Our Services
Service Offerings
Providing Clarity and Quality in Healthcare
Coastal Health Plan (CHP) offers a range of innovative healthcare services designed to support employers and members across Coastal Georgia and Low Country South Carolina. We provide transparent, cost-effective solutions that make healthcare more accessible and easier to navigate.
Flexible, Transparent Plan Options
Smart Solutions for Your Healthcare Needs
At Coastal Health Plans, we believe in providing clear, straightforward pricing with flexible options that adapt to your organization’s needs. Here’s how our structure works.
Fixed PEPM (Per Employee Per Month)
Our fixed fees cover essential services, ensuring predictable costs and valuable features for every member:
- Member Claims Portal (WellVisor): Empower members with an easy-to-use portal to view and manage claims, promoting transparency and convenience.
- Pre-Certification and Utilization Review: Simplify the process for accessing necessary services with minimal hassle.
- Telemedicine Access: Give members 24/7 access to healthcare providers, all at no additional cost.
Variable Services
Pay only for the services your team needs, making your plan flexible and cost-efficient:
- Complex Care Management: Intensive, tailored support for members with high-risk or complex medical needs.
- Chronic Condition Management (WellVisor): Focused support for managing long-term conditions like diabetes or hypertension.
- Wellness Coaching: Personalized guidance to help members achieve healthier lifestyles.
- Maternity Care Support: Comprehensive care for expectant mothers, every step of the way.
Optional Services
Add-on features to customize your plan for unique organizational needs:
- Additional Administrative Support: Tailored assistance for your business.
- COBRA Administration: Ensure smooth transitions for eligible former employees.
- HRA/HSA/FSA Plan Administration: Manage health reimbursement, savings, and flexible spending accounts effortlessly.
- Dental Plan Administration: Comprehensive dental administration, even without a network.
Total Cost Transparency
We ensure every dollar is accounted for, offering a clear breakdown of monthly costs:
- Core Fixed Fees: Covering essential services and administration.
- Optional Services Costs: Flexible and variable based on usage, designed to fit your specific needs.
Tailored Solutions
Innovative Approaches to Healthcare

Proactive Case Management
CHP’s proactive case management goes beyond traditional care coordination by actively identifying high-risk cases and providing early interventions. We ensure that members with complex medical needs receive appropriate and timely care, reducing overall costs while improving health outcomes. Our approach integrates personalized care plans, ongoing monitoring, and resource management to streamline treatment and enhance patient well-being.

Stop-Loss Solutions
We offer comprehensive stop-loss insurance to protect employers from the financial risks of catastrophic claims. CHP’s stop-loss solutions include both Specific and Aggregate coverage options, tailored to the unique needs of each employer. With additional benefits like Specific Advance and Monthly Accommodation, our stop-loss plans provide greater flexibility and peace of mind, safeguarding your company’s financial health against unexpected, high-cost claims.

Member Advocacy
At CHP, we believe in putting our members first. Our dedicated advocacy team is available to guide members through every aspect of their healthcare experience, from navigating plan benefits to resolving complex billing issues. We provide personalized, one-on-one support to ensure that members fully understand their options and have access to the best possible care. Our advocacy services foster trust and ensure that members feel supported throughout their healthcare journey.

Direct Provider Contracting
CHP leverages direct provider contracting to drive cost savings and ensure quality care for members. By negotiating directly with healthcare providers, we eliminate the middleman, securing lower rates while maintaining high standards of care. This approach allows us to offer members access to a broad network of trusted providers at more affordable prices, optimizing plan performance and enhancing the overall healthcare experience.