Managed Transplant Program
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A market leader for value
The Managed Transplant Program (MTP) protects self-funded groups while enhancing the clinical experience for patients. We partner them with experienced transplant nurse case managers who help educate and guide them through the transplant experience.
Comprehensive program design
MTP covers all transplant-related expenses one year post-transplant.
| First-dollar coverage | No pre-existing clause or lasering | Predictable program |
|---|---|---|
No deductibles, coinsurance or copays | Protection for the full population begins as soon as coverage is bound | Lessens future stop loss premium increases by carving out transplant experience |
Includes all solid organ and blood and marrow transplants | Lifetime benefit for transplant services protects annual max benefit of hidden medical coverage | Guaranteed renewable policy |
Pays related expenses from evaluation through 365 days post transplant, including immunosuppresant drugs | Stop loss premium credits often result once coverage is in place | Drives increased stop loss persistency |
A risk-free solution
More than 900 employers1 depend on MTP to manage the clinical and financial aspects of their transplant cases. By transferring risk to Optum, employers pay a predictable monthly premium, while Optum pays all claims associated with transplant cases.
Employers value this fully insured carve-out product to help control costs, mitigate risk and enhance both the clinical and patient experience for transplants.
Through MTP, employees and their dependents may access more than 1,000 best-in-class transplant Centers of Excellence programs located at 176 U.S. facilities.2
Education and guidance through entire process
To further improve clinical experience and outcomes, Optum transplant nurse case managers support patients from referral to up to one year post-transplant.
Managed Transplant Program Stop Loss
View fact sheet (PDF 356 KB)
Transplant Resource Services
View fact sheet (PDF 594 KB)
Sources
- Count of MTP Employer clients as of September 25, 2018
- Optum Transplant Network status as of July 2018.
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