One Valley Healthcare Program

A program for VVP members that's Affordable, Accessible, and Effective!

Presented In Partnership With the SALA Healthcare Program

Program Basics

Did you know, less than 50% of small businesses in the US offer healthcare? We’d like to change that in Eagle County.

Vail Valley Partnership’s One Valley Healthcare Program, in partnership with the Small Association Leadership Alliance (SALA) Healthcare Program, is a comprehensive and cost-effective alternative to traditional plans. While not a replacement for traditional health insurance, this new program offers affordable, accessible, and effective healthcare options for Vail Valley Partnership members – both businesses and individuals alike. The One Valley Healthcare Program provides a high-quality, affordable healthcare solution for employers, employees and sole-proprietors. While not health insurance, the program provides preventative care, options for co-payment features for additional services, and addresses unforeseen medical expenses, such as illness and injury.

This program is not insurance. It is an alternative solution that features a choice of two preventative care plans, each coupled with a medical cost sharing membership for sharing expenses related to unexpected medical needs. Participants can expect to save as much as 50% when compared to health insurance!

The One Valley Healthcare Program, in partnership with the SALA Healthcare Program, is one solution to the high cost of healthcare in the mountain region

Key Takeaways:

  • Available to businesses AND individuals
  • Available to full-time, part-time and seasonal staff
  • Dental option now available!
  • The One Valley Healthcare Program, provided by SALA, lowers healthcare costs by as much as 50%
  • Enrollment is monthly – you may join at any time
  • This program is not insurance and is not designed to replace traditional insurance
  • Local healthcare providers may require partial or full payment prior to providing services for unexpected care. Payment for health care services is not guaranteed.

How It Works

Your step-by-step guide to the One Valley Healthcare Program:

  1. Be a Vail Valley Partnership member in good standing.
  2. Watch the informational webinar. Viewing the webinar will be the best introduction to this program and will help you understand the documents and resources below. Click here to watch at any time
  3. Explore the program & plans. Click on the “Program Details” icon below to explore the components, rates, deadlines & more.
  4. Decide if this program is right for you, your family, your employees or your business.
    • If it’s the right fit, continue to step 5
    • If it isn’t, don’t be discouraged – the VVP and our partners are committed to expanding the One Valley Healthcare Program. We will continue to pursue more options and ways to fill coverage gaps.
  5. Fill out the One Valley Healthcare Program Application. Once we have verified your membership, a VVP representative will provide next steps to complete enrollment.

Explore The One Valley Healthcare Program

Disclaimer

Medical Cost Sharing is not health insurance. Before replacing health insurance with a medical cost sharing membership, it is critically important to understand the requirements and restrictions for members. For example, most medical cost sharing organizations exclude or limit the amount eligible to share for pre-existing conditions. Accordingly, Medical Cost Sharing Group Memberships are not appropriate for groups of 50 or more where employees with pre-existing conditions might not be covered and the employer could be subject to a tax penalty. Likewise, there are exclusions for irresponsible behavior, including an accident or sickness related to drugs or alcohol. The website for each organization has the necessary detailed information to enable an informed decision.

The application for medical cost sharing has a limited number of health history questions, but all potential members must agree with and attest to statements including: “I agree to refrain from the usage of any form of illegal substances.” Accordingly, medical cost sharing memberships are not for everybody, but a practical solution to managing costs for health conscious individuals. It is vital to understand that local healthcare providers may require full or partial payment prior to providing services for unexpected care.

Medical cost sharing is not insurance where a premium is paid and the risk of major medical expenses are assumed by the insurance company. In medical cost sharing the patient deals directly with the doctor or hospital without the interference of an insurance company actuary. Secondly, the patient becomes a responsible, cost-conscious consumer rather than only being responsible for a co-pay and no concern what is charged to the insurance company.

The One Valley Healthcare Program is not insurance. This means the state’s consumer protections and oversight of the operation of the plan do not apply. The amounts to be paid to the plan are not insurance premiums and therefore are not regulated. The promise of future benefits is not guaranteed and thus the State of Colorado’s Guarantee Fund does not apply.

The general information provided here has been taken from reliable resources. However, Vail Valley Partnership does not provide insurance, legal or tax advice. We recommend that you seek competent legal advice for any questions on the forms and applications that you are required to sign to apply for membership to a medical cost sharing organization. The One Valley Healthcare program is not insurance and the Vail Valley Partnership is not an insurance agency or provider. This program is sponsored by the Small Association Leadership Alliance with plans provided by Apex Management Group and a Medical Cost Sharing membership provided by Sedera Health.

Vail Valley Partnership makes no recommendations, representations, or warranties regarding the terms of the SALA cost sharing arrangement or its appropriateness for any member entity or individual. Local healthcare providers may require full or partial payment in advance of providing services.

Looking for a traditional insurance plan? View our Business Directory.