Smart Solutions for Smart People. We're HealthSmart.

We solve client problems and make life better for their people. Every single day. 


HealthSmart Solutions

Benefit Solutions

Benefit plans and solutions for worry-free administration, quality coverage and innovative care.

Rx Solutions

Integrated pharmacy benefit management, and tools to reduce the high cost of specialty drugs. 

Care management

Integrated clinical solutions designed to fit your populations and reduce healthcare costs.

Network Solutions

Flexible provider networks for member access to quality care at the best value.

Casualty Claims

Innovative claims management solutions that leverage technology with unmatched experience.

HealthSmart Blog

Thoughts from HealthSmart Leadership

Helping Clients Effectively Minimize the Health Impact and Cost of Diabetes
11/29/2021 3:53:52 PM
Diabetes is costing Americans their health and lives and it’s putting a financial burden on the country’s healthcare infrastructure, including insurers. If you’re looking for a resource to help your members manage the health impacts of diabetes and to help your health plan manage the financial impacts of the disease on your bottom line, HealthSmart’s proprietary comprehensive Diabetes Education Course delivers proven results. Read more>>>

News and Announcements

The Latest News From HealthSmart

HealthSmart Net Promoter Score is 71!
HealthSmart Achieves Net Promoter Score of 71, indicating "Excellent" customer experience and loyalty!

HealthSmart recently conducted a client survey to determine our Net Promoter Score, or NPS, which measures customer experience, loyalty and satisfaction. Clients are asked how likely they are to recommend a company on a scale of 0 to 10. Those who select 9 or 10 are “promoters,” while those scoring 0 to 6 are “detractors.” Subtract the dectractors from the promoters and that’s your NPS.

We are very proud to announce our NPS is 71, which is in the “Excellent” category! Contact us at to learn what makes us different!

Register today for our webinar!WEBINAR: Changing the Game in Specialty Pharmacy

December 7, 2021 at 1pm EST

An Innovative Approach for Controlling Specialty Pharmacy Costs
The rising cost of specialty drugs is a major concern for every health plan. HealthSmartRx Solutions has come up with an innovative approach to reducing the cost of these medications whether the use falls on the pharmacy OR the medical benefit. Join us for our upcoming webinar, Changing the Game in Specialty Pharmacy, December 7, 2021 at 1:00 pm EST. 

Register Now! ➝

We take care of a company's most valuable resource. Its people.

HealthSmart is the premier provider of customizable and scalable solutions for self-funded employers.

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Real-time, online access to your benefits information, explanations of benefits, member ID cards and other tools – whenever you need it.


Especially for university and college student members, get instant access to your benefits information.


One-stop resource for brokers, distribution partners and consultants to bring the best solutions to clients.


Solutions for HR executives, plan sponsors and benefit administrators, plus access to employer services, 


Claims inquiries, provider lookup, appeals and other tools for HealthSmart payer clients, including health plans and TPAs. 


Provider services, including real-time, online access to member health benefits and claims information.

Home-HS.jpgWhy HealthSmart

Reducing costs while improving member health

HealthSmart is the premier provider of innovative, customizable and scalable solutions for employers, brokers and payers. Our solutions include health plan benefit administration, care management, pharmacy benefit management, provider networks and casualty claims solutions. We also offer business intelligence, onsite employer clinics, a variety of health and wellness initiatives and web‐based reporting.

Our mission is to improve the health of our members while treating them with dignity and respect, and reduce healthcare costs for our clients and members with innovative solutions and a flexible approach. We provide self-insured clients with a one-stop source for their health plan needs, and deliver best-in-class service, support, and intelligence..