UTMB Health Multi-Share Plan

Posted by jjameson l Posted at 12:41 pm Thursday,August 18, 2011

Enrollment is underway! The Office of Community Health Plans has several openings still available for the UTMB Health Multi-Share Plan, with effective dates as early as September 1, 2011. Based on availability and income eligibility requirements, a monthly premium subsidy may be available.

"The Plan is a benefits program, not health insurance, offered to employees who work for small businesses in Galveston County that employ between two and 50 employees," said Craig S. Kovacevich, MA, Executive Director of UTMB's Community Health Network.

The original UTMB plan became a model for five other multi-share concept programs in Texas and, together, the six multi-share plans formed TexHealth Coalition to reduce costs and promote programs that emphasize primary and preventative care. "One of the primary goals of the TexHealth Coalition is to provide vitally needed health care benefits to the working uninsured in Texas," Kovacevich said.

The UTMB Multi-Share Plan has a network comprised primarily of UTMB Health facilities and providers located within the 873 square mile radius of Galveston County. Some of the key plan benefits include:

$50,000 annual maximum/$250,000 lifetime maximum per member
Primary, speciality, mental health and urgent care visits (20 visits/year, with applicable co-payment)
Hospitalization (5 day annual maximum, with applicable daily co-payment)
Emergency room visits (2 visits/year, with applicable co-payment)
Scans/Images
Outpatient surgery
Outpatient pharmacy coverage ($1,200/year maximum, with applicable co-payment)

For more information, click the following link and watch the video. Or, contact Craig S. Kovacevich at 409.766.4047 or cskovace@utmb.edu. Click Here for more information.

If you know of any small businesses in Galveston County looking to provide health benefits to their employees, please refer them today. The Community Health Plans staff will pre-quality the small businesses and provide plan information. The UTMB Multi-Share Plan, formerly called the Galveston County 3-Share Plan, was developed at the University of Texas Medical Branch at Galveston and served as a model for five other programs in the state, including Harris County.

(As originally emailed by Ruth Leah Finkelstein (Suhler), UTMB Health)