Individuals & Families

The Vital PPO plan offers individuals and families an affordable, all-inclusive solution that blends the flexibility of a PPO network with tailored major medical, surgical, and emergency care.

3 Main Components of the Vital PPO Plan

Preventive &
Sick Care

ACA preventive care (immunizations, mammogram, check-ups, etc.) plus primary care, specialists, and $0 telehealth

Rx, Labs, & Imaging

Retail and mail order pharmacy,
$0 generics, labs, and imaging

Major Medical & Emergency Care

Surgery, hospitalization, maternity, and worldwide emergency care

Vital PPO Benefit Highlights

First Health PPO Network	Provider network by First Health PPO Network (wholly owned by Aetna). To locate a provider visit https://www.firsthealthlbp.com
Preventive / Wellness / Immunizations	Covered at 100% per ACA Guidelines
Primary Doctor & Pediatric-Sick Visits	$25 copay
Specialist Doctor	$35 copay in-network
Urgent Care	$50 copay in-network
Diagnostic Tests (Labs, Xrays, Etc.)	$50 copay in-network
Virtual Urgent Care, 24/7/365 with Licensed, Board- Certified Physicians	$0 copay unlimited
Mental Health & Wellness	Mental Health, Substance Abuse Consultation. Virtual Counseling - Consult with a Master-level Therapist/Counselor. Limitations apply.
Screenings - Mammography, Cervical, and Colorectal Cancer	Plan pays 100%
Rx Program	Provides over 1,000 routinely prescribed ACUTE and CHRONIC generic drugs at no cost. Plus, access to thousands of other medications at the fraction of retail cost. Over 70,000 in-network retail pharmacies and mail-order available.
Emergency, Surgery, Diagnostic Imaging, Hospitalization, and Other Medical Expenses	Health Share covers your emergency, surgery, hospitalization, and other medical expenses. No annual caps or lifetime limits. Includes some holistic and alternative care options. There are some pre-existing condition benefit limitations. Further information available upon request.

*This document does not represent a complete summary of plan benefits. A full SBC document will be provided.

**Meets Part A of the Affordable Care Act (ACA) Preventative Services Requirements

***Plan not available in WA or VT

Rates starting from:

*additional $100/mo for tobacco