Individuals & Families
Quality, affordable and personalized healthcare plan for individuals and families
Our Healthy PPO program provides you and your family with a unique, cost-effective total healthcare solution. This program includes 100% coverage for preventive services as as outlined by the Affordable Care Act (ACA). Includes doctor office visit copays, pharmacy, lab, imaging, mental health, unlimited telemedicine, health benefits app, plus worldwide emergency, surgery and hospitalization Health Share.
First Health Aetna PPO Network
- Large national provider network
- Sign up by the 20th to begin the 1st of the following month
- No long term commitments. Withdraw anytime!
- Our care navigation team can help navigate the complexities of the healthcare system
- Meets Part A of the Affordable Care Act (ACA)
- Health Benefits App
- Health Share covers your emergency, surgery, hospitalization, and other medical expenses
Locate a provider: Click Here and select “First Health” as the network.
Brochure Summary of BenefitsShareWELL for Major Medical
- Health Share covers your emergency, surgery, hospitalization, and other medical expenses.
- No annual caps or lifetime limits
- “Know before you go” pricing
- Quick bill processing
- Advocacy support
- Holistic and alternative care options
Pricing
| Under 50 | Over 50 | |
|---|---|---|
| Member Only | $587.00 | $643.00 |
| Member + Spouse | $918.00 | $979.00 |
| Member + Child(ren) | $922.00 | $960.00 |
| Member + Family | $1334.00 | $1390.00 |
**Surcharge added for tobacco use
Prices are current as of 09/2024 and are subject to change
Businesses, Associations & Trade Organizations
Strategic cost-effective healthcare solutions for businesses, trade organizations and associations
Our Healthy PPO program provides you and your family with a unique, cost-effective total healthcare solution. This program includes 100% coverage for preventive services as as outlined by the Affordable Care Act (ACA). Includes doctor office visit copays, pharmacy, lab, imaging, mental health, unlimited telemedicine, health benefits app, plus worldwide emergency, surgery and hospitalization Health Share.
First Health Aetna PPO Network
- Large national provider network
- Sign up by the 20th to begin the 1st of the following month
- No long term commitments. Withdraw anytime!
- Our care navigation team can help navigate the complexities of the healthcare system
- Meets Part A of the Affordable Care Act (ACA)
- Health Benefits App
- Health Share covers your emergency, surgery, hospitalization, and other medical expenses
To locate a provider Click Here and select “First Health” as the network.
View the Summary of Benefits and Coverage
ShareWELL for Major Medical
- Health Share covers your emergency, surgery, hospitalization, and other medical expenses.
- No annual caps or lifetime limits
- “Know before you go” pricing
- Quick bill processing
- Advocacy support
- Holistic and alternative care options
Pricing
| Under 50 | Over 50 | |
|---|---|---|
| Member Only | $587.00 | $643.00 |
| Member + Spouse | $918.00 | $979.00 |
| Member + Child(ren) | $922.00 | $960.00 |
| Member + Family | $1334.00 | $1390.00 |
Our Healthy PPO program provides you and your family with a unique, cost-effective total healthcare solution. This program includes 100% coverage for preventive services as as outlined by the Affordable Care Act (ACA). Includes doctor office visit copays, pharmacy, lab, imaging, mental health, unlimited telemedicine, health benefits app, plus worldwide emergency, surgery and hospitalization Health Share.
First Health Aetna PPO Network
- Large national provider network
- Sign up by the 20th to begin the 1st of the following month
- No long term commitments. Withdraw anytime!
- Our care navigation team can help navigate the complexities of the healthcare system
- Meets Part A of the Affordable Care Act (ACA)
- Health Benefits App
- Health Share covers your emergency, surgery, hospitalization, and other medical expenses
To locate a provider Click Here and select “First Health” as the network.
View the Summary of Benefits and Coverage
ShareWELL for Major Medical
- Health Share covers your emergency, surgery, hospitalization, and other medical expenses.
- No annual caps or lifetime limits
- “Know before you go” pricing
- Quick bill processing
- Advocacy support
- Holistic and alternative care options
Businesses with ten eligible members and a minimum of two enrollees can now add vision options. Must be coupled with a PMBMed Program.
- $150 allowance per year for frames, lenses, and/or contacts
- No network requirements. You are free to choose any licensed provider
- $10 eye health exam
- Copays waived for all services rendered at wholesale clubs, such as Costco Vision Center or Sam’s Club
| Member | Member +Spouse |
Member +Child(ren) |
Member +Family |
|---|---|---|---|
| $11.25 | $17.50 | $17.50 | $34.75 |
Businesses with ten eligible members and a minimum of two enrollees can now add preventive, major and minor dental options. Must be coupled with a PMBMed Program.
- NO waiting periods
- Plan flexibility
- 100% coverage for preventative care with NO deductible
- Access to Connection Dental National PPO Network of Providers at www.ppousa.com
Coverage Tiers
For preventative, basic, major, and orthodontic services
| Tier | In-Network | Out-of-Network |
|---|---|---|
| Preventative | 100% | 50% |
| Basic | 80% | 40% |
| Major | 50% | 25% |
| Orthodontic | 25% | 25% |
Pricing
| Member | Member +Spouse |
Member +Child(ren) |
Member +Family |
|---|---|---|---|
| $57.00 | $85.00 | $85.00 | $151.00 |
If you are a HealthShare Plan subscriber you can access your HealthShare account by clicking here.
