TxO provides a $200,000 life insurance policy to every physician, at no cost to you.

Health insurance coverage for you and your family is provided through Blue Cross / Blue Shield. You choose one of three plans:

​  Basic Consumer’s Choice Plan

​  Consumers Choice Plan

​  PPO I Plan

The plans differ in their deductibles, out-of-pocket maximums, and co-insurance. If you choose a high-deductible plan, you can also open a Health Savings Account, a tax-free account used to pay for medical costs.

Dental coverage is provided through MetLife. You may use any dentist, but you’ll pay less if you choose an in-network (“contracting”) dentist, who charges pre-negotiated rates. Coverage is grouped into preventative, basic, major and orthodontia services; what’s covered varies by service type.

For full details, see the Employee Insurance Enrollment Guide.

TxO provides the opportunity to establish two types of flexible spending accounts to manage eligible healthcare and dependent care expenses:

​  Medical FSA — for eligible health care expenses

​  Dependent Care FSA — for eligible dependent care expenses

These accounts utilize pre-tax contributions, offering potential tax advantages. You become eligible for these accounts 31 days after your start date.

TxO pays for the licenses and dues you need to practice, and reimburses you for professional expenses up to a set limit.

Paid directly by TxO:

​  Texas medical license

​  DPS registration

​  DEA registration

​  Malpractice insurance

​  Medical staff dues

Reimbursed to you, as a Shareholder: Professional society dues, continuing education, and other business expenses are reimbursed on a pre-tax basis, up to 5% of your W-2 compensation.

​ W-2 compensation = draws + travel pay + seniority compensation + bonuses. (employment bonuses are not included)

Submit expenses as you incur them during the year, and you'll be reimbursed. At year end, a summary of your expenses is prepared.

          • Expense Reimbursement Policy (PDF)

          • Expense Reimbursement Form (XLS)

Physicians who wish to save for retirement can make individual, pre-tax contributions to the 401(k) plan. Physicians are eligible to participate from the first day of employment and eligible for the employer contribution after 6 months of employment.

1. Your contributions: You can set aside part of your pay before taxes. The most you can contribute in 2026 is $24,500.

Catch-up contributions:

​  Ages 50–59½ (for 2026): an additional $8,000

​  Ages 60–63 (new for 2026): an additional $3,750

2. TxO's contribution (profit-sharing): Each year, TxO may add a discretionary profit-sharing contribution. For 2025, this was $46,500 per eligible physician.

Vesting schedule:

​  Physician contributions are always 100% vested

​  TxO's contributions become vested over a 5-year period

You choose how your account is invested, using the funds offered through the plan's investment manager.

​  Note: The plan uses a "new-comparability" design, a structure that maximizes physician contributions in a cost-effective way.

Texas Oncology has introduced a second retirement plan, in addition to the 401(k) profit sharing plan.

TxO contributes extra money on your behalf into this plan. These contributions reduce your taxable income (and are tax-deductible for TxO).

​  You're eligible after 1 year of employment

​  The contribution amount varies by age and some physicians may not be included

​  TxO's contributions will vest after 3 years

Core group plan: Pays 60% of your monthly income, up to $25,000/month, for physicians earning less than $500,000/year.

Added individual policy: Provides an additional $5,000/month for physicians earning up to $600,000/year.

If you earn more than $600,000/year: You may apply for a voluntary individual policy that adds up to $5,000/month.

When coverage starts:

​  Coverage begins 90 days after your first day of employment

​  After a disabling event, there is a 180-day waiting period before payments begin