Traditional benefits run your dental cleaning, massage receipt, and glasses claim through the same expensive machine as a medical emergency. That’s backwards.
And lose a painful amount of money on the way.
Risk gets insured. Routine care gets funded.
Which is kind of the whole fucking point.
Dental, vision, physio, massage, prescriptions, therapy. These are usually predictable, recurring, personal expenses — not true insurance risk.
Zemma splits health benefits into two clean buckets: use insurance for catastrophic, unpredictable events — and let routine care be funded directly with employer dollars.
Drag the slider to set the employer contribution. See exactly how many dollars reach actual healthcare in each model.
Traditional model assumes ~30% overhead leakage. Zemma assumes ~3% platform fee.
You don’t insure your groceries. You budget for them. Routine health care behaves much more like groceries than like a house fire. So treat it like spending, not catastrophe.
Insurance shines when the event is expensive, unpredictable, and difficult for one person to absorb alone.
If it’s predictable, personal, and likely to happen, it usually makes more sense to fund it directly than to insure it inefficiently.
That’s the magic. Not theoretical efficiency. Not actuarial beauty. Just more of the employer’s spend turning into real care, real reimbursement, and real choice.
Traditional benefits run your dental cleaning through the same system as open-heart surgery. Zemma doesn’t.
Insure what should be insured. Fund the rest directly.