APMA Health-Care Solutions | Membership | APMA
Health-Care Solution
APMA Health-Care Solutions

APMA is pleased to announce an exclusive new member benefit: APMA Health-Care Solutions. If you’ve struggled to find affordable health coverage for yourself, your family, and your office staff, this new benefit is for you.

Our large- and small-group health plan solutions will save you 15–30 percent on the cost of health insurance coverage.

APMA Health-Care Solutions:

  • Self-insured program through a medical captive
  • Available to APMA members and their staff
  • Customized plans with robust coverage for large groups using major carrier provider networks
  • Multiple plan options with robust coverage for small groups using major carrier provider networks (COMING SOON!)
  • ACA-compliant
  • Outstanding customer support

Check out our FAQ to learn more, then get a quote to see how much you could save.

Learn More and Request a Quote

ADVERTISEMENT
Read the lastest issue of APMA News from anywhere!
Large Group

These solutions are designed for large groups of 20 or more employees. They offer:

  • Flexible plan development to help you meet your practice’s needs
  • Pay for what you use
  • Clearly identified costs
  • Lower back-end administrative costs such as third-party administrators, advisors, pharmacy, and reinsurance

Learn More and Request a Quote

ADVERTISEMENT
Be an advocate for your profession in five minutes or less. Log on today.
Small Group/Individual

These solutions are designed for groups of fewer than 20 employees. They provide:

  • A self-insured program with a fully insured experience 
  • Multiple plan options
  • Large-group rates
  • Lower back-end administrative costs such as third-party administrators, advisors, pharmacy, and reinsurance

Be the first to know when small-group plans are available later this fall. Register now for more information!

Register to Learn More

ADVERTISEMENT
Be an advocate for your profession in five minutes or less. Log on today.
Frequently Asked Questions

Have a question we haven’t answered below? Call 240-888-8292 or email dmarette@novetahealth.com for a consultation with Noveta Health.

  1. How did APMA decide on this solution for members?
  2. What is a medical captive?
  3. Is this solution a health plan sponsored by APMA?
  4. Why did APMA partner with Noveta Health?
  5. How does Noveta Health lower costs while delivering excellent benefits?
  6. Which major carrier provider networks does Noveta Health use?
  7. Who is eligible for the insurance coverage?
  8. Will family coverage be offered? What about dental and vision insurance?
  9. Can a practice get coverage if it has locations in more than one state?
  10. Will the insurance be a “skinny plan?”
  11. Are wellness programs and materials available?
  12. Will my employees experience any difficulty switching to Noveta Health?
  13. National averages say employers switch their health plans every two years because of rising premiums. What is Noveta Health’s retention ratio?
  14. Do Noveta Health’s plans create additional work for my staff?
  15. Can I switch to Noveta Health’s plan any time of the year?
  16. Will participants have access to an online portal to monitor claims?
  17. Does Noveta Health carry supplemental and additional insurance?
  18. If my large group develops a high-deductible plan, will a Health Savings Account (HSA) be available?

    1. How did APMA decide on this solution for members?

      Health insurance through the current major carrier system is unsustainable for most practices, which have to adjust benefits almost annually in order to keep premium increases as low as possible. APMA researched several solutions for members, including traditional options such as Association Health Plans (AHPs) and various affinity programs. Finding the right solution was a challenge. APMA is a national membership organization whose members practice in a variety of settings, creating a diverse set of insurance needs. These factors, combined with ensuring regulatory compliance, drove APMA to investigate non-traditional solutions that would reduce costs while providing great coverage. We determined that the best answer for our members is a medical captive. Noveta Health is the medical captive APMA has selected as its health insurance partner.

    2. What is a medical captive?

      A medical captive is a health insurance pool formed by companies joining together to reduce the cost of their medical benefits. Successful member companies maintain good loss histories and effective cost containment strategies. A captive is a form of self-insurance that is considered low risk.

      Here are a few quick facts about self-funded insurance plans:

      • 9 out of 10 organizations with more than 1,000 employees have chosen employer self-funded health insurance plans. The plans are more cost-effective, more efficient, and provide greater control and insight into cost-drivers compared to traditional insurance.
      • For small to mid-size companies, self-funded insurance has not always been practical. The pooling of many employers creates the efficiency of a larger organization and helps to achieve reduced costs.
      • APMA changed its staff plan to the medical captive solution in August 2018. As a result, your association achieved a 30-percent reduction in medical spending, while our benefits remained unchanged.

    3. Is this solution a health plan sponsored by APMA?

      No. The insurance solutions are separate policies directly between you or your practice and Noveta Health.

    4. Why did APMA partner with Noveta Health?

      Noveta Health is a full-service benefit consultant with proven solutions that can significantly lower your health-care and pharmacy costs.

    5. How does Noveta Health lower costs while delivering excellent benefits?

      Noveta eliminates excess administrative costs and prescription claims by pursuing all available rebates. You only pay for services you use and don’t pay mark-ups that line the pockets of major carrier CEOs.

    6. Which major carrier provider networks does Noveta Health use?

      Aetna, BCBS, Cigna, United Healthcare, and others.

    7. Who is eligible for the insurance coverage?

      All employees of a practice not covered by Medicare are eligible—physicians and other staff. Groups can be podiatry-only or multispecialty. DPMs must be current members of APMA in order to participate.

    8. Will family coverage be offered? What about dental and vision insurance?

      Yes. All standard classes will be offered—Family, Single, Dependent, Spouse. Additionally, dental and vision insurance can be added to your plan.

    9. Can a practice get coverage if it has locations in more than one state?

      Yes. Multi-state plans are available. Noveta Health is registered in all 50 states, Puerto Rico, and the District of Columbia.

    10. Will the insurance be a “skinny plan?”

      No. Only ACA-compliant, full-coverage plans will be offered.

    11. Are wellness programs and materials available?

      Absolutely! Wellness programs and materials are integral to the health plans. Wellness is the best way to contain costs.

    12. Will my employees experience any difficulty switching to Noveta Health?

      There will be minimal disruption. Like any change from one carrier to another, there are instances in which an employee’s provider does not participate in the new provider network, but it is rare.

    13. National averages say employers switch their health plans every two years because of rising premiums. What is Noveta Health’s retention ratio?

      Noveta’s retention ratio is 95 percent. The other 5 percent leave mainly due to company acquisitions.

    14. Do Noveta Health’s plans create additional work for my staff?

      None!

    15. Can I switch to Noveta Health’s plan any time of the year?

      Yes, if you are currently fully insured. If you are self-funded, you can switch on your plan’s renewal date.

    16. Will participants have access to an online portal to monitor claims?

      Yes, participants will have an online account.

    17. Does Noveta Health carry supplemental and additional insurance?

      Yes, Noveta can handle all of your insurance needs.

    18. If my large group develops a high-deductible plan, will a Health Savings Account (HSA) be available?

      Yes, you can either continue using your current vendor or Noveta Health can provide a resource.

ADVERTISEMENT
Subscribe, browse, or contribute to JAPMA