SME Year-End Health Benefits Check-Up: Ensuring Coverage & Readiness for 2025

Our year-end review helped us realize employees weren’t fully aware they could use online consultation apps. Now we’re planning a refresher seminar.

As the year draws to a close, it’s the perfect time for small and medium-sized enterprises (SMEs) in the Philippines to assess their current health benefits strategy. A thorough year-end review helps ensure that your employees fully understand their coverage and sets the stage for a smooth transition into the new year.

Why Conduct a Year-End Benefits Check-Up?

Assessing your existing health plans now allows you to identify gaps, confirm coverage details, and gauge employee satisfaction. This review ensures your team knows what’s included, from hospitalization benefits to out-of-network reimbursements and pre-existing condition coverage. It also offers an opportunity to adjust for 2025, considering any newly identified healthcare needs.

Key Steps for Your Review:

1. Evaluate Current Usage:
   Check which benefits employees are using most. Are annual physical exams well-attended? Do outpatient reimbursements run smoothly? Understanding these patterns can guide you in optimizing your offerings next year.

2. Solicit Employee Feedback:
   Engage with staff through quick surveys or year-end discussions. Ask them about their experiences with the HMO network, the ease of claims processes, and their awareness of covered conditions.

3. Check PhilHealth Compliance & Enhancements:
   Ensure you’re up-to-date with any changes in PhilHealth guidelines. Consider supplementary coverage—like Purple Cow’s offerings—that can complement PhilHealth’s share, ensuring continuous coverage for employees who may not be enrolled.

4. Plan for Next Year’s Renewals:
   Use the data from your review to negotiate better terms or consider a more comprehensive plan. If certain add-ons (dental, life & accident insurance, or mental health support) might improve employee well-being, include them in your negotiations.

Looking Ahead to 2025

A well-planned benefits strategy demonstrates your commitment to employee health and peace of mind. By taking the time to review and adjust your HMO plan now, you’ll set the tone for a productive, engaged, and healthy workforce in the coming year.

Ready to streamline your health benefits review and upgrade your plan for 2025? Contact Purple Cow to learn how our HMO solutions can simplify renewals, enhance coverage, and deliver consistent value to your SME.