Skip To Content

Designed for employers of 50-3,000 employees working with brokers; savings come from primary-care-centered design, curated networks, and aligned incentives that reduce total healthcare costs.

Centivo is doing what other health plans can’t…or won’t

Delivering top-quality care at a cost employers and employees can actually afford.

Designed for employers of 50-3,000 employees working with brokers; savings come from primary-care-centered design, curated networks, and aligned incentives that reduce total healthcare costs.

Get Started
Woman smiling in a business office

Direct Provider ContractsTackling healthcare costs where it counts

By contracting directly with high-value providers, Centivo prioritizes excellence while negotiating rates at a significant discount over other health plans. And with the option to offer the Centivo Network alongside traditional PPO options and/or reimbursement models such as reference-based pricing, as well as the inclusion of our own virtual providers, care becomes even more accessible across markets.

  • Traditional Network
  • Centivo Network

Integrated, virtual care practice

For employees who prefer the convenience and access of virtual providers, Centivo goes beyond traditional telehealth with an online primary care practice that prioritizes a personal physician relationship and expert guidance to top specialists.

Learn More(this link opens in new window)

One of the first to receive Patient-Centered Medical Home (PCMH) Recognition by the National Committee for Quality Assurance

AFFORDABLE Plan DesignCentivo’s primary care-centered plan design incentivizes the right care while keeping costs in check

Our straightforward plan design ensures true coordination across all care while eliminating the cost barriers that otherwise inhibit plan engagement.

  • No Deductibles

    We remove barriers to care so your team can afford to actually use their coverage.

  • Free Primary Care

    No-cost in-person and virtual primary care visits encourage prevention and strong PCP relationships for your employees and their families.

  • Predictable Copays

    Low, transparent copays mean members know how much their care will cost before they get it.

  • Integrated, Transparent PBM

    Reduce prescription costs through best-price sourcing and utilization management.

Reduce unnecessary care, ultimately lowering costs

  • PCP Visits

    34%

    Above benchmark

  • ER Visits

    32%

    Below benchmark

  • Inpatient Admits

    10%

    Below benchmark

  • Average total cost of care savings

    ~15-30%

    Versus the health plans we replaced

Is Self-Funding Right for Us?

With proper stop-loss protection, mid-market employers can self-fund safely and save 15-30% vs. fully-insured plans. It works best for employers who:

  • Have 50-3,000 employees
  • Work with a benefits broker or consultant
  • Have stable cash flow and consistent employee count
  • Want more control over plan design and costs
  • Are frustrated with fully-insured premium increases

Seamless plan AdministrationWe handle everything you’d expect from a health plan

As well as things you don’t. So you can focus on employees instead of paperwork.

  • Claims payments
  • High-cost claims coverage (through partner reinsurance)
  • Account administration (FSA, HSA) and COBRA
  • Member support
  • PBM integration
  • Seamless implementation
A modern Office Space With Employees Working At Desks

Unparalleled Member ExperienceYour employees are your most valuable asset - we’ll treat them that way

We’re here to ensure your employees feel confident and cared for while engaging with their health plan.

  • Clear communications
  • Simple and cutting-edge mobile app
  • High-touch customer support
  • A primary care team that acts as a true partner
  • Free virtual primary care for convenience and flexibility
Affordability White Paper cover

Check out our latest report, Power to the Employers: Unlocking Healthcare Affordability

Employers may feel powerless to rein in ever-escalating healthcare costs, but they actually hold the key to effecting meaningful change.

Download Now(this link opens in new window)

You’ve got questions, and we have answers

  • Yes. For mid-sized employers, the key to self-funding successfully is having the right infrastructure in place – and that’s exactly what Centivo provides. We build curated, high-quality networks in your local market so your employees have access to care that’s actually good. We handle full plan administration so your team isn’t managing a patchwork of vendors. And we coordinate integrated stop-loss protection – covering individual claims above a set threshold and aggregate claims that exceed your annual cap – so your financial exposure is defined and manageable from day one.

  • Employers using Centivo save 15-30% on total healthcare costs compared to traditional plans. Savings come from our primary-care-centered design, curated provider networks, and elimination of carrier profit margins. Check out our Savings Calculator for customized estimates.

  • We build curated networks with high-value health systems and provider groups in each of our active markets – including Wisconsin, Texas, Florida, New York, Missouri, Connecticut, Pennsylvania, Washington, North Carolina, and more. Network composition varies by region and focuses on value and access over breadth.

  • Primary care reduces expensive downstream spending before it happens. Centivo members get $0 primary care, so they actually use it (40% more than with traditional plans) – catching problems early, avoiding costly ER visits, specialist overuse and procedures that wouldn’t have been necessary with earlier intervention.

  • Yes. Centivo serves employers from 50 to 3,000+ employees. Cost transparency, customized network options, and dedicated account management are available across employer sizes – larger groups often use these features at greater depth and complexity, but the core advantages are consistent: $0 primary care, a curated local network, and a self-funded cost structure that eliminates carrier margins.

  • Centivo is a full replacement for traditional health plans – not just a plan administrator. We build our own curated networks around high-performing health systems, center every plan on $0 primary care access, include behavioral health and virtual care, and provide transparent cost data – all without carrier profit margins. Employers get better outcomes and lower costs. Employees get a plan they can actually use.

  • Yes – and this is where the plan design matters most. The $0 primary care model means cost is never a barrier to care, for anyone on the plan. Virtual care removes access friction for shift workers and hourly employees who can’t take time off for an appointment. Extended hours accommodate non-traditional schedules. And year-round member education means every employee knows how to use the plan from day one – regardless of health literacy or prior insurance experience.

  • Stop-loss insurance protects self-funded employers from catastrophic claims. Centivo partners with leading stop-loss carriers and manages the coordination, so you get financial protection without managing multiple vendor relationships.

  • Brokers typically evaluate four areas: network access (does the plan give members a clear path to high-quality, convenient care in their market?), cost savings potential (what’s the projected savings vs. their current fully-insured plan?), member experience design (how do members find a doctor, get support, and navigate the plan?), and implementation complexity (what does the transition look like and what support does Centivo provide?). We offer decision frameworks, market-specific case studies, and broker-focused resources to support every stage of evaluation. Ready to work with your benefits advisor? Visit our advisor resources.

  • Now – regardless of where you are in your plan year. Employers who wait until renewal to start the conversation often run out of time to make a real decision. The earlier you start, the more options you have. Most transitions happen at renewal, but the evaluation process should start well before that. Contact us to discuss timing for your organization.

Centivo believes the key to lowering health costs isn’t less care. It’s the right care. Ready to rethink your plan?

Let's Get Started