Individuals & Families
Quality, affordable and personalized healthcare plan for individuals and families
The Healthy PPO gives you more: 100% ACA preventive care, low copays, mental health and telemedicine access, global emergency coverage, plus surgery and hospital benefits through our Health Share program—all at an affordable price.
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 | $631.00 | $691.00 |
| Member + Spouse | $987.00 | $1052.00 |
| Member + Child(ren) | $991.00 | $1032.00 |
| Member + Family | $1434.00 | $1494.00 |
**Surcharge added for tobacco use
Prices are current as of 12/2025 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 | $631.00 | $691.00 |
| Member + Spouse | $987.00 | $1052.00 |
| Member + Child(ren) | $991.00 | $1032.00 |
| Member + Family | $1434.00 | $1494.00 |
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 |
|---|---|---|---|
| $11.50 | $17.00 | $17.00 | $32.00 |
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 |
|---|---|---|---|
| $55.00 | $85.00 | $85.00 | $143.00 |
Major Medical Scenario
As a small business owner, you know how important it is to take care of your team -- but rising health care costs and complicated plans can make offering coverage feel impossible. That's where PMBMed steps in. We provide affordable, flexible health care solutions that meet ACA requirements, offer $0 generic prescriptions, and include access to a user-friendly app and personal-care coordinators. With PMBMed, you can provide your team the benefits they deserve while saving money and simplifying the process. Initially apprehensive about this unconventional and innovative approach, Ava quickly saw the benefits. Let's take a closer look at how PMBMed makes health care better for your team and your business.
Ava, Lisa, Joe, and Kris all faced the same unexpected challenge: their child broke an arm over the weekend. Between imaging ($2,000), physical therapy ($1,500), and doctor visits ($750), the total medical costs added up quickly. But while Lisa, Joe, and Kris were left paying thousands out-of-pocket, Ava, with PMBMed, paid her $1,500 UA (Unshared Amount) and saved $2,750 on medical expenses—and she still saves hundreds every month with PMBMed’s lower premiums. Let’s see how PMBMed makes health care more affordable and stress-free!
| Ava Traditional Plan with a $5,000 Deductible |
vs | Lisa Healthy PPO Member with a $1,500 UA |
|---|---|---|
| Cost for Service | ||
| Surgery | $21,000 | Surgery |
| Imaging | $1,500 | Imaging |
| Recovery Acupuncture | $800 | Recovery Acupuncture |
| Recovery Chiropractor. | $1,000 | Recovery Chiropractor. |
| Physical Therapy | $1,500 | Physical Therapy |
| Follow Up Doctor Visits | $500 | Follow Up Doctor Visits |
| $26,300 Total cost without coverage |
||
| $10,250 | Total Paid | $1,500 |
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If you are a HealthShare Plan subscriber you can access your HealthShare account by clicking here.
