One of the standout features of Smart Health Plans is out-of-network coverage. While many health plans restrict clients to an HMO or EPO network, one of the features of the Smart Health plans is offering out-of-network coverage on all its plans.  Here’s why out-of-network coverage is essential for your clients—and a major advantage for our brokers. 

• Greater Provider Access: Out-of-network coverage allows members to see specialists and healthcare providers who might not be part of the primary network. For members with specific healthcare needs or preferences, this flexibility is invaluable. 

• Enhanced Appeal for National and Regional Clients: With national PPO networks and access to QualCare in New Jersey, clients have extensive in-network options while also covering out-of-network providers. This dual benefit makes these plans attractive to clients across different regions and industries within all 50 states.  

• Differentiation in a Competitive Market: Brokers can stand out by offering plans that include out-of-network coverage, a feature that is especially attractive to clients who travel or have unique healthcare needs. Highlighting this benefit positions you as a broker who provides choice and flexibility, key factors for client satisfaction and loyalty. 

Out-of-network coverage is more than a selling point—it’s a way to add real value for your clients. By promoting the health plans offered through Smart Health, you can offer a level of flexibility that sets you apart from competitors and meets the diverse needs of today’s clients.