Sail Cash Pay helps employers save on care with cash pay pricing, starting with GLP‑1s.
Sail Cash Pay puts you in the driver's seat.
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No. It funds care members buy outside the covered benefit, and works with any PBM.
You decide. Choose the therapies, the credit for each medicine and dose, and the caps, and change them as your plan evolves.
Administrators, TPAs, health plans and benefit platforms launch it under their own brand. Employers get it through those partners.
Fills are matched to LillyDirect and NovoCare transactions on a linked card or pharmacy account.
The program is typically made available in an HRA plan design, such as an integrated HRA, an excepted benefit HRA, or a post-deductible HRA.
Yes. For HDHP members with an HSA, the credit runs through a post-deductible or excepted benefit HRA so they keep contributing. Sail flags this during setup.
The purchase, not the chart. Verification runs on transaction and receipt data, with no diagnoses or clinical records.
Yes. It works for anything where cash pay is more affordable than plan-funded coverage.
About three weeks: plan design and branding, then eligibility and funding, then launch. Eligibility arrives by SFTP or an HRIS sync, and funding is a pre-funded balance or a monthly invoice.
We work with you to figure out what makes sense for your business. Talk to Sales to start.