Clearview is CGS Health's proprietary level-funded solution — built on an integrated administration, stop-loss, and pharmacy platform. It combines predictable budgeting with the structural advantages of a self-funded model, so employers get a fixed monthly payment while keeping the upside when claims run favorably.
Employers pay one predictable monthly amount designed for budget stability. At year end, if claims come in under budget, that difference comes back to you — and if claims run high, stop-loss caps your exposure.
One predictable monthly payment designed for budget stability.
Annual claims funding minus paid claims equals your bottom-line savings — returned to you at year end.
Stop-loss protection caps employer liability — no liability beyond the attachment point.
Aligned administration and underwriting designed to support disciplined risk management across the whole plan.
National network alignment and optimization of pharmacy rebates and pass-throughs, focused on reducing overall net costs.
Cash-pay discounts, dialysis management, and J-code optimization built directly into the plan structure.
Integrated medical and pharmacy oversight supporting your members' needs — with best-in-class customer service.
Where a packaged carrier model bundles a single network and a monolithic PBM, Clearview aligns underwriting, pharmacy, and network strategy so employers keep more of what they save.
Broad national access
Broad national access
Regional provider-aligned strategy
CGS Health provides flexible network options and works with brokers and employers to align network strategy with workforce geography and cost objectives.
Request a Clearview proposal to evaluate projected savings and network alignment for your group.
*Clearview is a level-funded product. Savings projections are estimates and may vary based on group size, industry, geographic location, claims experience, and underwriting review. Stop-loss coverage is subject to underwriting approval and policy terms. Network availability and plan features may vary by market.