There are some people who believe that if they don’t buy health insurance during the Open Enrollment period at the end of the year, they won’t be able to get health insurance until open enrollment begins again. But for physicians in certain circumstances, health insurance may be available at other times. In fact, you may be eligible right now to review your coverage and make changes.

Individuals May Qualify for Special Enrollment

Some physicians may qualify for a special ACA enrollment period if they meet certain extenuating circumstances. If any of the following events take place during the year, you can take advantage of a special enrollment period to add family members to your plan:

• Get married
• Have a child
• Adopt a child
• Become a foster parent
• Become responsible for child support

Additionally, if you lose your current health coverage during the year due to the following, you can obtain coverage during a special enrollment period:

• Divorce
• Loss of dependent status
• Moving out of state
• Loss of employer coverage

For those who qualify due to these circumstances, there is a 60-day period for special enrollment from the date of the qualifying event. We can help you make the right choices for health insurance if you qualify for a special enrollment period.

1-800-880-8181 7:30 – 5:30 CST Monday – Friday

Group Health Insurance Options for Practice Owners

Because medical practices obtain group health insurance at varying times, your group policy can renew at any point during the calendar year. Whether you need to secure a group health policy for the first time, or your group coverage is up for renewal, you can trust our skilled team with your health insurance needs. We know that shopping for a benefits package can be a time consuming undertaking. Let TMA Insurance Trust relieve your practice of the burden; work with an advisor who will thoroughly examine and compare plans, then present your most suitable options. This will minimize your investment of time and help you make the best decisions. Our goal is to help you find the best possible health insurance coverage at the best possible cost.

We also understand that maintaining and servicing a benefits package can be a burden on your staff. When you work with TMA Insurance Trust, your advisor will be able to shoulder much of the administrative work that comes with your benefits package. He or she will communicate with your group’s contact person on a regular basis and be a hands-on problem solver when you require assistance.

We consider it our privilege to advocate with insurance carriers on behalf of our members so they can feel confident they are making the best decisions to protect their health, their livelihood and their financial security.

Short-Term Solutions for Temporary Coverage

In certain circumstances, short-term health insurance may be the best option for you. However, these circumstances are very limited, and short-term health insurance is not an option that you should consider for an extended period of time. Here’s why: short-term health insurance plans do not cover pre-existing conditions. Most of these plans also do not cover maternity care, mental health care, and other preventative care. These plans can, however, provide some stop-gap protection for a 30- to 60-day window, providing coverage for an unexpected serious illness or accident. If you are suddenly without health insurance coverage because of a change in employment and other options are not available, short-term coverage may be a temporary option that can offer some protection.

Helping You with Health Insurance Choices

Whatever your need for health insurance, TMA Insurance Trust is here to help you. If you have questions about your special enrollment period, group coverage benefits, or ways to fill a gap in your coverage, our trustworthy advisors can give you assistance and solid advice. We have over 60 years of experience in helping Texas physicians with their health insurance needs. Let us help you make the right choices when you need it.

For over 60 years, TMA Insurance Trust advisors have been serving Texas physicians, their families and staff. TMA Insurance Trust prides itself on offering unbiased information and strategies to members, along with exclusive group rates on a range of the highest-rated plans in the industry.