Medicare Plan Selection Solution
Medicare Suggest
Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.
Top
Finding the right Medicare plan match
Medicare beneficiaries often have difficulty matching their needs to the right health insurance products—leading many to overpay for plans relative to the value they receive. Organizations trying to help them—whether carriers, call centers, or brokers—lack easy access to the information to drive the right decisions.
Fast, accurate Medicare plan guidance
Medicare Suggest uses an individual’s medical history to suggest the least expensive Medicare Advantage, Prescription Drug Plan, and Medicare Supplement insurance products based on their demographic factors, medical claims, and pharmacy claims. Using this data and a robust set of machine learning algorithms based on millions of lives, Medicare Suggest offers a new way to provide highly customized and accurate estimates to Medicare beneficiaries.
Medicare Suggest benefits
Accurate
By securely retrieving a beneficiary’s actual claims and provider history, users receive a highly personalized list of plans ranked by total out-of-pocket costs based on their projected personal utilization patterns.
Cost-effective
With no software to deploy or manage, and a subscription-based pricing model, you can provide sophisticated recommendations at low cost.
Simple to implement
The system is entirely cloud based, enabling rapid deployment and providing users with a seamless experience. Industry-standard APIs simplify connection with external systems.
Comprehensive
Medicare Suggest can provide recommendations for Medicare Advantage and Prescription Drug, Medicare Supplement, and Medicare Prescription Drug Plans.
Medicare Suggest features
Resilient
Built on Microsoft Azure, Medicare Suggest supports high levels of scalability and availability, so it’s always there when people need it.
Robust
Research data supporting our matching algorithms is sourced from Milliman databases containing millions of lives and billions of claims records across the country.
Flexible
Organizations can configure the results and display of Medicare plans available to beneficiaries to meet their business needs.
Related insight
Medicare plan selection: Pharmacy costs alone are not enough
Brokers and carriers should recognize the value in looking at medical costs when helping members with plan selection.
Services related to Medicare Suggest
Medicare consulting services
Improve care quality and cost efficiency with the leading independent Medicare experts.
Medicare Supplement insurance
Build quality MedSupp solutions and succeed in a growing, yet complex market.
Medicare Advantage (Part C)
Access comprehensive Medicare Advantage services including employer group pricing support, feasibility analysis, payment validation, and more.
Medicare Part D
Facilitate rate development, ensure feasibility, implement communications strategies, and more with dedicated Part D expertise.
Related products
Milliman MACVAT (Medicare Advantage Competitive Value Added Tool)
Evaluate relative values of Medicare Advantage program plans using a comprehensive, Excel-based tool.
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