Plan Coverage
Nationwide preventative care and major medical coverage
Benefits
- $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
24/7
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.