As the month of November nears, many physicians and practice managers must turn their attention toward health insurance decisions for the coming year. Are you satisfied with your health insurance coverage, and the level of service you have received from your agent? Do you think that you are getting the best value possible for your investment? Find out what you need to know as you prepare to make health insurance decisions for your family and practice.

The Basics of Health Insurance Open Enrollment

In 2019, the Health Insurance Open Enrollment period begins on November 1 and ends December 15. This is the time that you can choose ACA compliant health coverage that features Essential Health Benefits, which include the following:

• Ambulatory patient services (outpatient services)
• Emergency services
• Hospitalization
• Maternity and newborn care
• Mental health and substance use disorder services
• Prescription drug coverage
• Rehabilitative services and devices
• Laboratory services
• Preventive and wellness services
• Chronic disease management
• Pediatric services (including oral and vision care)

Since the end of the year tends to get quite busy for many physicians, it’s a good time to start thinking about health insurance coverage now. If you are not satisfied with your current situation, now is a good time to contact one of our health insurance specialists. They can help you explore your options.

Help for Practice Owners and Managers

Your employees put a high value on quality health insurance coverage, but you as a small practice owner may struggle with balancing the cost of providing these benefits. At TMA Insurance Trust, we understand the unique challenges that Texas physicians in independent practice have… and we’re ready to help.

Providing Quality Health Insurance Benefits May Be Easier than You Think

During the Health Insurance Open Enrollment period last year, we were able to help small practice owners find the right health insurance options for their needs. For example:  

• Some small practices were finally able to offer their employees group PPO insurance,
• Certain small practice owners were able to get group PPO insurance for themselves 
• Numerous practices were able to expand employee benefits beyond health insurance. 

Keep watching our blog as November 1 nears to learn what health insurance options  and other offers we will have available for you and your independent practice during Health Insurance Open Enrollment.

Don’t Get Stuck with Less Coverage or Higher Premiums

When your group health insurance plan is up for renewal, by law, your insurance company does not need to give you more than 60 days to review the policy. If you don’t make changes during that time period, your plan will automatically renew, but you may not have the same coverage and benefits. Since plans and prices change every year (some significantly), it is important to review your plan thoroughly when it comes up for renewal. If your plan auto-renews and the new coverage doesn’t suit your practice's needs or budget, it could ultimately create a financial strain on you and your practice.

This is where the assistance of a knowledgeable advisor is vital and valuable. TMAIT Insurance Trust health insurance advisors have experience with providing consultations to medical groups across Texas including the 600 groups that currently secure their health insurance through TMA Insurance Trust. Even if your group health insurance is renewing before the Open Enrollment period, we can assist you now.

Get Trustworthy Help, Now Through Open Enrollment

Get the best possible coverage for your budget and get the best service to support you, your family and your practice. You can be sure of your choices when you obtain trustworthy help from our advisors – at no cost or obligation. Contact a TMA Insurance Trust advisor today for help with health insurance questions or concerns.

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.