Healthcare
for businesses
and organizations
Our innovative and modern healthcare programs are designed with your organization’s unique healthcare needs and budget in mind.
for businesses
Why organizations partner with Align
Affordable care
Our plans provide maximum healthcare at minimal cost
Universal
Acceptance
Universal acceptance regardless of pre-membership conditions
Sign Up anytime and withdraw anytime
Sign up by the 20th to begin the 1st of the following month. Withdraw by the 20th to end by the 1st of the following month
Health Benefits App & Online Portal
Benefits, ID cards, Rx, telehealth, claims, and more are easily accessed in our app or online health portal
First Health Aetna PPO Network
Large national provider network by First Health Aetna PPO Network
Care Coordination
Our care navigation team can help navigate the complexities of the healthcare system
Healthy PPO Plan
Our Healthy PPO program provides you and your family with a unique, cost-effective total healthcare solution.
This program includes 100% coverage for preventive services as as outlined by the Affordable Care Act (ACA). Includes doctor office visit copays, pharmacy, lab, imaging, mental health, unlimited telemedicine, health benefits app, plus worldwide emergency, surgery and hospitalization Health Share.
*Plans not available in VT or WA
Provider network by First Health Aetna PPO Network. To locate a provider visit https://providerlocator.firsthealth.com/LocateProvider/SelectNetworkType Select “First Health” as the network and then select provider type and enter zip code. In left margin, refine search by selecting type of doctor.
- Preventive / Wellness: Covered at 100%
- Primary Doctor & Pediatric-Sick Visits: $25 copay - unlimited visits
- Specialist Visits: $35 copay in-network - 5 visits per year
- Urgent Care: $50 copay in-network - 3 visits per year
- Virtual Urgent Care, 24/7/365 with Licensed, Board- Certified Physicians
- Annual Diagnostic Labs: $50 copay (must be performed in outpatient facility and not a hospital or emergency room)
- Emergency Room: $250 copay - 1 visit per year (additional visits can utilize Health Share)
- Maternity Pre/Post Natal Consultation: $25 copay - 3 visits per year
- Mental Health, Substance Abuse Consultation: $25 copay - 3 visits per year
- Virtual Counseling - Consult a Master-level Therapist/Counselor: $0 copay. Number of counseling sessions will be clinically appropriate based on issue.
- Breast Cancer Mammography Screening: Plan pays 100%. Screenings every 1-2 years for women over 40 years old
- Cervical Cancer Screening: Plan pays 100%. Women ages 21 to 29 pap test every 3 years. Women ages 30 to 65 every 3 years if you only have a pap test. Every 5 years if you have both a pap test and an HPV test.
- Colorectal Cancer Screening: Plan pays 100% starting at age 50
- Immunizations Per ACA Guidelines: Plan pays 100%
- Once copay limits have been reached, additional costs may qualify for Health Share after UA has been met. Pre-existing condition limitations may apply.
- Program provides over 1,000 routinely prescribed ACUTE and CHRONIC 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.
- Access to thousands of drugs that are not on the formulary starting at just $14.95 per fill.
- Men’s Health: Viagra® and Cialis® can be purchased exclusively via mail-order and limited to 72 generic Viagra 50/100mg pills or 48 generic Cialis 5/20mg pills per year.
- Access to our Diabetic Supply, International Pharmacy, and Prescription Assistance Program.
- Once copay limits have been reached, additional costs may qualify for Health Share after UA has been met. Pre-existing condition limitations may apply.
Health Share covers your emergency, surgery, and hospitalization needs. Millions of Americans have chosen Health Share membership for healthcare freedom, savings, and a safety net for the unexpected in life.
Our Advocacy team works with members to negotiate and attain fair pricing for medical services. As direct and self-pay patients, our members experience lower medical bills by leveraging our resources.
**Pre-membership medical conditions & maternity needs limitations my apply.
- No annual caps or lifetime limits
- Holistic and alternative care options
- Quick bill processing
- One-of-a-kind maternity program
- “Know before you go” pricing
- Advocacy support
- “Know before you go” pricing
- One-of-a-kind maternity program
- Advocacy support
How does this plan save you money?
What is a UA?
Similar to a deductible, the Unshared Amount, or UA, is the amount a member will pay per incident before the ShareWELL shares in medical expenses. The lower your UA, the higher your monthly contribution will be.
After the UA is met, additional eligible medical expenses are provided for. If you chose an UA of $1,500 and are hospitalized with a heart attack, you pay the UA. That’s it!
Members do not pay for the same Sharing Request within 12 months of the last treatment date. Additionally, members will not be responsible for more than two UAs in a rolling 12-month period.
- Member Only
- Member + Spouse
- Member + Child(ren)
- Member + Family
*Additional surcharge for tobacco use
- Under 50
- Over 50
$1,500 UA
| $556.00 | $607.00 |
| $877.00 | $930.00 |
| $882.00 | $915.00 |
| $1273.00 | $1343.00 |
| Under 50 | Over 50 | |
| Member Only | $556.00 | $607.00 |
| M+Spouse | $877.00 | $930.00 |
| M+Child(ren) | $882.00 | $915.00 |
| M+Family | $1273.00 | $1343.00 |
- Under 50
- Over 50
$3,000 IUA
| $496.00 | $545.00 |
| $748.00 | $812.00 |
| $746.00 | $808.00 |
| $1110.00 | $1196.00 |
| Under 50 | Over 50 | |
| Member Only | $496.00 | $545.00 |
| M+Spouse | $748.00 | $812.00 |
| M+Child(ren) | $746.00 | $808.00 |
| M+Family | $1100.00 | $1196.00 |
| $460.00 | $512.00 |
| $714.00 | $766.00 |
| $718.00 | $773.00 |
| $1016.00 | $1099.00 |
| Under 50 | Over 50 | |
| Member | $460.00 | $512.00 |
| M+Spouse | $714.00 | $766.00 |
| M+Child(ren) | $718.00 | $773.00 |
| M+Family | $1016.00 | $1099.00 |
- Under 50
- Over 50
$6,000 IUA
*Plan and prices are current as of Sept 2024 and are subject to change
See how our Healthy PPO Plan saves you money
Jane and Jillian both needed shoulder surgery. Their financial experiences were vastly different.
Bronze PPO MVP
This ACA Part B compliant plan offers substantial coverage for businesses with 50+ employees.
- Preventative & wellness - $0 Copay
- Telemedicine services - $0
- Primary care visit - $25 copay (up to 8 visits)
- Specialist office visit - $50 copay (up to 8 visits)
- Home health - $25 copay (limited to 10)
- Treatment for chemical use and dependency
- $0 Deductible for family/individual
- Meets the criteria of an Affordable Care Act (ACA) Part B
*You can find a full list of preventive services covered by your plan at healthcare.gov/coverage/preventive-care-benefits
- Laboratory / Radiology - $50 copay (up to 3)
- Pharmacy (subject to formulary)
- Hospitalization/inpatient surgery - $350 copay per admission (limited to 5 days/2 surgeries)
- Outpatient/free standing facility and surgery - $350 copay (1 visit)
- Emergency room services - $350 copay (1 visit)
Contact us for a custom quote.
Experience healthcare a better way!
Complete the New Group Form and you can begin in 3-5 business days. Once your member portal is setup, those who sign up by the 20th of the month will have access by the first day of the following month.
Groups with at least 10 eligible employees can add Vision/Dental Plans
Vision & Dental Plans
Businesses with 10 eligible members and a minimum of two enrollees can now add our dental or vision plans. Must be coupled with an Align Health Program.
Vision
- $150 allowance per year for frames, lenses, and/or contacts
- No network requirements. You are free to choose any licensed provider.
- $10 eye exam
- Copays waived for all services rendered at wholesale clubs, such as Costco Vision Center or Sam's Club
Dental
- No Waiting Periods
- Plan flexibility
- 100% coverage for preventive care with NO deductible
- Access to Connection Dental National PPO Network of Providers at www.ppousa.com
Frequently Asked Questions
Join Align Health anytime. Sign up by the 20th of the month to begin on the first day of the following month.
No. Disenroll from an Align plan by the 20th to be effective for the following month.
Similar to a deductible, the Unshared Amount, or UA, is the amount a member must contribute as their member responsibility before expenses related to a Sharing Request become eligible with the Health Share. We offer 3 UA options: $1,500, $3,000, and $6,000. After the member pays the UA, additional eligible medical expenses are shared with the Health Share. There is no annual or lifetime limit on eligible expenses.
Pre-membership conditions may have a waiting or phase in period. We attempt to negotiate all medical bills received and many membership types include assist with pre-negotiated medical expenses. See plan details for more information.
The Healthy PPO Plan is compliant with Part A of the Affordable Care Act and The Minimum Value Plan (MVP) is compliant with Part B of the Affordable Care Act.
Check out our FAQ Page for helpful videos and for more answers to common questions