Tucson Community Health Plan
Affordable, comprehensive group health coverage powered by Tucson Medical Center and the Fusion provider network
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Unmatched Value Through Strategic Partnerships
Our Competitive Advantage
Tucson Community Health Plan has secured an exclusive, aggressive contract with Tucson Medical Center, delivering exceptional care at significantly reduced costs. Combined with our comprehensive Fusion provider network, we offer employers and their employees access to top-tier medical services throughout Southern Arizona.
This strategic partnership means your employees receive outstanding healthcare while your organization controls costs effectively. Our negotiated rates with TMC represent some of the most competitive pricing available in the Tucson market, translating directly to premium savings for your business.
What This Means for You
  • Premium savings of up to 30% compared to traditional plans
  • Direct access to Tucson Medical Center facilities
  • Extensive Fusion provider network coverage
  • Predictable healthcare costs for better budgeting
  • No compromise on quality of care
Comprehensive Network Access
Tucson Medical Center
Full-service acute care hospital with specialized centers of excellence
  • Emergency services
  • Surgical services
  • Advanced diagnostics
Fusion Provider Network
Extensive network of primary care physicians and specialists
  • Over 2,000 providers
  • Convenient locations
  • Broad specialty coverage
Specialty Care
Access to leading specialists across all major disciplines
  • Cardiology
  • Orthopedics
  • Oncology and more
Flexible Funding Options for Every Business Size
We understand that every organization has unique needs and risk tolerances. That's why we offer both level funded and traditional self-funded options, ensuring you have the right solution regardless of your company size or financial strategy.
Level Funded Plans
Perfect for 10-500 employees
Enjoy the benefits of self-funding with predictable monthly payments. Our level funded plans protect you from catastrophic claims while offering potential surplus returns at year-end. With 16 different plan designs, you'll find the perfect balance of coverage and cost control.
Minimum group size: just 10 lives
Traditional Self-Funded
Ideal for larger employers
Maximum flexibility and transparency for organizations ready to assume direct risk. Gain complete visibility into your healthcare spending, customize plan designs without restriction, and benefit from significant cost savings through our TMC contract and stop-loss protection.
Best for: 500+ employees
16 Level Funded Plan Options
Choose from our comprehensive portfolio of level funded plans, each designed to meet different coverage needs and budget constraints. All plans include access to our exclusive TMC contract and Fusion provider network.
1
High-Value Plans
Premium coverage with low deductibles and comprehensive benefits. Ideal for attracting top talent.
2
Mid-Tier Plans
Balanced options offering solid coverage at moderate premium levels. Our most popular category.
3
HSA-Compatible Plans
High-deductible options paired with Health Savings Accounts for tax advantages and employee savings.
4
Custom Solutions
Tailored plan designs to match your specific workforce demographics and benefit philosophy.
Each tier offers multiple deductible and coinsurance combinations, giving you 16 distinct options to choose from. Our benefits consultants will help you identify the optimal plans for your employee population.
Why Level Funding Makes Sense
The Best of Both Worlds
Level funded plans combine the cost savings of self-insurance with the predictability of fully insured plans. You pay fixed monthly amounts just like a traditional plan, but you're actually self-funding your claims with stop-loss protection.
Key advantages include:
  • Potential year-end surplus returns if claims are low
  • Transparency into actual claim costs and trends
  • Protection from catastrophic claims via stop-loss
  • ERISA exemption from state-mandated benefits
  • Cash flow advantages compared to fully insured
  • Access to claims data for wellness program planning
Unlike fully insured plans where unused premium goes to the carrier, level funding lets you share in the savings when your group has a healthy year.
Built for Brokers and Employers
For Insurance Brokers
Partner with us to deliver exceptional value to your clients. Our broker-friendly approach includes competitive commissions, dedicated broker support, and quick turnaround on quotes and implementations.
  • Streamlined quoting process
  • Dedicated broker services team
  • Marketing and sales support materials
  • Ongoing renewal assistance
  • Transparent commission structure
For Employers
Take control of your healthcare spending without sacrificing quality. Our employer portal provides real-time access to claims data, utilization reports, and cost projections.
  • User-friendly online portal
  • Monthly claims and financial reports
  • Dedicated account management
  • Employee communication support
  • Wellness program integration
Comprehensive Plan Features
All Tucson Community Health Plan options include robust coverage designed to meet the diverse needs of your workforce. We don't cut corners on benefits—our plans provide comprehensive protection while leveraging our network advantages for cost savings.
Prescription Drug Coverage
Comprehensive pharmacy benefits with competitive copays and mail-order options for maintenance medications
Preventive Care
100% coverage for preventive services with no deductible, encouraging early detection and wellness
Mental Health Services
Full parity mental health and substance abuse coverage with extensive provider access
Telemedicine
24/7 virtual care access for common conditions, providing convenience and cost savings
Maternity Coverage
Comprehensive prenatal, delivery, and postnatal care through TMC's renowned women's services
Wellness Programs
Integrated wellness initiatives including health screenings, coaching, and incentive programs
The Tucson Medical Center Advantage
Our exclusive contract with Tucson Medical Center represents a game-changing opportunity for local employers. TMC is Southern Arizona's premier healthcare provider, offering everything from routine care to complex surgical procedures and specialized treatment.
What sets TMC apart:
  • Level III Trauma Center designation
  • Advanced cardiac and surgical services
  • Comprehensive cancer care center
  • Award-winning patient safety record
  • State-of-the-art diagnostic imaging
  • Orthopedic and spine center of excellence
Through our negotiated rates, your employees access this world-class care at costs typically 25-35% below standard commercial rates. This directly translates to lower claims experience and reduced premiums for your organization.
Proven Cost Savings
30%
Average Premium Reduction
Compared to traditional fully insured plans in the Tucson market
25%
Hospital Cost Savings
Through our exclusive TMC contract versus standard commercial rates
2,000+
Network Providers
Extensive access throughout Southern Arizona via Fusion network
16
Level Funded Options
Diverse plan portfolio to match any budget and coverage preference
These aren't projections—they're real savings we're delivering to Tucson-area employers right now. Our unique combination of aggressive TMC pricing and comprehensive network access creates unprecedented value in the market.
Simple Implementation Process
Request Quote
Provide basic group information and current benefits overview
Receive Proposal
Get detailed quotes for multiple plan options within 48 hours
Select Plans
Choose your preferred plan designs with broker consultation
Enroll Employees
We handle implementation and employee communication support
From initial quote to active coverage, our streamlined process typically takes 45-60 days. We provide comprehensive support at every step, including employee meetings, communication materials, and ongoing account management. Your dedicated account manager ensures a smooth transition and continues as your single point of contact for all service needs.
Who Should Consider Our Plans?
Small Businesses (10-50 employees)
Access enterprise-level healthcare benefits previously unavailable to smaller groups. Our level funded plans starting at just 10 lives give you self-funding advantages without the risk, along with the same TMC contract pricing that large employers enjoy.
Mid-Market Companies (51-500 employees)
Perfect size to maximize level funding benefits. You're large enough for credible claims experience but still benefit from stop-loss protection. Choose from our full range of 16 plan options and potentially receive year-end surplus returns.
Large Employers (500+ employees)
Traditional self-funding provides maximum control and transparency. Take advantage of our TMC contract to dramatically reduce your largest claims while maintaining comprehensive coverage. Full access to claims data enables sophisticated wellness and cost management strategies.
Transparency and Reporting
Claims Transparency
Unlike fully insured plans where claims data is opaque, our level funded and self-funded options provide complete visibility into your healthcare spending. Access detailed reports showing exactly where your healthcare dollars are going.
Available reports include:
  • Monthly claims summaries by category
  • Large claim notifications and tracking
  • Pharmacy utilization and cost analysis
  • Provider network utilization patterns
  • Trending analysis and projections
  • Benchmarking against similar groups
Financial Reporting
Understand your true healthcare costs with monthly financial statements that detail premiums, claims paid, and fund balances. For level funded groups, we provide clear accounting of your position relative to year-end surplus potential.
Financial insights:
  • Monthly cash flow statements
  • Paid vs. incurred claims tracking
  • Stop-loss attachment point monitoring
  • Year-end surplus projections
  • Multi-year cost trend analysis
Ready to Transform Your Group Health Benefits?
Join the growing number of Tucson-area employers who have discovered the power of combining our exclusive Tucson Medical Center contract with flexible funding options. Whether you're a broker seeking competitive solutions for your clients or an employer ready to take control of healthcare costs, we're here to help.
Schedule a Consultation
Speak with our benefits experts to discuss your specific needs and explore plan options
Request a Quote
Receive detailed proposals for multiple plan designs within 48 hours
Learn More
Download our comprehensive benefits guide and plan comparison tools

Special Broker Incentive: Contact us this month to learn about our commission structure and marketing support for new broker partnerships. We're committed to building long-term relationships with benefits advisors throughout Southern Arizona.
Contact Tucson Community Health Plan
Get Started Today
Our team is ready to provide the personalized service and innovative solutions your organization deserves. Experience the difference that true partnership and exceptional value can make in your group health benefits.
Phone: (520) 442-3736
Office Hours: Monday-Friday, 8:00 AM - 5:00 PM CST
Serving Tucson-area employers with innovative, cost-effective group health solutions backed by Tucson Medical Center and the Fusion provider network.