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 primarily focus on employers in Texas. 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.