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Guardianship Programs
Apta Guardianship integrates with BowTie Health Guardianship® to deliver a comprehensive model that unites proactive enhanced primary care, trusted health guidance, and direct-pay solutions.​
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We offer a proactive, relationship-centered approach that remedies the traditional “sick care” system by placing prevention, trust, and guidance at the center of healthcare. In this model, providers serve as guardians of health, building strong member relationships, coordinating care, and negotiating direct solutions. Guardianship protects both the member’s well-being and the health plan’s sustainability by preventing disease, guiding patients through complex care, and containing unnecessary costs.

Guardianship vs. Traditional Health Insurance
Feature
Traditional Health Insurance
Apta Guardianship
with by BowTie Medical
Monthly Premiums
Unsustainable high costs
Low or no cost to members when staying within the program
Co-Pays & Deductibles
Confusing, costly, unavoidable
No cost to members if they go through The Guardianship Team
Out-of-Pocket Maximum
Often $8,000+ per person
$0 – There is no max
Appointment Access
Wait weeks for rushed 7–10 min visits
Members are often seen within a day with 30-45 minute visits
Provider Networks
Must stay “in-network” or pay more
No network restrictions
Navigation
You're on your own –
call centers & chaos
Guardians handle up to 95% of care. The other 5% can be handled through direct cash payments.
Billing Transparency
Surprise bills and mystery charges
Cash prices negotiated upfront. No surprises.
Major Procedures
Claims, denials, deductibles, delays
Claims paid in cash at the time of service
Focus
Reactive care and cost-shifting
Proactive, personalized, and preventative care
Health Outcomes
Fragmented and impersonal
Deep physician relationships = better results
Guardianship Programs


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