Simplifying Medicare Choices & Employee Benefits

Clear Benefits is dedicated to simplifying the complexities of Medicare and Medicare Advantage plans for both independent pharmacies and patients.

Discover Our Features

Why Clear Benefits Stands Out

NATIONWIDE REACH

With agents across all states, our licensed insurance professionals provide localized expertise, ensuring that your pharmacy team and your patients receives the best, most comprehensive coverage tailored to their specific needs and concerns.

STREAMLINED PROCESS

We bring a streamlined, hassle-free turnkey solution, designed to reduce administrative overhead. Our system is built for simplicity, ensuring that pharmacies can focus more on their core operations and less on insurance intricacies.

ROI FOCUS

Our value-packed insurance offerings ensure high returns. We've crafted our solutions keeping your needs in mind, guaranteeing competitive pricing without compromising on the quality of benefits and coverage.

Learn About Our Values

Clear Benefits is on a mission to empower independent pharmacies and enhance patient care outcomes through expert Medicare assistance. Our vision is to secure the future viability of independent pharmacies while ensuring that your patients receive the care they deserve. By prioritizing ethical decision-making, patient well-being, and pharmacy success, we're able to create a comprehensive approach that benefits all stakeholders involved.

Comprehensive Employee Benefit Solutions

When partnering with Clear Benefits, you're not simply opting for another insurance provider on the market. You're making a choice to align yourself with a devoted ally, a partner that goes the extra mile in understanding the intricate needs of your business. This commitment signifies our unwavering dedication to ensuring the holistic well-being, absolute security, and genuine peace of mind for every member of your pharmacy staff..

Our meticulously designed insurance solutions emerge from an intensive research process, rooted in a profound understanding of the distinct challenges and intricacies faced by independent community pharmacies. Beyond just insurance, we offer a relationship based on trust, transparency, and the shared goal of a prosperous and safeguarded future for your establishment.

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The Clear Benefits Difference

Comprehensive Coverage for Complete Peace

Our offerings go beyond mere health insurance, covering a vast spectrum of needs. From basic health to dental and vision, and even financial safeguards, we ensure every aspect of your team's well-being is catered to.

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Health Plans Focus

Our comprehensive health plans are meticulously designed to ensure that every facet of an employee’s health is catered to. This not only ensures their well-being but also boosts morale, leading to increased productivity and commitment.

2.

Holistic Approach

It’s not just about basic health coverage. Clear Benefits ensures a holistic approach to well-being, offering dedicated vision and dental plans to ensure your team’s complete health is taken care of.

3.

Financial Safeguards

Life is unpredictable. That’s why we offer financial safety nets in the form of life and disability insurance, ensuring that your team feels secure, cared for, and valued, no matter what the future holds.

Tailored Solutions, Unmatched Support

With Clear Benefits, you’re not just getting insurance; you’re experiencing a revolution in how insurance is provided. Our tailored approach, customer-first mindset, and dedication to service set us apart in the industry.

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Custom Plans:

We recognize and respect the uniqueness of every pharmacy. Our plans are not one-size-fits-all; they're crafted with flexibility, ensuring that each pharmacy gets insurance solutions tailored to its specific needs and challenges.

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Transparent Pricing Model:

Transparency is a cornerstone of our offerings. With Clear Benefits, you always know what you're paying for. There are no hidden fees, no surprise charges, just upfront, clear, and honest pricing.

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Expert Guidance:

The insurance landscape can be a labyrinth. That's why we offer expert guidance every step of the way. From selection to claims, navigate insurance waters with the seasoned advice of our industry specialists.

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Quick Claims:

We pride ourselves on our efficient claims processing system. No long waits, no tedious paperwork. Just a quick, straightforward process that ensures satisfaction and peace of mind for all parties involved.

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Flexible Coverage Options:

We understand that your pharmacy's needs may evolve. That's why we offer flexible coverage options that can adapt to changing circumstances, ensuring you're always adequately protected.

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Proactive Risk Management:

Beyond just providing insurance, we help you identify potential risks and provide proactive strategies to mitigate them, ensuring your pharmacy's sustainability and growth.

We offer dependable, consistent pharmacy solutions to partners of all scales, catering to groups as intimate as 100 members and as vast as 10,000 members. Our promise? Effective solutions, easy-to-understand plans, and contracts that always keep the members in focus, no matter the scale.

Frequently Asked Questions

We understand that navigating pharmacy benefits can be complex. That's why we've prepared answers to the most frequently asked questions. This way, we ensure you have all the information you need at your fingertips.

MaxCare is a Pharmacy Benefit Manager (PBM) that provides pharmacy benefits for companies located across the United States. They emphasize transparency, cost clarity, and outstanding customer service.

As a pass-through PBM, MaxCare shows everything about your plan, including their contracts with pharmacy providers and their rebate contracts, so you understand exactly what you're paying for.

MaxCare has a nationwide network of 67,000 pharmacies, ensuring coverage for employees wherever they go.

The MaxChoice Reference Price Program is a unique program by MaxCare that focuses on select categories of medications where there’s a wide range of low-cost options that are similar in safety and effectiveness across all products. This program allows patients to have a choice in the medication they take while shifting costs away from the plan if a higher-cost medication is chosen.

The MaxProtect Specialty Assistance Program helps employees get the specialty medications they need while decreasing the plan’s exposure to their high cost. It connects patients to the manufacturer’s assistance program by verifying their eligibility and enrolling them in the relevant programs.

A pharmacy benefit manager (PBM) is a company that is responsible for administrating prescription drug programs on behalf of plans and their employees. PBMs assist in decreasing and controlling pharmacy spend, improving adherence, and managing high-cost specialty and brand medications. They help to manage prescription benefits programs by creating formularies, negotiating rebates, creating pharmacy networks, reviewing drug utilization, and implementing clinical programs.

Flexible Solutions Driven by Cost Containment

We deliver adaptable pharmacy benefit solutions to fit organizations of all sizes. Our unyielding commitment to cost containment ensures sustainable health outcomes and maximum value for our members.

Clinical Services

Cost-Efficient, evidence-based, personalized care solutions

MaxChoice

Empowering patients, ensuring affordability in prescription drug selection

SmartBlock

Automatically detecting and controlling high-cost combination drug expenses

MaxProtect

Bridging the gap between specialty medications and affordability

What Our Partners Say

Join the ranks of self-insured employers who trust MaxCare for managing their pharmacy benefits.

We believe that the local independent pharmacies are really key to providing good healthcare for our participants. MaxCare has a very good relationship and focuses a lot of attention on the local independent pharmacist. We just feel like that fits really well with our theme as a cooperative and partnering with those in our community.

David Post

VP of Human Resources, Pioneer Telephone Cooperative

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Join Our Journey

Clear Benefits invites you to experience insurance like never before. Our seamless solutions, tailored offerings, and unwavering commitment to excellence ensure that every community pharmacy and their patients get the coverage they deserves.