Insurance Facts

Enrollees in Healthy Texas choose from personal health plans which have been accepted by TDI. As agreed by the requirements of the Healthful Texas programme set out in Chapter 1508 of the Texas Insurance Code, TDI is presently contracted with Celtic Insurance Corporation and United Health-care to be participating health plans in the Healthful Texas programme.

What are the Plan Features?

• 2 plan design decisions ($500 or $1,500 calender year deductible)
• $25 Co payment for Office Visits (most doctor office services)
• 100% coverage for Preventive Care.
• 80% Co Insurance for inpatient (hospitalization) and outpatient surgery.
• Network only benefits that could save you out-of-pocket costs.
• Prescription Drug coverage included $10/$25/$50 ($200 or $500 annual deductible applies).
• Optional coverage available (Dental, Vision, Life).

How does my small company qualify for the The Healthy Plan of Texas?

• Employer must be located in Texas and must qualify as a home business with 2-50 admissible workers.
• Employer must not have given a qualified small group health insurance policy 12 months before Healthy Texas application.
• 60% of suitable staff must enroll.
• At least 30% of your employees annual salary must be at or below 300% of the Fed. poverty level ($32,670 in 2011).
• Employer must pay at least 50% of the premium costs for staff and must offer dependent coverage.
• Each eligible worker must be a citizen of the U. S. or is an alien that is in our country legally.

If you're a small business owner that's searching for a more cost-effective health insurance policy, the new Health Texas plan might be an affordable option. We think due to raised costs of hospital insurance, the Healthful Texas plan would allow Companies whom have not had a health insurance plan in force for the previous twelve months, the opportunity of providing a little group plan. The Healthy Texas plan is for Texas staff only. Any workers outside of the state of Texas would not qualify for the plan.