All physicians are highly educated and skilled professionals - but you won’t find an ENT physician performing an ACL reconstruction. Physicians know when they are outside their realm of expertise, and they refer their valued patients to the correct specialist, a physician with the specific set of skills that are needed.
In some ways, insurance is the same. If you are running your own small practice, your set of skills are in practicing medicine, not understanding the complexities of the health insurance market. That’s why it makes so much sense to call in a health insurance professional who specializes in assisting independent medical practices like yours.
Health Insurance is Our Specialty
You can trust our skilled team with your health insurance needs. For over sixty years, we have assisted Texas practice owners in getting the best possible health insurance coverage at the best possible cost. We have taken the time to review all the important details you’ll need to know in making a wise decision; we’ve researched networks, deductibles, copays, coinsurance, and more. With our assistance, you can find the best possible coverage for your practice’s needs...and get it as conveniently as possible. It is our privilege to help your practice succeed.
PPO Insurance and Potential Savings for Small Practices
During this year’s open enrollment period, we are excited to share with practice owners a way to help manage certain aspects of their health insurance costs. This may even open up a way for solo practice owners to get a preferred type of health insurance they did not think was an option - group PPO coverage for themselves.
According to most Texas insurers, if a group PPO plan is offered,
• a practice must have 75% of employees participate in the plan, and
• you as an employer would have to pay 50% of your employees’ premiums.
This can be an insurmountable financial hurdle for some small practices.
But TMA Insurance Trust has discovered two waivers that change the health insurance landscape for small practices. With these waivers,
• your practice would not be required to pay 50% of employees’ premiums as most carriers now require. With this waiver, your practice can contribute as much - or as little - as you choose.
• You would not need 75% of your employees to participate in the group plan. In fact, the waiver does away with minimum participation completely.
This has allowed many small practices to make group PPO health insurance available to their employees. If you are a solo practice owner, these waivers could allow you to choose group PPO health insurance for yourself alone – likely giving you lower costs and better benefits than with an individual HMO plan.
How to Take Advantage of this Opportunity
To be eligible for the ACA waivers, your practice must have a tax I.D. number and one full-time employee in addition to yourself. We are ready to assist you if you want to take advantage of this special opportunity, but time is running short! These waivers expire at the end of Health Insurance Open Enrollment, and in order to give you the time and attention your practice needs, our deadline to accept completed applications is December 12th, 2018. A TMA Insurance Trust advisor will be happy to give you more details and fully explain the waivers.
At TMA Insurance Trust, we are absolutely committed to providing the highest levels of service to Texas physicians. We provide specialized service so that you can focus on what you specialize in – providing the best medical care to your valued patients. Contact us today.
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.
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