Provide benefits your competitors can’t offer.
Provide your members with access to healthcare, dental, and vision plans in a white-labeled shopping experience. With Softheon Private Exchange, your members are provided with access to shop for and enroll in plans nationally.
Partner with insurance experts
With years of experience in distributing government insurance including Marketplace, Medicare, vision, and dental plans, we provide the customer experience and the insurance partnerships
Softheon’s Private Exchange offers government-grade compliance to keep your member data secure
Simplicity and ease of use are of utmost importance for our Medicare solution. Our platform is WCAG compliant for enhanced accessibility
Plan Shopping & Decision Support
Our platform takes a no wrong door approach to health insurance shopping. With a conversational interface, the platform is intuitive for users of all ages and takes the guesswork out of health insurance by guiding them through the shopping experience. PCP selection and drug lookup are included to assist with confirming in-network and coverage options and cost calculators help the consumer determine the best plan based on potential tax credits or Health Reimbursement Arrangements (HRAs). Our platform not only offers Affordable Care Act plans, but also medicare related plans, dental, vision and other ancillary products.
Eligibility & Enrollment
Enhanced Direct Enrollment (EDE)
An End-to-end enrollment experience through your white-labeled, health plan branded platform offering consumers the ability to enroll in subsidized insurance. Connecting with CMS in real-time, Softheon is the only Phase 3 EDE Technology Provider capturing 100% of all enrollment scenarios without a need to redirect to healthcare.gov.
We offer a full-suite PCI DSS 3.1 payment/banking platform that connects with all major card brands and other payment channels (cash, money orders, etc.), including Fiserv and MoneyGram, to support our issuers. As a designated Payment Facilitator, we can also quickly and conveniently process payments without any third-party involvement. Members can manage their digital wallets to support single and reoccurring payments.
Data Intelligence & Governance
Softheon’s data intelligence suite offers intuitive state-of-the-art tools for all members of the health plan from the C-Suite to the individual contributor. Users can analyze data in near-real-time reviewing transaction trends, member demographics, geography, financial information, and cost comparisons.
Utilized by 38 million people
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