HMO & PPO
XiMED offers plans for both the HMO population, and the PPO population. XiMED is working in conjunction with insurance providers and local employers to improve employee health and to reduce the dollars spent on Medical Insurance. This strategy will reduce and stabilize the cost of employer’s healthcare budgets through the introduction of a unique funding approach, population management through the strategic use of healthcare data and the integrated partnership of XiMED physicians.
PPO Product – XiMED Healthy Partners
Expected Results of Integrated Approach with XiMED Healthy Partners:
- A Direct Relationship with local employers and XiMED Physicians
- Data Transparency
- Stabilized Rates
- Improved Health and wellness of employees
- Happier and more productive employees
HMO Product – XiMED & Medicare Advantage
XiMED IPA has entered into contractual relationships with Medicare Advantage Plans (MA) through Anthem Blue Cross. Enrollment in such plans has been steadily increasing each year and currently stands at over 17 million seniors nationwide, with over 450,000 in San Diego alone. Medicare Advantage plans provide patients with complete Part A & Part B benefits and typically offer additional benefits beyond traditional Medicare. Physician reimbursement for MA plans can either be on a capitated or FFS payment basis. By contracting with such plans, IPA physicians will now have access to a greater number of patients and new business relationships with national carriers. While such plans carry a higher level of risk, XiMED is excited to add the Medicare Advantage population to our patient membership, and is looking forward to working collaboratively with the MA health plans that offer benefits in the San Diego marketplace.
To shop for XiMED/Anthem Medicare Advantage Plans, click on the Anthem link below (https://www.anthem.com/ca/shop), or call Toll-Free 1-855-306-4537 (TTY) 711: