For Employers
Q: Why High Plains Health Plan?
A: Ever-rising premiums and deductibles are unsustainable. Our plans lower the cost of care and put “value” back into your benefits.
Q: What do we need to provide to get a High Plains Health Plan quote?
A: Current census in Excel format
Summaries of current plan offerings
Current/Renewal premium rates
Claims Reports
Q: Who qualifies to participate?
A: Organizations with 5 or more employees on their health plan.
Q: Is this “Reference-Based Pricing”?
A: No. High Plains Health Plan uses direct contracting for Tier One benefits, and a national PPO “wrap network” as Tier Two benefits.
Q: Where geographically does High Plains Health Plan focus?
A: We are based in Amarillo, TX and focus on employers in the 26 counties of the Texas Panhandle. However, we do work with employers in other states with members all across the country.
Q: How many plans does High Plains Health Plan offer?
A: There are six total plan designs to select from. Four “copay” plans, and two “HSA Compatable Plans”.
Q: What are the average savings?
A: Our clients are saving 20% on average while introducing amazing benefits such as $0 deductibles and copays for thousands of services.
Q: How are you saving so much?
A: Primarily, we leverage our direct contracts with regional healthcare providers. Our costs for inpatient/outpatient hospital care, surgeries, non-emergent imaging, and costly prescriptions are often 25-75% lower than you are currently paying.
Q: Can emloyees in other areas, even other states, participate in High Plains Health Plan?
A: Yes! This is why we built High Plains Health Plan with a national PPO “wrap network” solution, so employees across the country can be covered.
Q: How do we join High Plains Health Plan?
A: Just fill out this quick form, and we will arrange a time to meet/talk!
For Providers
Q: Why contract with High Plains Health Plan in Tier One?
A: We connect top doctors and facilities with regional employers through direct contracting. We also provide “steerage” to Tier One providers with $0 deductibles and copays for plan members, which is a valuable incentive for patients to use Tier One providers.
Q: How are providers paid?
A: If you are a Tier One participating provider, you will be paid per the direct contract with High Plains Health Plan within 30 days of a clean claim. If you are a participating provider in our Tier Two, “wrap network”, you will be paid per your network contract within 30 days of a clean claim.
Q: Where can we see rates of what High Plains Health Plan will pay us?
A: Great question! Start by filling out this form on our website, and we will arrange a time to discuss details.
Q: How is High Plains Health Plan different from PPO’s and HMO’s?
A: We offer plan members benefits such as $0 deductibles and copays to receive care from our Tier One providers, other plans do not offer this benefit.
Q: What are other benefits of contracting with High Plains Health Plan?
A: Your practice and services will be promoted to employers and their many employees in the region. We celebrate top providers!
Q: Can only local/regional providers contract directly with High Plains Health Plan?
A: No, we have already secured several national contracts with national care providers, labs, imaging clinics, and surgery centers.