1 Capitation Based Plan
This is the traditional HMO plan; members enrolled under the scheme are expected to choose a primary provider under the scheme where they receive care for non
emergency medical need. This plan is a popular option for employers and individuals interested in providing comprehensive medical coverage within budget.
How does the plan work?
Our capitation based plan is based on risk sharing with our partner hospital, the hospitals selected by members on this plan receive a given percentage of premium paid upfront whether the enrollee visits the facility or not. This upfront payment covers agreed scope of service. If however, the service required is outside the agreed scope of service as defined, Greenbay Healthcare Services Limited will take on the full risk and make payment for required services.
Where service required is not available within the primary provider facility, Greenbay Healthcare Services Limited will facilitate the required treatment outside the primary provider’s facility.
The GREENCARE™ Capitation Based Plan is available under four different packages:
BASIC PLAN
STANDARD PLAN
COMPREHENSIVE PLAN
ULTIMATE PLAN