Advantage Home Care

Brooklyn, NY Health careNAICS 621610

Self-funded health planPlan year 2024Renews May
2,918ParticipantsFirst year on file
$6.9MEst. pharmacy spend / yrParticipants × national avg.
May 2027Next renewalPlan year begins May 1
#30 of 137Health care in NYBy participants

Overview

Advantage Home Care sponsors a self-funded health plan that covered 2,918 participants in plan year 2024. The plan year starts in May.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
2,918
Plan year
Begins May 1 · next renewal May 2027
Health plans filed
Advantage Home Care MEC, plan 502 (2,918 participants)
Medical

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$6.9M/ year

Estimated prescription spend: 2,918 participants × $2,371 national average per member. Usually higher once dependents are counted.

$180K–$443K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$53K–$131K
Lower-cost therapeutic alternatives$77K–$161K
Generic pricing vs. actual cost$33K–$100K
PBM contract terms$17K–$52K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning May 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2024
Plan sponsor
Advantage Home Care
Sponsor EIN
45-0831477
Plan number
502
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 45-0831477 in the Department of Labor's EFAST2 Form 5500 search.

About this data

Source: Advantage Home Care's Form 5500 filing for plan year 2024 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Advantage Home Care.

Request a correction · Methodology