FAQ
For Employers
A: With continuously increasing premiums and deductibles becoming unsustainable, our plans prioritize affordability and restore value to your benefits.
A: Simply provide us with a current census in Excel format, summaries of your plan offerings, current or renewal premium rates, and claims reports.
A: Organizations with five or more employees enrolled in their health plan qualify for participation.
A: No, we utilize direct contracting for Tier One benefits and incorporate a national PPO "wrap network" for Tier Two benefits.
A: While our headquarters are in Amarillo, TX, our primary focus is serving employers within the 26 counties of the Texas Panhandle. Nevertheless, we extend our services to employers in other states, accommodating members nationwide.
A: We offer six plan designs, comprising four "copay" plans and two "HSA Compatible Plans."
A: On average, our clients enjoy savings of 20%, alongside remarkable benefits such as $0 deductibles and copays for numerous services.
A: Our approach hinges on leveraging direct contracts with regional healthcare providers. This enables us to secure significantly lower costs for services, including inpatient/outpatient hospital care, surgeries, non-emergent imaging, and expensive prescriptions, often ranging from 25% to 75% less than your current expenses.
A: Absolutely! Our national PPO "wrap network" solution ensures coverage for employees nationwide.
A: Complete a brief form, and we'll coordinate a meeting or call at your convenience!
For Providers
A: Healthcare Innovative Solutions, LLC facilitates direct contracting between premier doctors, facilities, and regional employers. Additionally, we incentivize plan members to utilize Tier One providers by offering $0 deductibles and copays, promoting easy access to quality care.
A: Tier One participating providers are compensated according to the terms of the direct contract with Healthcare Innovative Solutions, LLC, with payments processed within 30 days of a clean claim. Tier Two participants in our "wrap network" payments are made by their network contract within the same timeframe.
A: To access payment rate details, please complete the form on our website, and we will schedule a discussion to provide further information.
A: Healthcare Innovative Solutions, LLC distinguishes itself by offering plan members exclusive benefits such as $0 deductibles and copays for services obtained from Tier One providers, a feature not typically available in other plans.
A: Contracting with us provides exposure for your practice and services to employers and their extensive workforce in the region. We take pride in highlighting top-tier providers!
A: No, we have already established national contracts with various healthcare providers, including national care facilities, laboratories, imaging clinics, and surgery centers.