Employers

Medical Benefit Plans

Listed below are the services The Health Plan Employer Services has to offer.

Health Maintenance Organization (HMO)

The Health Plan's fully funded Health Maintenance Organization (HMO) is perhaps the most cost effective plan offered. This plan limits members to a network of providers contracted through very aggressive pricing arrangements. The HMO provides high benefits to employees at a reasonable cost to employers. Affordable copays, virtually no claim forms, and plans with or without deductibles, will encourage members to establish ongoing relationships with their physicians. The physician relationship, along with preventive care, will help to deter major health problems.

Various copay levels can be provided to further encourage employer savings, while maintaining a superior plan for good health for your employees. The HMO plan has an unlimited lifetime maximum and complete coverage for preventive care.

National Committee for Quality Assurance (NCQA) Accredited.

THP Insurance Company Fully Insured Plans

Point of Service Plan (POS)
Employers and employees can enjoy the same cost effective features and benefits of the health maintenance organization (HMO) with the added option to leave the network. Primary care physicians oversee member care and refer members to specialists in the network when care is delivered in The Health Plan network. Members can receive care outside of The Health Plan network at specific benefit levels.

Premiums are affordable and service is superior. The Health Plan offers reduced costs through established contracts with physicians and hospitals. This plan will require selection of a Primary Care Physician (PCP).

Preferred Provider Organization (PPO)
The Health Plan's newest option for employees enables employees to receive care from any healthcare provider. The benefits are paid at the highest level when contracted providers are utilized. Members can elect to receive care outside The Health Plan network at specific benefit levels. Reduced costs are available through established contracts with physicians and hospitals. This plan requires NO selection of a Primary Care Physician (PCP).

Allied Services Division/Self Funding Specialists

Developed in 1991 to assist as a third party administrator (TPA) for self funded medical, dental and vision plans, Allied Services Division is a licensed TPA in Ohio, West Virginia, Pennsylvania and Kentucky.

The Health Plan offers a full service TPA with complete range of integrated services and programs. We offer comprehensive plan administration services to employers with self funded medical plans, including claims payments, medical case management, utilization review, bank account development and reconciliation, management reports, enrollment services and medical plan reinsurance. This plan offers affordable administrative feeds, superior claims payment service, speedy response time and access to The Health Plan's network discounts on any plan design.

SecureCareHMO & SecureChoicePPO Medicare Advantage Plans

It's not about health insurance. It's about peace of mind. With all the choices in healthcare plans, how do you know which one is right for your needs? It's not just a matter of getting the right benefits. It's also a matter of choosing a doctor who knows you. A hospital that's close to home. Access to doctors who specialize in care of seniors. Service that's responsive and personal.

We've designed our Medicare managed care plans with a focus on all of these needs, to give you the health coverage you need, and the peace of mind you want. We offer several plan options for people with Medicare.

Visit The Health Plan/THP Insurance Co. Medicare Advantage Plans.

Workers' Compensation Programs

The Health Plan Managed Workers' Compensation Program

The Health Plan provides case management services to injured workers in all eighty-eight (88) of Ohio's counties. We are an Ohio Bureau of Workers' Compensation (BWC) Certified Managed Care Organization (MCO) that provides program assistance to facilitate a safe and timely return to work. We are URAC accredited for case management.

Visit The Health Plan's Managed Workers' Compensation Program.

Managed Disability Program

The Health Plan offers support to Ohio and West Virginia employers in administering benefits to employees with non-work related periods of disability. Our certified Case Managers utilize the managed care principles of early intervention and care coordination. We handle control of both direct and indirect costs associated with short term disability.

Comp Services

As a Workers' Compensation third party administrator (TPA) we offer administrative support to both insured and self insured employers in Ohio and West Virginia. The Health Plan is experienced in claims management and provides quality customer service. We also offer group rating programs for Ohio employers.

Work Services

The Health Plan is a Vocational Rehabilitation provider to both Ohio and West Virginia Workers' Compensation systems. We have an experienced staff to address return to work issues for injured workers, and to assist employers with workplace restriction accommodations. The Health Plan develops and implements transitional work programs for employers.

The Health Plan Managed Disability Program

This service is simliar to those delivered by the MCOs and TPA but is applied to non-work related periods of disability.