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EPC, Employers Preferred Choice

Live in Illinois · Coming to AZ, TX and FL

Northwestern doctors. Lower total cost.

Your members pay $0 at Northwestern Medicine. You pay three numbers you can read. Self-funded, for employers with 5+ employees.

$0

Tier 1 for members. No deductible, no copay

3

Numbers make up your monthly cost

11–20%

Year-one savings in a sample group

Illustrative

Monthly

Reporting. The data is yours

How the plan works

Three tiers. One promise.

The best hospital in town is also the cheapest place to go.

Tier 1 · Preferred

$0

Northwestern Medicine and direct contracts

No deductible, no copay, no coinsurance. Facility and physician.

Tier 2 · Participating

Standard

The Unity Network

Deductible, copays and coinsurance at a contracted rate.

Tier 3 · Non-participating

50%

Out of network, by choice

Higher deductible. The only place reference pricing applies.

What you pay

Your monthly cost, in three numbers.

Flat PEPM, fully unbundled. Nothing hidden behind them.

  • No percentage of savings
  • No undisclosed overrides
  • No spread
  1. Stop-loss premium

    Insurance against catastrophic claims.

  2. Claims allocation

    Your money, paying your people's claims.

  3. Fixed admin fee

    Flat PEPM. Every vendor, line by line.

Side by side

A traditional carrier vs. EPC.

Your best hospital

Traditional carrier: In network, same cost share as everyone else

It is the plan, at $0 to the member

What you pay

Traditional carrier: One bundled rate you can't break apart

Three numbers, each disclosed

How vendors earn

Traditional carrier: A cut of what they claw back

Flat fees to run your plan

Your data

Traditional carrier: The carrier's

Yours, every month

For plan fiduciaries

Can you explain where your money went?

Under ERISA, you have to. EPC answers it on one page, every month.

  • Utilization, unit cost and steerage
  • By population and by site
  • Your data, not the carrier's

What EPC is not

Real contracts. Not a workaround.

Not reference-based pricing

Real signed contracts. No repricing after the fact.

Not a discount card

A real plan with a real network.

Not a bundled level-funded rate

Every fee broken out and disclosed.

Not percentage-of-savings

Nobody earns more when claims cost more.

Northwestern Medicine at Tier 1

Files via secure upload under a BAA

Three numbers, all disclosed

Monthly reporting

The network

Northwestern at the center.

Tier 1 in Illinois, with UChicago and Loyola. Members can nominate their own doctors.

Built for everyone on the plan.

Employers

$0 at Northwestern. Three numbers you can audit.

For employers

Brokers

Flat, disclosed pay. A plan you can defend.

For brokers

Members

Find a Tier 1 doctor and get help from a navigator.

For members

Figures marked illustrative come from sample groups and are not quotes.

Find out how much you'll save.

Send your census and claims. We model your population.

Get a plan analysis
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