Healthcare

Enrollment made easier


Help your members, customers, and patients find and sign-up for the right plan

Shopping for health insurance is daunting

It’s been made even more complicated by the Affordable Care Act (ACA) reforms with subsidies and on- and off-exchange options.

Our Marketplace solution for small groups and individuals allows consumers, group administrators, and brokers to:

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SHOP AND COMPARE PLANS

Simple search, customization, and comparison of plans in their area

APPLY FOR SUBSIDIES

Easy, online process for subsidy applications

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COORDINATE BROKER AND CONSUMER EFFORTS

Allow for better collaboration to complete enrollments

PROCESS RENEWALS AUTOMATICALLY

Allow users to renew their coverage with a single click

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PROVIDE BOOK-OF-BUSINESS DASHBOARDS 

For brokers and sales agents to simplify outreach, increase efficiency, and save time

Simple and intuitive online enrollment

Customers get an accurate monthly cost quote in a few easy steps.

View and compare plans quickly and easily

HGS’s Enhanced Direct Enrollment (EDE) solution

HGS has an Enhanced Direct Enrollment (EDE) solution for health plans who plan to go live in the next Open Enrollment Period (OEP). Our EDE Pathway enables consumers to enroll in subsidized plans without requiring a trip to healthcare.gov and without the dreaded “double-redirect.”

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Sell and enroll subsidized plans straight from your website

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Seamlessly integrate with your quoting and enrollment environment and CMS

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Eliminate the dreaded double-redirect

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HGS’s EDE Pathway

Our fully CMS-approved EDE Pathway is a hosted SaaS solution that can integrate directly with your quoting and enrollment system to provide a seamless experience for both your on- and off-exchange business. And our experienced consultants can aid you in completing the process of integration with your systems and to achieve certification with the CMS.

The HGS difference

  • Full phase 2 OEP and special enrollment period (SEP) support
  • Configurable to match your user experience
  • Expert consultants experienced with integration and CMS certification processes
  • To go live for 2022 OEP, implementation should start early 2021

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