Sprite health is purpose-built to serve self-funded employers and makes health insurance easy, affordable and personalized for their people.
Our high-value health plan is a low-premium, zero-deductible alternative to traditional high-deductible plans, that eliminates waste by guiding employees to high-quality healthcare services and providers – through benefit design incentives.

Imagine if you could offer a health plan to your people that saves them 20% in wages every month, super-personalized to their needs and have no deductible and coinsurance. Not to mention that they are able to make good decisions by seeing the cost of every service upfront. With hands-on support by our concierge, your people get a seamless, personalized experience that makes accessing, understanding, navigating for care effortless.

What sets us apart?

High-Value Health Plan

High-Value Health Plan

Traditional health plans include everything under the sun and hence we all have to pay for the coverage that none of us will need this year. That’s why the SPD for a yoga studio looks exactly the same as the SPD for the truckers’ union. In contrast, our high-value health plan covers everything that your people need and nothing that they don’t. By eliminating the wasteful coverage, we are able to reduce your healthcare spend significantly.

With no barriers like deductibles or co-insurance, your people get clear, simple, upfront pricing for each service to make good decisions. Our high-tech and high-touch approach guides and incentivizes members to find and utilize the right care, right provider at the right time.

Technology-driven Plan Management

Technology-driven Plan Management

Our health plan is built on a modern technology platform. This provides you unprecedented flexibility to customize it to your needs, anytime of the year. You get a clear line of sight to see what’s working and change what’s not.

The platform constantly analyzes the concerns of your employee population and predicts those who aren’t yet, but are likely to become new high-cost members. Once identified, it suggests precisely targeted interventions that maintain good care and help avoid their cost increase.

Using our ‘command and control’ center, you get real-time visibility into all of plan operations including enrollment, care management, member engagement, utilization, claims, payments – empowering you to take full control of your health plan and maximize the impact of your budget.

Value-based Direct Contracting

Value-based Direct Contracting

On top of our broad, nationwide network – Sprite health helps you create and administer direct contracts with high-quality providers, and reimburse them using payment models that reward high-quality and cost-effective care.

Whether it is direct primary care, COE for bundles, or direct contracting with health systems – we provide comprehensive administration and seamless support for you and your provider partners. Leveraging our technology – we bring form, discipline, and structure to plan administration using automated workflows for enrollment, eligibility, claim adjudication, payment reconciliation and more.

Business Alignment

Business Alignment

Our business model is completely aligned with your business objectives. There is no disruption in your existing setup, and our compensation is aligned to achieving cost savings and better outcomes for you.  

See for yourself

Sprite health demo
See for yourself how our simplified, easy-to-use interface dramatically elevate the experience you are able to provide your employees, improve health outcomes, and transform the way you can deliver benefits throughout the year.