Customers Who Trust Acules

42 procedures completed internationally. Zero adverse outcomes.

• Company faced 28% year-over-year increase in surgical claims costs before implementing Acules.
• Launched as a voluntary benefit in Q1. Employee adoption exceeded projections by 3x.
• Most common procedures: knee replacements (18), hip replacements (11), hernia repairs (8), spinal procedures (5).
• Average employee out-of-pocket: $0 - employer covered international procedure cost and a travel stipend.
• Employee satisfaction score: 4.8/5 across all participating workers.

“We were skeptical at first. But the data was undeniable - we were spending $40,000–$80,000 per surgery domestically for procedures our employees could access at JCI-accredited hospitals abroad for a fraction of the cost. Acules made it easy to implement, and our employees love it.”

- VP of Human Resources, Regional Construction Company

12 procedures. 100% patient satisfaction. No complications.

• Law firm with a self-funded health plan was seeing high orthopedic and cardiac claims from a tenured workforce.
• Added Acules as a voluntary benefit with a generous travel stipend to encourage participation.
• 12 employees and covered dependents chose international procedures over 12 months.
• Top destinations: India (6 procedures), Thailand (4), Turkey (2).
• All-in cost per procedure averaged $11,200 vs. a domestic equivalent of $85,700.

“Our partners were initially worried about liability and quality. Once we showed them the JCI accreditation data and the coordinator support model, the concern disappeared. The savings have been significant, and not a single employee has had a negative experience.”

- Chief Operating Officer, Mid-Size Law Firm

Medical travel became the most used voluntary benefit within 18 months.

• High prevalence of orthopedic and spinal conditions in a physically demanding workforce.
• Stop-loss costs were escalating. CFO and HR jointly evaluated Acules as a cost containment strategy.
• Year 1: 67 procedures internationally. Year 2: 124 procedures as word spread among workers.
• Union-represented workforce: joint management-union committee reviewed the program before launch.
• Total 2-year savings of $5.4M represents net savings after all Acules coordination fees.

“Our workers talk to each other. When the first employees came back from India with successful knee replacements and $40,000 savings checks in their pockets, adoption exploded. It became our most popular benefit.”

- Director of Employee Benefits, Manufacturing Plant

Small group achieving outsized savings per participating member.

• Small credit union with a self-funded health plan was struggling with high-cost claims from an aging member base.
• Implemented Acules to provide members with an alternative for elective and semi-elective procedures.
• 8 procedures completed internationally over 18 months.
• Average savings per procedure: $52,500 - driven by two cardiac cases and four complex orthopedic procedures.
• Plan administrator reports improved solvency outlook for the next plan year.

“For a small group like ours, a single high-cost claim can jeopardize the whole plan. Acules gave our members an affordable, high-quality alternative. The savings are transformational for our fund.”

- Benefits Plan Administrator, Self-Funded Credit Union