Discussion and possible action on any and all matters regarding the contract approval of ESurgeries Network. ITEM CONTINUED FROM BOARD MEETING HELD ON MARCH 11, 2020. (Susan Posada, Benefits Consultant and Broker)

ESurgeries Network is only available in the employer market, making it a unique voluntary surgical management program. They contract with top area surgeons to perform many surgical procedures in ambulatory surgical centers rather than in outpatient hospitals. This program will have the same principles as the Incentive/Win-Win program but with greater savings because of the direct rates with the Third Party Administrator and not Blue Cross Blue Shield. If an employee were to utilize ESurgeries, the following would be waived: Deductible, Co-insurance & Co-pays

If ESurgeries is approved, Plan Document would need to be changed to add prior authorization for Complex Imaging.   The contract will be provided before or at the meeting.