Policyholder Services

Does OMIC offer ROP-exclusive policies?

OMIC understands that some hospitals may agree to reimburse a physician for all or a portion of the cost of his or her insurance coverage for performing ROP services on behalf of the hospital. In other situations, the hospital may agree to purchase such coverage on the physician’s behalf. You should consult an attorney to ensure that such payments do not violate your state’s anti-kickback laws.

OMIC’s standard policy includes coverage for ROP screening and treatment within the Surgery Class 3 rating classification. Separate coverage for these activities is not needed, nor is an additional premium charged. The cost of ROP coverage is included within the standard Surgery Class 3 premium. However, OMIC does ask questions on its application about ROP services performed in order to determine if the applicant is an insurable risk. As a business decision, OMIC has elected not to offer an ROP-exclusive policy due to the difficulties in adequately rating such a policy and because of the increased exposure arising from the additional, separate limit of liability that would apply under an ROP-exclusive policy.

For risk management recommendations to help promote patient safety and minimize the potential liability exposures associated with ROP services, please read ROP: Creating a Safety Net. OMIC insureds may also speak with risk management staff for confidential advice and assistance in developing or modifying their protocols for these crucial activities.

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Six reasons OMIC is the best choice for ophthalmologists in America.

#3. Best at defending claims.

An ophthalmologist pays nearly half a million dollars in premiums over the course of a career. Premium paid is directly related to your carrier’s claims experience. OMIC has a higher win rate taking tough cases to trial, full consent to settle (no hammer) clause, and access to the best experts. OMIC pays 25% less per claim than other carriers. As a result, OMIC’s base rates have consistently averaged approximately 15% lower than multispecialty carriers in the U.S.