Individuals & Families
Quality, affordable and personalized healthcare plan for individuals and families
Discover the ultimate healthcare solution for you and your family with our Healthy PPO program. Designed to be both comprehensive and cost-effective, this plan offers 100% coverage for preventive services under the Affordable Care Act (ACA). Enjoy peace of mind with benefits like low doctor office visit copays, pharmacy access, lab and imaging services, mental health support, unlimited telemedicine, and a convenient user-friendly, health benefits app. Enjoy added peace of mind with worldwide emergency care, as well as coverage for surgeries and hospitalizations, all provided through our innovative Health Share program.
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
For businesses with 10 eligible members and a minimum of two enrollees, elevate your employee benefits with Dental and Vision coverage paired with the PMBMed Healthy PPO. Enjoy the freedom of no network restrictions, affordable eye exams, and 100% coverage for preventive dental care—all with no deductible. A comprehensive and cost-effective solution designed to keep your team happy and healthy!
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 |
PPO MVP (Minimum Value Plan)
The Second ACA requirement is that employers with 50+ employees must offer - but are not required to pay the entire cost of an affordable MVP. Minimum Value Plans offer substantial coverage for inpatient hospitalization and physician services under which the plan's share of the total allowed costs of benefits is at least 60%. Our MVP meets the criteria of an ACA-compliant Minimum Value Plan.
To get more information about a tailor-made MVP plan for your business, select the MVP checkbox during enrollment. Remember, the PPO MVP Plan only available to companies with 50 employees or more.
Summary PDFBusinesses with ten eligible members and a minimum of two enrollees can now add vision options. Must be coupled with a PMBMed Program.
- $200 maximum benefitin a 24-month period forframes, frame-type lenses per pair, and/or contacts
- No network requirements. You are free to choose any licensed provider
- $200 maximum benefitfor eye exam per person in a 12-month period
| Member | Member +Spouse |
Member +Child(ren) |
Member +Family |
|---|---|---|---|
| $10.00 | $15.00 | $15.00 | $25.00 |
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 https://connectiondental.com/provider/search
Coverage Tiers
For preventative, basic, major, and orthodontic services
| Tier | Coverage |
|---|---|
| Preventative | 100% |
| Basic | 80% |
| Major | 50% |
| Orthodontic | 50% |
Pricing
| Member | Member +Spouse |
Member +Child(ren) |
Member +Family |
|---|---|---|---|
| $50.00 | $80.00 | $80.00 | $120.00 |
If you are a HealthShare Plan subscriber you can access your HealthShare account by clicking here.
