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92% of AultCare clients renew year after year. Find out why.

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AultCare’s core beliefs are as deeply rooted today as they were at our inception.

  • Local access to quality care.
  • Primary Care Physician engagement.
  • Strong commitment to cost control.
  • Exceptional customer service. 

Our products, partnerships, coordination, network, and service combine to provide the foundation of our core beliefs and our efforts to deliver value through strategic endeavors and innovative ideas. 

As healthcare continues to evolve, AultCare will also make the necessary advancements to remain competitive in the industry. Throughout this process, we will stay committed to our core principles and proud to serve our customers.

Our plans are tailored to you and your employees. With affordable options and partnerships that provide innovative solutions to our members, you can find a plan to fit your budget and benefit needs. 

As a provider-sponsored healthcare plan, AultCare's close relationship with network providers encompasses several advantages for its members. A member's care is streamlined and coordinated between the health plan and provider and ultimately helps control healthcare expenses. 

Learn more about our plans

Learn more about the six different ways AultCare delivers value to employers through our health plans.

Cost Control

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Integrated strategies to control your business's pharmacy and medical spending.

Network

AultSaveRx

  • AultCare developed a pharmacy transparency tool allowing you to make the most cost-effective decisions with your prescriptions. You can search for the most cost-effective price on any generic drug. As you search for a prescribed medication, you can review a comparison of different pricing options. AultSaveRx compares your health plan’s estimated price with the best available market alternative. AultSaveRx is yet another way you are empowered to make important decisions regarding your prescription medications. Learn more in less than 2 minutes from our video:

Population Health Management (PHM)

  • A key differentiator that sets AultCare apart from other health plans.
  • PHM offices have AultCare nurses on-siteto coordinate care between the member, their physician, and the health plan.
  • A quality healthcare experience using a PHM office provides positive health outcomes and cost-saving opportunities; all of which we have studied and analyzed to measure the success for all parties involved, including you as the employer.
  • A statistical analysis concluded members of a PHM office's cost of care was $30 less per employee per month, compared to members of the non-PHM office. 
  • Learn more about this cost-savings program

Pharmacy Management

  • With pharmacy carved into your medical plan, AultCare and OptumRx integrate medical, pharmacy, and clinical data to improve your cost savings
  • Variable Copay Solutions (VCS) leverages pharmacy coupon cards for the employer benefit
  • The AultSaveRx platform allows members to view plan claims, identify savings opportunities ( an average savings opportunity is $31 per fill), and ROI reports  Learn more

Reference Based Pricing

  • Alternative payment methodology promoting in-network care to optimize medical spending  Learn more

Consumerism

  • IBM Medical Cost Estimator 
    • Empower your employees to take control of their healthcare decisions as they compare quality, cost, and location for in-network procedures
    • Review estimated range of cost to treat a disease or condition for an entire year Learn more

Artificial Intelligence

  • Promotes process improvement to enhance the integrity and financial savings

High-Risk Claims

  • Identifying and managing high-risk claims towards successful cost control strategies  Learn more

Products & Services

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Experience a complete spectrum of healthcare solutions for your organization. Simplify your benefits process. AultCare is your one-stop-shop for employer health solutions to keep your people healthy, decrease absenteeism, or get them back to work quickly. Let us help you!

Contact us now!

Health

  • Self-Funded
  • Insured
  • Small-Cap  Learn more
  • Reinsurance/Stop-Loss for Self Funded Plans

Dental care Learn more

Vision care

Pharmacy Services 

  • Pharmacy benefits continue to be a larger and larger share of employers’ health expenses. Our solutions save you money.  Learn more

Flexible Spending Account (FSA)

Health Reimbursement Arrangement (HRA)

Health Savings Account (HSA)  Learn more

Workers' Compensation 

  • AultComp MCO upholds local connections to manage your workers' compensation needs as a Managed Care Organization (MCO). They know the facilities and providers directly, which makes managing your claims run smoother and more efficiently. They can get your employees back to work safely and quickly as the #1 rated MCO in Ohio. 
  • AultComp TPA is available to review your group savings opportunities as a Third Party Administrator (TPA). AultComp TPA has some of the lowest administrative costs of any TPA in Ohio and their local, customer service is exceptional.

Multiple Employer Welfare Arrangement Administration (MEWA) Learn more

Medicare Plans 

  • Medicare Advantage with  PrimeTime Health Plan
    • PrimeTime Health Plan is rated 5 stars by the Center for Medicare and Medicaid Services (CMS).  Learn More
    • Recognized as one of the Best Medicare Advantage Plans in Ohio by U.S. News and World Report.  Learn more
  • Medicare Supplement with  PrimeTime Choices
    • Allows members to see any physician who accepts Medicare. PrimeTime Choices is offered through the entire state of Ohio. 

Other Ancillary Products

  • Life Insurance
  • Accidental Death and Dismemberment 
  • Short Term Disability
  • Long Term Disability
  • Pet Insurance

Wellness Learn more

  • Comprehensive, customized health and wellness programs are created to provide your employees with improved health
  • On-site flu/vaccine clinics are available
  • Dietitian programs are available
  • Behavioral health programs are available
  • Customized monthly fitness initiatives are available
  • Dashboards and reports on the progress and engagement level of employees are available
  • Average savings of $69.97 per employee

Data Reporting and Analytics

  • Predictive Modeling
  • Self Service Employer Reporting

Partnerships

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Strategic partnerships providing value on a local and national level.

AultCare understands the importance and value of collaborating with organizations on a local and national level to meet the healthcare needs of you and your business. 

EnrollX (formerly NWGS)

  • Bringing ease to Ancillary Products

Canton Regional Chamber of Commerce Health Fund (MEWA) Learn more

  • Partnership to support small businesses within our community

HealthEquity  Learn more

  • The healthcare industry’s #1 Health Savings Account (HSA) Administrator

DenteMax  Learn more

  • DenteMax is one of the largest leasable dental PPO networks in the United States

IBM  Learn more

  • Providing your company and employees with medical cost estimates

AllHealth Choice

  • AllHealth CHOICE integrates the latest in remote health and activity monitoring, telehealth, socialization, patient engagement, and care coordination technologies into one comprehensive service combined with dedicated, 24/7 nurse care managers and navigators

Milliman MedInsight

  • Milliman works with clients to improve healthcare systems, manage emerging risks, and advance financial security, so millions of people can live for today and plan for tomorrow with confidence

OptumRx  Learn more

  • Making it simpler and easier for you to get the health care you need. OptumRx strives to improve experiences and lifelong health outcomes for everyone served while discovering new ways to make care more affordable. 

CCS Medical

  • O ne of the country's leading providers of home delivery medical supplies, CCS Medical offers a complete line of quality products to our Diabetic population.

VSP Vision Care Learn more

  • T he first and only national not-for-profit vision benefits company providing vision benefits to our members

Care Coordination

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Personalized integration of services for employees' well-being. 

Located under one roof, all of AultCare health and wellness services are streamlined into one collective program known as Care Coordination. This program provides your employees with the education and resources they need for more effective outcomes and quality improvement, all while saving you money. 

Learn more

Population Health Management  Learn more

  • Serves as the link between the member, the Primary Care Physician (PCP), and the health plan to help the member navigate the healthcare system and receive integrated care
  • Provider-based allowing for close partnerships with community providers

Pharmacy Management  Learn more

  • Works alongside prescribing physicians to ensure your employees receive the most appropriate, cost-effective medications

Disease Management  Learn more

  • Provides your employees with education on prevention; ensures employees with chronic health issues have the tools and services necessary to improve their health, including remote patient monitoring

Case Management  Learn more

  • Equips employees with quality, cost-effective outcomes through assessment, planning, coordination, education, and referral

Utilization Management  Learn more

  • Helps your company control costs through efficient management of healthcare resources

Wellness  Learn more

  • Identifies and helps your employees understand their risks and assists in decreasing those risks through coaching, goal setting, education, encouragement, and support

Network Access

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A wide spectrum of choices to simplify your employees' access to care.

Our network grows to accommodate the needs of our membership. With more physicians, hospitals, and telemedicine choices in-network, the options are plenty. 

Our local service area and beyond - Learn more about our service area

  • An ever-growing network of local and national hospitals  Learn more
  • Over 16,000 network providers 
  • 24/7/365 telehealth access through AultmanNow  Learn more
  • All CVS MinuteClinics nationwide  Learn more
  • Cigna National Network Access (available to members outside the AultCare network)  Learn more

Customer Experience

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A personalized approach tailored to your company's needs

Superior customer service was embedded in the AultCare philosophy from the beginning. A simple request to answer the phone launched an organization-wide campaign to deliver personalized customer service. With each day, employees and members alike take pride in the human aspect of the AultCare culture.

Our dedicated team continually strives to provide our members, employers, and providers with the information and resources they need to receive the most from their healthcare plan. As we correspond with your employees over the phone, via email, or during personalized visits, AultCare will always be here to answer each question and provide resources to help understand the healthcare system.

Convenient solutions to managing your employees' care

  • Member portal
    • Our online portal features an updated look and easy-to-access resources to enhance the member experience and provide the tools members need to take an active role in their healthcare.  Learn more.
  • Mobile app
    • Our mobile app provides convenient access to member healthcare information. Download the app for free on the Apple App Store or the Google Play Store.  Learn more.
  • Online chat
    • Your employees can use the online chat service to conveniently receive efficient and knowledgeable customer service administered by our trained representatives.  Learn more.
AultCare

Phone:
800-344-8858
330-363-6360

TTY: 711

24-Hour Nurse Line:
866-422-9603
330-363-7620

Customer Service Hours:
Monday - Friday
7:30 am - 5:00 pm EST

Mailing Address:
2600 Sixth St S.W.
Canton, OH 44710

IRS Form 1095-B

AultCare Insurance Company will not be automatically mailing 2023 Form 1095-Bs to members. However, upon request, any applicable members can have their 2023 Form 1095-B.

To receive your 2023 IRS Form 1095-B, submit the request via our CONTACT US on our website or send the request to:
AultCare Insurance Company
2600 Sixth ST SW
Canton, OH 44710

You can also call us at 330-363-6360 or 800-344-8858 with any questions. Your request will be furnished within 30 days of receipt.

Non-discrimination Notice

AultCare/Aultra complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sexual orientation, gender identity, or sex. AultCare/Aultra does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. AultCare/Aultra provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). AultCare/Aultra provides free language services to people whose primary language is not English, such as: Qualified interpreters and information written in other languages.If you need these services, or if you believe that AultCare/Aultra has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can contact or file a grievance with the: AultCare/Aultra Civil Rights Coordinator, 2600 6th St. S.W. Canton, OH 44710, 330-363-7456 , CivilRightsCoordinator@aultcare.com . You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Civil Rights staff is available to help you.You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf , or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019 , 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

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