Who We Serve: Captives
Reduce risk. Lower costs. Strengthen pool performance.
Captives need benefit management tools that consistently guide members to the right care at the right time—because every decision affects the pool. Opyn helps captives control rising healthcare costs with clearer navigation, cost-saving recommendation sand integrated programs that improve outcomes across all member groups.
Why Captives Choose Opyn
Smarter decisions. Safer risk. Better financial outcomes.
With clearer access to benefits and high-value care paths, members make choices that protect both their health and the captive’s bottom line.
- Reduce claims costs with guided, risk-aligned care
- Increase engagement with cost-saving programs
- Improve transparency with real-time coverage and pricing
- Integrate navigation, virtual care, and partner solutions seamlessly
- Strengthen overall pool stability and plan performance
AI-Powered Features
Better guidance — for better risk.
Opyn supports captives with tools that help members understand coverage, compare costs and choose high-value care options—reducing avoidable claims and safeguarding the pool.
Aggressive Risk Management
Integrate Virtual Care and Transparency tools directly into the member journey, steering members away from high-cost settings and toward cost-effective care.
AI-Configured Member Steering
Guide member behavior with configurable AI Agents trained on your captive’s specific cost-containment rules. Surface low-cost, high-quality alternatives automatically.
The Single Digital Front Door
Train members to access everything—benefits, service teams, utilization management—through one login. Consistency today enables flexibility in vendors tomorrow.
Made to make healthcare easier
You power better benefits. We power you.
Supercharge operations and CSR efficiency
Streamline service with a human–AI hybrid model. AI handles routine inquiries and escalates only what your team needs to review.
Streamline service with a human–AI hybrid model. AI handles routine inquiries and escalates only what your team needs to review.
Lower costs for members and plans
Intercept high-cost events early with AI-driven navigation. Guide members to the right, in-network care or instant $0 virtual visits.
Intercept high-cost events early with AI-driven navigation. Guide members to the right, in-network care or instant $0 virtual visits.
Grow your client base with best-in-class tools
Give clients shared access to member data and insights. Our Opyn platform enables seamless collaboration across brokers and stakeholders.
Give clients shared access to member data and insights. Our Opyn platform enables seamless collaboration across brokers and stakeholders.
Your brand, your team, your preferred benefit solutions
Make the platform your own with flexible branding and group-level configuration.
Make the platform your own with flexible branding and group-level configuration.
Go live in weeks, not months
Skip long implementations. We set up your book of business and train your team—delivering fast onboarding and faster ROI.
Skip long implementations. We set up your book of business and train your team—delivering fast onboarding and faster ROI.
Opyn's PlaTform
Learn more about Opyn’s solutions for Captives:
Consumer-grade health engagement app and portal with integrated benefit navigation.
AI-driven automation that scales operations and boosts efficiency.
Intelligent provider search and care navigation experiences.
24/7 Virtual urgent, primary & behavioral health care.
Accurate data, matching, and quality measures all in one place.
Opyn earns 5-star reviews for the experience it delivers — for admins, members, and partners.
“Marpai is driving operational improvements and our strategic integration of Opyn’s platform is the next leap forward in our TPA evolution.”
— John Powers, President of Marpai
