High Plains Health Plan • FAQ
Frequently Asked Questions
Quick, plain-English answers for employers and healthcare professionals — with the stuff people actually ask. If you don’t see your question, our Concierge Team can help.
For Employers
The basics: who qualifies, how quotes work, plan design options, and how HPHP drives savings.
EMPLOYERS
Why High Plains Health Plan?
Ever-rising premiums and deductibles are unsustainable. Our plans lower the cost of care and put
“value” back into your benefits.
What do we need to provide to get a High Plains Health Plan quote?
- Current census in Excel format
- Summaries of current plan offerings
- Current/renewal premium rates
- Claims reports
Who qualifies to participate?
Organizations with 5 or more employees on their health plan.
Is this “Reference-Based Pricing”?
No. High Plains Health Plan uses direct contracting for Tier One benefits,
and a national PPO “wrap network” as Tier Two benefits.
Where geographically does High Plains Health Plan focus?
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.
How many plans does High Plains Health Plan offer?
There are six total plan designs to select from: four “copay” plans and two “HSA Compatible Plans”.
What are the average savings?
Our clients are saving 20% on average while introducing benefits such as
$0 deductibles and copays for thousands of services.
How are you saving so much?
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.
Can employees in other areas, even other states, participate?
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.
How do we join High Plains Health Plan?
Fill out our quick form and we’ll arrange a time to meet/talk:
https://hphealthplan.com/contact/
For Healthcare Professionals
Why Tier One contracting matters, payment timelines, and how we help steer members to high-value care.
HEALTHCARE PROFESSIONALS
Why contract with High Plains Health Plan in Tier One?
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 healthcare professionals.
How are doctors and facilities paid?
If you are a Tier One participating professional, you will be paid per the direct contract with High Plains Health Plan
within 30 days of a clean claim. If you are participating in our Tier Two “wrap network”, you will be paid per your network contract
within 30 days of a clean claim.
Where can we see rates of what High Plains Health Plan will pay us?
Start by filling out our form, and we will arrange a time to discuss details:
https://hphealthplan.com/contact/
How is High Plains Health Plan different from PPO’s and HMO’s?
We offer plan members benefits such as $0 deductibles and copays to receive care from our Tier One physicians and facilities.
Other plans do not offer this benefit.
What are other benefits of contracting with High Plains Health Plan?
Your practice and services will be promoted to employers and their many employees in the region.
We celebrate top physicians and facilities!
Can only local/regional physicians contract directly with High Plains Health Plan?
No — we have already secured several national contracts with national care organizations, labs, imaging clinics, and surgery centers.