Individual & Family Plans

father and son flying kites

Your well-being is what’s most important to us at WellFirst Health. And because insurance can be confusing, we want to make that part easy for you. WellFirst Health is a provider-owned health plan. It’s a true collaboration between health care experts, hospital partners and insurance providers, leading to a better value and beneficial experience for members. With its coordinated approach, the focus is on the doctor-patient relationship versus insurance company profits. It’s insurance that members can feel great about.

See our plan book (PDF) for details about our 2020 plans or order a printed copy in the mail.

You can enroll in a 2020 plan if you qualify for a special enrollment period.

Marketplace versus Direct

Father with so on couch

Marketplace

  • You aren’t insured
  • You need help paying for insurance
  • You qualify for reduced premiums or cost sharing because of your income (under $50,000)
Family with toddler outside

Direct

  • You're looking for more plan options
  • If you want a quick, hassle-free way to buy
  • You don't qualify for reduced or cost-sharing premiums because of your income

Individual and family plan options

We have health insurance plans to fit your lifestyle and budget. Whether you’re looking for a lower-premium plan, to limit your overall out-of-pocket, or even just for a catastrophic safety net plan, we’re here for you.

You don’t like surprise bills? This may be the plan for you. These plans offer:
  • Low copays for office visits and many prescription drugs
  • Affordable deductible and coinsurance options
  • An easy way to build a relationship with a provider
View Marketplace Options (PDF)

View Direct Options (PDF)
Keeping it simple for you. The Classic Plan offers comprehensive coverage and simplicity, plus dependable copay options for prescriptions.

See Marketplace Options (PDF)
If you prefer the lower premiums of a high-deductible plan along with low out-of-pocket costs for doctor visits, WellFirst has you covered. Our Value Copay Plan options are here to meet your needs.

Marketplace Options (PDF)

Direct Options (PDF)
Safety Net Plans or Catastrophic Plans are available for those who:
  • Are under the age 30
  • Meet income guidelines
  • Are comfortable with their health status
  • Our Safety Net Plan offers a high deductible and three FREE office visits. Remember that government price breaks are not available with the Safety Net Plan.
Open Marketplace Options (PDF)
 
If you’re a saver you can take advantage of a Health Savings Account (HSA) to cover your medical bills. We have excellent options. Combine a high-deductible health plan (HDHP) with an HSA for more financial freedom and flexibility.

Learn more about our SSM Health Plan Well HSA and see our Q&A.

See 2020 Marketplace Options (PDF)

See 2020 Direct Options (PDF)

 

Individual & Family Q&A

Learn more about health insurance basics and common questions & answers.