The public UHC site is a polished acquisition funnel. Once someone enrolls, they have a member portal, a PDF, and an 800 number. We fill the gap between enrollment and comprehension — inside your existing member portal, under your brand.
This is not a replacement for your website. It's a resource library that lives inside your member portal — the place 50M+ enrolled members already visit when something confusing happens. That's where CAHPS surveys measure you. That's where call deflection happens.
Plans invest heavily in acquisition. The post-enrollment experience is where members decide whether to stay.
UHC's public site is a polished acquisition funnel. Once someone enrolls, they land in a member portal with PDFs, fine print, and an 800 number. The education gap opens on day one of membership.
"What's a deductible?" "Do I need a referral?" "Why did I get this bill?" Your member services team answers these thousands of times a day. Every call is a cost that a self-serve answer could eliminate.
The #1 CAHPS driver is whether members felt they could get the information they needed about their health. That's not a bedside manner question. It's a content and access question.
Members who don't understand their coverage use it wrong: ER instead of urgent care, out-of-network instead of in-network, skipped meds instead of adherence. Then they switch plans at renewal.
No new login. No separate app. It goes where your members already are.
Embedded in myuhc.com, Aetna Navigator, or your custom member portal — branded entirely as yours. Members never leave your digital environment.
A white-labeled education hub at a subdomain like learn.yourhealthplan.com — linkable from EOBs, discharge summaries, and automated emails.
Printed on discharge paperwork or displayed in waiting rooms — members scan, land on your branded portal, and find answers instantly.
Estimated annual savings for a 1M-member plan at $18/call average, 10% deflection rate.
| Question type | Call volume | Estimated annual savings |
|---|---|---|
| What's a deductible / copay / coinsurance? | High | $80K–$400K/yr |
| Do I need a referral or prior authorization? | Very High | $200K–$1M/yr |
| Why did I get this bill? | Very High | $150K–$750K/yr |
| What does my plan cover? | High | $100K–$500K/yr |
| What's an in-network vs. out-of-network provider? | Medium | $50K–$250K/yr |
Conservative estimates. Actual deflection rates typically 15–25% with embedded portal placement.
Every requirement below is already on your compliance radar. We help you go from check-the-box to measurably better.
| Regulatory Requirement | Current Standard | With Our Platform |
|---|---|---|
| ACA Summary of Benefits & Coverage | Static 40-page PDF | Interactive, searchable, plain-English answers |
| CMS MA member communication standards | Annual Evidence of Coverage mailing | Always-on, on-demand resource members actually use |
| NCQA health literacy standards | Reading-level compliance only | Comprehension-first design with verified accuracy |
| HEDIS member engagement measures | Passive — measured after the fact | Active education that moves the needle proactively |
White-labeled, embedded inside your member portal, live in days — not quarters.
"Each additional Star Rating point is worth an estimated $400–$500 per member per year in Quality Bonus Payments for a Medicare Advantage plan."
— CMS Medicare Advantage Quality Bonus Program
For a plan with 500K MA members, moving from 3 to 3.5 stars = up to $250M in additional revenue. Member experience is a balance sheet item.
Employer client retention angle
Large self-funded employers choose carriers partly on member experience scores. A white-labeled education portal is a tangible, demonstrable differentiator in renewal conversations — not just a slide in a deck.
We've already built a working demo branded as UnitedHealthcare. We can brand it for your plan in 48 hours — no commitment, no integration work required.