(843) 819-5959 info@rise-well.com

Plan Coverage

Nationwide preventative care and major medical coverage


  • $0 Co-pay for 24/7 virtual direct primary care via App or phone
  • $0 Co-pay in-person direct primary care
  • $0 Co-pay urgent care visits
  • $0 Co-pay mental health tele-counseling
  • $0 Co-pay chiropractic care (12 per year)
  • $0 Co-pay routine lab tests
  • $0 Co-pay x-rays
  • $0 Co-pay generic contraceptions
  • Prescription drug tiered benefits

Coverage Inclusions

  • Advanced imaging MRI/CT scans
  • Specialist visits $50 Co-pay
  • Hospitalization
  • Ambulance transport (ground)
  • Surgery
  • Allergy testing
  • Physical therapy
  • Chemotherapy & cancer treatments
  • Medical devices
  • Prosthetic devices
  • Infusion therapies
  • Third party administrative costs in all 50 States

What Is Not Covered

  • Specialty drugs
  • Dialysis
  • Genetic therapies
  • Air ambulance
  • Organ transplants
  • Fertility treatments
  • Sex assignment
  • Sex Reassignment
  • Temporomandibular joint disorder
  • Hospice / Private duty nursing
  • Long term care physical therapy
  • Dental & Vision under separate coverage

Individual $2,000 Deductible / $4,000 out-of-pocket-max

Family $4,000 Deductible / $6,000 out-of-pocket-max

20% co-insurance

Pregnancy Claims Example

What if I’m pregnant?

Here is an example a pregnancy with a person that is in-network for 9 months and provided pre-natal care and a hospital delivery.

Simple Fracture Claims Example

What if I have a fracture?

Accidents happen and when they do, you want to know you’re covered. Here is an example of simple fracture with an in-network emergency room visit.

Other Claims Examples

Features of RiseWell Health Plans

$0 Co-pays

Virtual and In-person primary care and labs


Care Coordinators available in all 50 States anytime

Same Premiums Nationwide

$125 Preventative and $379 Hospitalization for individuals

No Medical Underwriting

No need for your groups census

Interested In Chatting With A RiseWell Advisor About Group Health Care?

Our team is ready to help modernize your group health plan.