medication, shipped directly home for 90-day supplies.

The Result:

• International cost: $359 for 90 days

• Member's cost: $0

• Annual savings: Over $5,000

How SymplCare Works Differently

We Do the Work

Other services provide information and expect employees to handle the rest. Our "Symplifiers"

handle everything:

• Schedule appointments

• Source medications at lowest cost

• Find alternative providers

• Review costs and quality data

Three Key Services

1. Proactive Member Outreach - Team reviews claims data and reaches out to members who need help most

2. Informed Decision Making - Members know prices and quality before making appointments

3. Convenient Communication - Call, text, email, or chat through the app

Real Access to Care

When members engage with SymplCare, they get:

• The price of care upfront

• Understanding of how benefits pay

• Access to alternative providers at $0 patient responsibility

SymplCare provides access to over 300 shoppable services with the list growing every day. Members can move services and understand options whether at hospitals or ambulatory surgical centers, plus source prescriptions at the lowest cost.

The Bottom Line

Our team actually knows your employees and focuses on educating them about plan design, maximizing consumerism, and understanding the financial impact of decisions.

Healthcare should be affordable and simple to use. These case studies represent just the beginning of possible savings when members have expert healthcare navigation doing the work for them.