Individual health insurance

Individual Health Insurance

Choose a plan that fits your doctors, medications, and preferred level of predictability.

PPO / HMO

Network choices

HSA

HDHP options

Rx

Formulary review

Product Overview

Individual plans are structured around network access, predictable cost sharing, and preventive care incentives.

Network Fit

Match your providers, hospitals, and preferred specialties to available networks.

Cost Sharing

Balance premiums, deductibles, copays, and coinsurance based on expected utilization.

Prescription Value

Review formularies and pharmacy options to reduce out-of-pocket medication costs.

Coverage Options

PPO Plans

Wider provider choice with flexible out-of-network options, often paired with higher premiums.

  • Broader access
  • Out-of-network support
  • Specialist-friendly
HMO Plans

Coordinated care through an in-network system designed to keep premiums and copays competitive.

  • Lower premiums
  • Primary-care coordination
  • Predictable visits

Benefits

Preventive Care

Coverage designed to encourage screenings, wellness visits, and early interventions.

Telehealth Access

Virtual visits to support convenience and faster care routing.

Prescription Support

Formulary checks and pharmacy comparisons to manage ongoing costs.

Enrollment Guidance

Help with effective dates, documentation, and plan selection rules.

What’s Typically Covered

Coverage varies by carrier and plan. We map benefits to your priorities so there are fewer surprises when you need care.

  • Primary and specialist visits
  • Emergency and urgent care
  • Imaging, labs, and diagnostics
  • Hospitalization and surgery
  • Prescription drugs (tiered)

Eligibility & Enrollment

Residency

Plan availability is based on state and service area.

Effective Dates

Options depend on open enrollment and qualifying life events.

Documentation

We confirm required proof for special enrollment scenarios.

Cost Drivers

Premium vs. Deductible

Higher deductibles can reduce premiums, but shift costs to point-of-care.

Network Breadth

Broader networks typically increase cost, but reduce access friction.

Prescription Needs

Medication tiers and prior authorization rules can materially affect total spend.

Service Area

Regional pricing and provider rates influence premium levels.

Support & Service

1. Discover

Confirm doctors, medications, and usage patterns.

2. Compare

Review network fit, costs, and plan documents.

3. Enroll

Submit applications with complete documentation.

4. Manage

Ongoing help with questions and carrier servicing.

FAQs

We validate provider participation by plan and service area and show alternatives when networks change.

HDHP options may qualify for HSA use. We confirm rules and expected cost sharing before enrollment.

We compare total cost scenarios using your expected utilization and highlight network and formulary differences.

Testimonials

The plan comparison was clear and focused on total costs, not just premiums.

Client
Individual Member
California

They verified my doctors and prescriptions before I enrolled, which saved time later.

Client
Self-Employed
Bay Area

Support stayed responsive after enrollment when I needed billing clarification.

Client
New Enrollee
Sacramento

Compare Individual Health Plans

Get a plan recommendation based on network fit and expected total cost.

Compliance

Information is educational. Plans vary by carrier and service area. Eligibility, benefits, and pricing are subject to carrier approval and applicable regulations.