$PGNY
For your reference, this is how restrictive big insurance carriers can be when it comes to infertility benefits.
Their lack of utilization of the lifetime dollar maximum, or even the fact that they have a LDM, is wasting valuable time and $ for employers and couples.
For your reference, this is how restrictive big insurance carriers can be when it comes to infertility benefits.
Their lack of utilization of the lifetime dollar maximum, or even the fact that they have a LDM, is wasting valuable time and $ for employers and couples.
https://twitter.com/cameroniadeluca/status/1333525073706283013
Ability to Attract and Retain Talent:
"Employers are facing increasing competition to attract and retain talent as the labor market is at historically low unemployment levels. As a result, employers are enhancing their value proposition to employees by evaluating and providing..
"Employers are facing increasing competition to attract and retain talent as the labor market is at historically low unemployment levels. As a result, employers are enhancing their value proposition to employees by evaluating and providing..
"benefits that are most in demand. Family building solutions are an increasing area of focus for employees, and in turn, employers."
Market Opportunity:
- Estimate market to be over $12B
- Approx 50% of people suffering from infertility do not seek treatment
- Estimate market to be over $12B
- Approx 50% of people suffering from infertility do not seek treatment
Solutions: Smart Cycle
"Smart Cycle plan design allows members equitable access to the treatment they need and is designed to drive superior outcomes and reduce both upfront treatment and subsequent costs."
"Smart Cycle plan design allows members equitable access to the treatment they need and is designed to drive superior outcomes and reduce both upfront treatment and subsequent costs."
Smart Cycle:
"Everything needed for a comprehensive fertility treatment is contained within a Smart Cycle treatment bundle."
- 17 different SC bundles (can be used independently or in combination - depending on member's needs)
- Diagnostic testing
- Access to latest technology
"Everything needed for a comprehensive fertility treatment is contained within a Smart Cycle treatment bundle."
- 17 different SC bundles (can be used independently or in combination - depending on member's needs)
- Diagnostic testing
- Access to latest technology
Smart Cycle:
"Employers elect to offer a certain amount of Smart Cycles as part of their benefit (typically ranging from 2 to unlimited Smart Cycles)."
Treatments are valued as portion of Smart Cycle. Use treatments until SC balance is out. Manage balance through a portal.
"Employers elect to offer a certain amount of Smart Cycles as part of their benefit (typically ranging from 2 to unlimited Smart Cycles)."
Treatments are valued as portion of Smart Cycle. Use treatments until SC balance is out. Manage balance through a portal.
Smart Cycle Example:
Below is an example of how a Smart Cycle can be used for 3 different members.
This employer provides all employees/members with 3 Smart Cycles (Bought 3 SC per member from $PGNY)
Below is an example of how a Smart Cycle can be used for 3 different members.
This employer provides all employees/members with 3 Smart Cycles (Bought 3 SC per member from $PGNY)
Patient Care Advocate - PCA:
"Our PCAs have deep fertility expertise and provide extensive clinical education, guidance and emotional support to our members."
"Our PCAs have deep fertility expertise and provide extensive clinical education, guidance and emotional support to our members."
PCA:
"Additionally, we have an in-house clinical staff, comprised of professionals with substantial expertise in reproductive endocrinology, fertility nursing, clinical psychology and social work that design our PCA training curriculum and direct our compre. member experience."
"Additionally, we have an in-house clinical staff, comprised of professionals with substantial expertise in reproductive endocrinology, fertility nursing, clinical psychology and social work that design our PCA training curriculum and direct our compre. member experience."
PCA:
Access your individual PCA through a portal.
Access your individual PCA through a portal.
Network of Fertility Specialists:
- 800 specialists who practice at ~600 provider clinic locations throughout the U.S.
- Network includes 22 of the top 25 fertility practice groups by vol in the U.S. according to 2017 CDC data (published in 2019 and is most recent data available
- 800 specialists who practice at ~600 provider clinic locations throughout the U.S.
- Network includes 22 of the top 25 fertility practice groups by vol in the U.S. according to 2017 CDC data (published in 2019 and is most recent data available
Network:
"30% of our provider clinics do not broadly participate in conventional health insurance carrier networks, meaning they contract with us and no more than one other health insurance carrier"
- Virtually every state (2 have no practicing reproductive endocrinologists)
"30% of our provider clinics do not broadly participate in conventional health insurance carrier networks, meaning they contract with us and no more than one other health insurance carrier"
- Virtually every state (2 have no practicing reproductive endocrinologists)
Progyny RX:
- Can be added by clients
- Provides access to medications needed during treatments
- Progyny Rx reduces dispensing and delivery time to two days to eliminate the risk of missed treatment cycles
- Phone-based edu. 7 days a week & on-demand library of videos
- Can be added by clients
- Provides access to medications needed during treatments
- Progyny Rx reduces dispensing and delivery time to two days to eliminate the risk of missed treatment cycles
- Phone-based edu. 7 days a week & on-demand library of videos
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