SunResources® cost-containment services
SLPC 25213 10/17 (exp. 10/19)
Health care costs are one of the biggest problems facing employers today. Sun Life can help you gain greater control of those costs.
The SunResources® specialty-vendors access program delivers opportunities for employers to save. Our goal is to make self-funding more affordable by connecting you to the right resources.
How does it work?
This voluntary program is available to you as a Sun Life Stop-Loss customer and to your designated Third Party Administrator (TPA). We’ll connect you to vendors that can help manage your claims costs—even if the Specific deductible has not yet been reached. In addition, Sun Life Nurse Consultants can identify unnecessary charges, suggest alternatives, and negotiate large-claim discounts.
We have relationships with a broad selection of vendors based on national reach, geography, and specialty. These relationships make it easy for TPAs to choose the vendor that best suits the needs of a particular case.
Here are some examples of vendor services:
- Cancer Centers of Excellence facilities network
- Congenital heart disease Centers of Excellence facilities network
- Hospital bill audit
- Kidney dialysis
- Medical review
- Organ and tissue transplants
- Out-of-network claim negotiation
- Specialty pharmacy distribution and services
- Utilization review and case management
- Ventricular assist devices
Additional Sun Life Stop-Loss programs:
Group stop-loss insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 07-SL. In New York, group stop-loss insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI) under Policy Form Series 07-NYSL REV 7-12. Product offerings may not be available in all states and may vary depending on state laws and regulations.