Ryze Health Insurance

You own your practiceYou own your buildingNow own your health plan

Ryze is for physicians who think like owners.
Stop renting your health coverage. Ryze helps independent physician-owners build equity in the largest recurring check their practice writes.

Be the best in class:
join the majority.

The best companies already own their health plans.

67% of people with employer-sponsored health plans are on a self-funded plan. This is because the best employers know to hold on to their money rather than give it to big insurance companies.

Ryze makes it as easy as possible for independent practices to do the same.

67%
of employer-sponsored plans are self-funded

You’re already familiar with ownership

Most independent physicians own their practice. Many own their building. Few have considered a health plan as an asset.

1
Step 1
Own your practice
2
Step 2
Own your building
3
Step 3 — The next move
Own your health plan
Where your dollars go
Self-Insured
Fully-Insured
Potential Savings
Actual Claims
Stop Loss Premiums
Administrative Expenses
100%
Non-refundable
Premium

Let’s start with what it means to be fully-insured

Health insurance offered by an employer or association in which the employer (or association) pays premiums to a commercial insurer. If an employee has a medical claim, the insurer – not the employer – is responsible for paying the bills.*

You exchange your dollars for a service provided by the insurance company.

What does it mean to have self-funded insurance?

A self-insured health plan (also known as a self-funded health plan) is coverage offered by an employer or association in which the employer puts aside funds to pay for their own medical claims. A third-party administrator (TPA) adjudicates claims and helps administer the plan.

To limit risk a reinsurer comes in and is responsible for claims above a set amount. Those limits are set by case and as an aggregate for the practice for the year. This is where Ryze comes into play. We are the reinsurer that makes having a self-funded plan possible at the size of most independent practices.

After paying claims, any money left over is kept by the employer. This is how you build equity over time.

The majority of workers with employee-sponsored plans are enrolled in self-insured plans.

*Source: Healthinsurance.org

Fully-insured is renting
Self-funded is owning

Under a fully-insured plan, every premium dollar goes to a carrier whose model depends on keeping more than it pays out. You get no upside, no visibility, no path to ownership.

Renting · Fully-Insured
You pay ever-increasing premiums and you walk away with nothing.
  • ×Premiums leave the practice for good
  • ×Carrier keeps the surplus when claims run low
  • ×Carrier owns your claims data
  • ×Annual reset — react to renewal, repeat
  • ×Benefits from a pre-built menu
Owning · Ryze Captive
By owning your own healthcare you build equity every year.
  • It’s your money — annual surpluses flow back to you
  • You own your claims data and decisions
  • Smart plans built to lower costs
  • Multi-year compounding, not an annual reset
  • Better benefits = better talent recruitment and retention

They raise rates every year
Control your costs with Ryze

The only given is that insurance premiums increase double digits annually. With Ryze, your trajectory is that of an ownership model.

In year one, like when you purchase a property, you will likely pay more than when you rent. However, over time rental costs overtake purchase costs, and you’ll experience annual savings while building equity.

Annual Health Insurance Costs
Fully-insured
Ryze
12345678910PLAN YEAR

Eligibility

Only for Independent physician practices.

Other industries have their own self-funded options. We created Ryze specifically to serve our own. None of the criteria below fit you?
You’re exactly who Ryze is built for.

25+
Minimum cut off is 25 employees opting in for insurance

Many self-insurance reinsurers set a cut-off at 100+ employees. That would alienate the majority of independent practices, so we put in the work to bring the minimum down to 25.

Ryze won’t be a good fit if…

We address this up front to set the right expectations.

You have a short timeline

Less than 30–60 days to renewal and looking for a matching quote. Ryze requires thoughtful lead time — this isn’t a last-minute swap.

You’re comfortable with your current plan

If you like your plan and/or broker and are looking for the same thing at a lower price. Ryze isn’t a discount — it’s a different model entirely.

Health insurance is an expense, not an investment

We need practice owners to be actively involved and approach this decision with the same level of diligence as purchasing a new building.

You’re exiting your practice in a few years

Owning your own insurance plan takes time to deliver payoff. If your time horizon is short, we don’t recommend taking this path. The equity model rewards patience.

We have limited spots available

Ryze must raise significant funds to be the stop-loss insurer that protects you in case of unforeseen expenses. Every admitted practice requires holding up to $1M of surplus capital with the regulator.

We raise capital to help you fight the good fight but there is a limit, so we are looking for co-pilots for the mission.

11
Applications submitted this quarter
4
Spots remaining this quarter

Transparent Timelines

We have quarterly/monthly admissions with specific timelines — the same discipline you lived through in residency match and fellowship. We start the process 60 days before you need to make a decision and adhere to a specific timeline to ensure we get practices in each period.

01
Eligibility Review

A short, owner-led conversation on fit. Not a fit? We tell you immediately and refer you elsewhere.

02
30-Day Window

From invitation, 30 days to submit complete materials: 2 yrs claims, census, plan design, intent.

03
Checkpoints

Automated check-ins at day 10 and day 20 so no applicant fails by surprise.

04
Underwriting & Offer

Complete materials in, formal offer out within a defined window. Discipline runs both ways.

05
Auto-Cancellation

Unable to complete materials on time? The application withdraws automatically with no penalty. Reapply next cycle.

If you’re ready to own your health plan click here.Check Eligibility

Options for Smaller Practices

If you're not ready to take the leap to self-funded or you are below the 25 employee threshold, we have partnered with Stitch PEO to offer solutions for you. They share a common mission to serve independent physician practices.

Advantages of Stitch PEO
  • They offer nationwide PPO plans on the Cigna network
  • Members can save upwards of 10-30% on their monthly insurance costs
  • Stitch provides a full suite of PEO services and benefits including: dental and vision insurance, 401k, payroll, and much more.
Stitch PEO

Coverage Benefits

  • Primary Care Visit to Treat an Injury or Illness
  • Specialist Visit
  • Other Practitioner Office Visit (Nurse, PA)
  • Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
  • Outpatient Surgery Physician/Surgical Services
  • Preventive Care/Screening/Immunization
  • Urgent Care Centers or Facilities
  • Emergency Room Services
  • Emergency Transportation/Ambulance
  • Inpatient Hospital Services (e.g., Hospital Stay)
  • Inpatient Physician and Surgical Services
  • Mental/Behavioral Health Outpatient Services
  • Mental/Behavioral Health Inpatient Services
  • Substance Abuse Disorder Outpatient Services
  • Substance Abuse Disorder Inpatient Services
  • Prenatal and Postnatal Care
  • Delivery and All Inpatient Services for Maternity Care
  • Home Health Care Services
  • Outpatient Rehabilitation Services
  • Rehabilitative Speech Therapy
  • Rehabilitative Occupational & Physical Therapy
  • Habilitation Services
  • Skilled Nursing Facility
  • Durable Medical Equipment
  • Hospice Services
  • Generic Drugs
  • Preferred Brand Drugs
  • Non-Preferred Brand Drugs
  • Specialty Drugs
  • Imaging & Diagnostic (X-rays, CT/PET, MRIs)
  • Laboratory Outpatient and Professional Services
  • Allergy Testing
  • Chemotherapy
  • Radiation
  • Dialysis
  • Infusion Therapy
  • Transplant
  • Reconstructive Surgery
  • Family Planning
  • Diabetes Education
  • Well Baby Visits and Care
  • Routine Eye Exam for Children
  • Eye Glasses for Children
  • Dental Check-Up for Children

FAQs