Plan Advisor

Assisting members find the right plan while comparing with competitors by equipping them to estimate their upcoming out-of-pocket expenses

Challenge

Members often struggle to understand health insurance plans because of confusing jargon, complex cost sharing structures, plan variability and hard to understand coverage details. This makes it challenging for individuals and families to decide which plans are the ones best meeting their health needs and budgetary constraints. There is a big need for a Plan Advisor that lays it all out in simple language with common healthcare usage scenarios. StudioAI’s AI powered Plan Advisor explains plan benefits in simple terms, analyzes a family’s current plan and makes plan recommendations along with easy to read cost comparisons across alternative health plans.

Confusing Jargon

Health insurance terms are difficult to understand

Complex Cost Structures

Cost-sharing details are complicated and unclear

Plan Comparisons

Families struggle to compare and choose the best plans

About the Solution

Simplify Healthcare AI™ introduces the Dynamic Plan Advisor, a sophisticated AI-powered solution designed to help prospects and members navigate the complexities of health insurance plans and anticipate care usage effectively. This platform addresses the challenge of selecting the most suitable and cost-efficient insurance plans by thoroughly analyzing a user's current plan and actual healthcare utilization. It employs advanced AI algorithms to compare this information with a comprehensive database of market plans, subsequently identifying and recommending the most appropriate alternative.

AI-based plan benefits understanding
Out-Of-Pocket cost estimator
Benefit highlighting and ordering

Plan recommendation
Compare plans

Plan Advisor

Assisting members find the right plan while comparing with competitors by equipping them to estimate their upcoming out-of-pocket expenses

Challenge

Confusing Jargon

Complex Cost Structures

Plan Comparisons

About the Solution

About Simplify Healthcare

Company

Our Solutions

Resources

Newsletter Sign-up

Request a Demo