Healthy Solutions
Better Services. Better Execution. Better Outcomes.
Solid solutions make for rewarding results. At Gilsbar, this is a philosophy we live by. We know that offering your employees or members the tools that make them happier, healthier and more productive is just good business. And we’re the trusted business partner that makes that happen. With Gilsbar as your partner, every business challenge is an opportunity—and every solution drives success.
When you partner with Gilsbar, you’re partnering with a proven, multipurpose provider of health and benefits management strategies. The core of these strategies is the range of options we provide, so you can build a customized suite of services and solutions that are perfectly tailored to your organizational needs. These include the following options—click above for details:
Our Vision
Be a catalyst in the development and execution of health and benefit management strategies that create healthy business.
TPA Services
You need a trusted partner. One that offers advanced technology. One that delivers health management expertise and outstanding personal service. And one that can lower your total costs, all while eliminating the burden of time and focus your benefits plan demands.
Gilsbar is your comprehensive health and benefit management solution. We deliver an industry-leading approach by combining advanced technology, continuous plan monitoring and unparalleled industry experience through our 360° Benefit Plan Management service delivery model. In short, we do the work... and you reap the rewards
EXPECT Lower Costs
Combining comprehensive service, exceptional claims stewardship, strong PPO networks, advanced technology and unmatched experience delivers results. Gilsbar's clients experience better plan management and lower costs. When stacked against the industry average, the costs per member for our clients are significantly lower.
EXPECT Integrated Services
From third-party administration to population health management to validation and reporting, our synergistic delivery eliminates the challenges of the traditional reactive and fragmented service model. Our 360° Benefit Plan Management is anchored in cultural alignment and is focused on delivering proven and tangible results.
EXPECT Continual Improvement
Since our first client partnership in 1959 - a partnership we still foster today - we consistently challenge the status quo. We never rest on our laurels. Our commitment to continual improvement means always upgrading our technology, always converting data into intelligent insight, and always improving processes in an effort to exceed client expectations. Our goal is for your plan to continually improve, as we continually improve the services, systems and processes that deliver it.
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Comprehensive Services
- Self-Funded plan management
- Fully insured administration
- Direct contract negotiation
- FSA/HRA/HSA administration
- COBRA/HIPAA administration
- Reference-based provider payment methodologies
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- Comprehensive population health management
- Commercial carrier and regional PPO options
- Data analytics
- Compliance support
- Actuarial services
- Employee engagement services
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PPO Network only available in Louisiana.
Our Vision
Be a catalyst in the development and execution of health and benefit management strategies that create healthy business.
Raising the Bar for Carrier Solutions
You need a stable partnership. One that offers advanced technology and implementation expertise. One that becomes an extension of your culture and delivers excellent customer service. One that delivers innovative solutions to your administrative challenges. You don’t want your outsourcing choices to be threatened by mergers and acquisitions that interrupt product delivery. You need a partner you can trust.
Gilsbar is that partner. We are raising the bar on outsourced solutions for carriers and affinity groups by providing innovative, proven solutions, next-gen technology and comprehensive implementation services. Our continual investment in our people, processes and technologies empowers Gilsbar to remain relevant and stable in a market that never stops changing.
We’re not satisfied until we exceed your expectations.
EXPECT Thought-Leading Client Management
Our dedicated account management, operations, technology and finance teams work with you to understand your unique data challenges, corporate culture and administrative needs.
EXPECT Seamless Integration and Industry-Leading Technology
- Experts in system conversion, data management and implementation
- Ability to import and export data to and from multiple sources
- Consolidated billing (multiple products, partners or groups)
- Precise and prompt claims processing
- Integrated service model (e.g., claims, customer service, medical management, reporting, etc)
EXPECT SMART Implementation
Our proprietary implementation program is built specifically for System Management and Records Tracking (SMART). Our dedicated team members work with you to understand your needs. We present creative options to receive, onboard and clean up your data. We specialize in complex implementations. Our implementation goal is to minimize disruption, increase efficiencies and make a positive impact on customer satisfaction.
Our Services Include
- Benefit plan management
- Billing & eligibility
- Claims adjudication
- Underwriting
- Member fulfillment services
- Commission processing & payment
- Premium collection & distribution
- Vendor coordination
- Web Portal deployment & services
- And more
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Group & Individual Products Administered
- Medical
- Gap medical
- Dental, Vision & Term Life
- STD & LTD
- Medicare supplemental plans
- Group retiree health plans
- Medicare Part D EGWP
- Limited medical
- And more
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"Never in our history has the administration of the program been as flawless, smooth and efficient as it has been since Gilsbar has been our third party administrator. Gilsbar's 'can-do' attitude and willingness to go the extra mile in support of the health program are welcome changes to our experience of past years." - Texas Farm Bureau
"Gilsbar's team has been responsive, professional and prompt in their attention to our needs and has fulfilled all strategic objectives with creative, top-quality deliverables." - NADA Insurance
"We are excited about our new partnership with Gilsbar to deliver our 'On Your Side' promise and continue to grow as a provider of choice for business owners." - Nationwide Employee Benefits
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Association Services
Serving Professionals and Associations Since 1959
Gilsbar specializes in products and services designed to help protect you, your members and your business or association. We are partnered with nationally recognized, top-rated carriers to offer health, life, and disability coverage, administering plans for more than 20 associations across the country. Contact Us to learn more.
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Our Vision
Be a catalyst in the development and execution of health and benefit management strategies that create healthy business.
Population Health Management
Gilsbar is your health management partner
Are you a member or provider looking for more information on MedCom Care Management? Please click here.
Our Population Health Management program provides your organization with a combination of proactive educational and personalized solutions. Both are key features—and they work in tandem to create a fully-integrated approach. Each feature specifically pinpoints the appropriate level of care for each individual. Our strategic outreach plan addresses the entire healthcare continuum, improving all risk categories: acute, chronic, diagnosed, and healthy/at risk. And the personal outcomes—and related cost savings—speak for themselves.
- Utilization Management
- Case Management
- Chronic Care Management
- Maternity Management
- Wellness
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- Oncology Management
- Transplant Care Management
- Behavioral Health/EAP
- Advocacy Services
- Data Analytics and Validation
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EXPECT Healthy Results
Our industry-leading approach to population health plan management results in a healthier bottom line.
Our Vision
Be a catalyst in the development and execution of health and benefit management strategies that create healthy business.
Wellness
The Equation is Simple
Healthier employees means a healthier bottom line. But if you’re like most busy professionals, you know that creating a corporate wellness program isn’t easy. The good news is—we make it both easy and effective.
Gilsbar is your wellness partner. We offer you a fully integrated and cost-effective program that’s designed to engage and empower your employees, allowing them to make long-term lifestyle changes. We uniquely design our program for you—your company and your employees. We’re the simple solution that pays huge dividends.
Not Sure Where to Start?
EMPOWER
With our Empower program we offer employers a turnkey wellness solution that was developed utilizing our years of experience to deliver proven solutions that result in healthier employees and an improved bottom line. Empower offers a complete wellness solution including:
- Personal health assessment
- Biometric screening
- Telephonic and onsite coaching
- Incentive structure options
- Individual challenges
- Communications toolkit
- Comprehensive online tools
- Mobile app
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Need More?
EMPOWER PLUS
Empower Plus is an advanced program designed for employers who are looking for more than a turnkey wellness program. Empower Plus offers the same services as our Empower solution, but is specifically configured to match each employer’s unique situation and corporate culture. Our dedicated wellness consulting team will design a wellness strategy exclusively for your organization. This strategy aligns with your corporate strategic plan to help you reach your human capital management goals, as well as your long-term cost management objectives.
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EXPECT Healthy Results and Happier Employees
Healthier employees mean happier employees. Happier employees mean more productivity. With Gilsbar’s industry-leading approach to wellness, the results will yield lower costs and a healthier population.
EXPECT A Well-Made Plan
Meeting your cost management objectives is our top priority. Gilsbar delivers a flexible and proprietary process that is tailored to your needs.
POWERFUL TECHNOLOGY. Our technology provides an integrated data view of your entire population to determine your company’s current and prospective risk. This unique position enables us to develop a comprehensive program to address all levels of health within your population.
PROVEN PROGRAM DESIGN. Our proprietary process has paid dividends for clients all over the country. Gilsbar is a nationally recognized leader in the design and delivery of wellness programs.
EXPECT Success
Wellness is not just a health issue—it’s a business issue. And it’s not just about creating a personalized corporate health strategy, it’s about building a truly engaging program. Engagement is the key to healthier, more productive employees.
EMPLOYEE ENGAGEMENT. By choosing Gilsbar, you’re choosing an expert in employee engagement. Employee engagement is the critical foundation of every program we build. We deliver nationally renowned expertise, constant innovation and world-class service—building programs that employees CHOOSE to engage in. Our seasoned marketing and employee engagement professionals work with you to develop easy-to-understand employee engagement campaigns.
UNIQUE PROGRAM DESIGN. Just like you, every one of our clients has unique human capital management goals—and our solutions define the strategy and tactics that make those goals achievable. We use a proven system to tailor unique programs to your goals. When it comes to wellness, it’s about aligning your strategy with your corporate culture, which is our expertise.
Professional Liability
Serving Professionals And Associations since 1959
Professional Liability Insurance
As one of the nation’s largest professional liability administrators, GilsbarPRO strives to be a dominant retailer of malpractice and ancillary business policies. We offer products and services designed to protect professionals and their businesses from the unexpected.
Who is GilsbarPRO?
GilsbarPRO has provided malpractice insurance and business protection policies to professionals since 1959. As one of the nation’s largest administrators for professional liability, GilsbarPRO provides comprehensive practice coverage to over 29,000 professionals.
Why GilsbarPRO?
- Relationships with the top A-rated carriers in the business
- Tireless effort to find your firm the affordable coverage it deserves
- Market leader in turnaround time for quotation and policy delivery
- PRONTO Renewal service, a proactive approach to renewing coverage with minimal effort on your part
- Unparalleled sales, underwriting, customer service and account management
Click for more information
Our Vision
Our personal healthcare experts engage members and guide them through the complex healthcare system, saving you and your employees time & money.
Advocacy
Gilsbar Advocacy offers more than 50 years of unparalleled experience helping employees understand their benefits and eliminate guesswork in a complex and ever-changing healthcare system. The result? Your employees save time and money. And, so do you.
What We Offer:
• Healthcare Cost & Quality Guidance - In the current healthcare system, price
variation for the same service provided at different providers can vary as much as 
500%... or more! We guide your members to the lowest cost and highest quality
providers, resulting in substantial plan savings. We also help your employees
understand all of their treatment options to help ensure the best outcome.
• Benefit Education & Enrollment Support - As a trusted, independent third party,
Gilsbar Advocacy answers your employees' questions about their health plan,
wellness plan, dental plan, vision plan, claims and more. We help people understand
their co-payments, deductibles and out-of-pocket costs and how to maximize the
value of their benefit plan.
• Assistance with Diagnoses and Treatments - Gilsbar Advocacy provides
assistance with the coordination of care, understanding diagnoses and options for
treatment. Members may speak confidentially about medical concerns or discuss
difficult personal issues...respect and privacy are our top priority.
• Help with Care for Aging Parents - Your employees don't have to care for
their aging parents alone. We offer care coordination for parents. Whether it is
explaining Medicare, making arrangements for visiting nurses or providing
assistance with a complex medical situation, Gilsbar Advocacy provides
guidance for the full array of issues associated with caring for aging populations.
EnrollAssist
To engage and empower members during the enrollment process
This program engages and empowers your employees during the enrollment process. We enable you to finally turn open enrollment from a headache into an opportunity. Our Care Advocates help guide your employees to make the best benefit choices from a financial and coverage perspective. In addition to explaining benefits, we help employees navigate their benefit administration system and ensure that they are accurately and correctly entering data so their benefit elections are recorded and saved properly.
MEMBER AUTHORIZATION FORM
Our authorization form grants Care Advocates permission to work on your behalf on healthcare or insurance issues. Completion of this form is required for any individual or dependent our advocates will be helping.
Download Form
Submit Your Authorization Form
Fax – Download and complete the fillable PDF above. Sign the form.
Fax it to: 985-898-1707.
Mail - Download and complete the fillable PDF above. Sign the form and mail it to:
Care Advocates
Attn: FORMS
P.O. Box 2947
Covington, LA 70434
Email– Download and complete the fillable PDF above. Sign the form.
Email it to: careadvocates@gilsbar.com