A visit between client calls.
Both options include unlimited covered virtual primary care visits with a $0 co-pay. For care that can happen remotely, you can look for a time between client appointments.
FOR INDEPENDENT INSURANCE AGENTS
Everyday care for insurance agents.
As an agent, you spend your day helping clients choose coverage. When you buy your own, limited MEC options can help with routine visits, covered refills, and eligible preventive care.
Limited MEC. No major medical coverage. These options exclude hospital stays, emergency room visits and surgery.
Virtual primary careCovered genericsEligible preventive care
FOR 1099 PRODUCERS AND AGENCY OWNERS
Where does your care fit in?
A refill on a day full of follow-ups.
More than 1,000 covered generics are listed at $0. Look up the medication you take and check the plan’s refill rules.
The checkup you moved during renewal season.
Eligible preventive services are covered at 100% under plan rules. Check the specific service and provider before you put the visit back on your calendar.
IN BOTH OPTIONS
What counts as ACA preventive care?
Both options cover eligible preventive services at 100% under plan rules. Here are common examples to check against the plan’s benefit schedule.
For men and women
- Blood pressure checks
- Cholesterol and type 2 diabetes screening for eligible adults
- Colorectal cancer screening
- Recommended adult vaccines
Additional examples for women
- Well-woman preventive visits
- Breast cancer screening with mammograms
- Cervical cancer screening, such as a Pap test when eligible
Age, risk, screening intervals, network requirements and plan terms affect eligibility. Testing for a new symptom can be billed as diagnostic care. Confirm the specific service before scheduling.
See HealthCare.gov’s preventive care lists for adults and women.
THE MONTHLY MATH
Price it for
your household.
When you’re buying for yourself, the household total matters. Compare the listed monthly rates for one adult and any dependents.
One adult + dependents
Illustrative monthly cost. Fees and eligibility are confirmed during enrollment.
VIRTUAL CARE AND PREVENTION
Virtual-first option
If most of your routine care can happen virtually.
$70/month*
listed estimate
listed estimate
$70 individual + $60 per dependent / month
- Unlimited $0 virtual primary care
- Eligible preventive services covered 100%
- $0 on 1,000+ covered generic medications
- $0 on 40+ common lab tests
- Mental health coaching included
Know this: Office visits and urgent care are not covered on the virtual-first option.
Review options online (opens in a new tab)ADDS SOME OFFICE AND URGENT CARE
Limited in-person option
If you want limited access to some in-person visits.
$125/month*
listed estimate
listed estimate
$125 individual + $100 per dependent / month
Core virtual, preventive, lab and generic prescription benefits, plus:
- Primary / sick visits 5 per year$15 co-pay
- Specialist visits 2 per year$25 co-pay
- Urgent care 2 per year$25 co-pay
- X-ray / basic diagnostics 3 per year$50 co-pay
$200 per-visit benefit cap. Limited benefits can leave additional costs for you to pay. Review the full terms.
Review options online (opens in a new tab)*Monthly rates shown are from the plan information and are subject to change. State availability, eligibility and plan terms must be confirmed before enrollment. Not available in AK, CT, HI, MD, MN, NH, OR, VT or WA. Read the benefit summary ↗
BEFORE YOU CHOOSE A PLAN
Review your plan the way you’d review a client’s.
- Check the network. Check the doctors you use and the plan’s prescription rules.
- Check the limits. Read the visit counts, co-pays and cap on in-person benefits.
- Check the total. Include dependents and any fees shown during enrollment.
THE HOUSEHOLD ENROLLMENT FLOW
See your actual household options.
Have your ZIP code, household details, and the names of your providers and medications handy.
Recorded example. Follow the current prompts on the enrollment site.
- 01
Add your household details.
Enter who is looking for coverage.
- 02
Review available options.
Look for the First Health MEC options shown in the walkthrough if available.
- 03
Check your total and terms.
Review the current price, fees, coverage and agreements before you decide.
QUESTIONS INDEPENDENT AGENTS ASK
Good questions.
Is this enrollment for my household or my agency?
This link opens enrollment for your own household. You’ll enter household details and review the options available for your household.
Could I use this in place of my major medical plan?
These options exclude hospital stays, emergency room visits and surgery. If you need those benefits, review comprehensive coverage options separately before making a decision.
Can I keep using my usual doctor or pharmacy?
The enrollment site offers doctor and medication search tools. Confirm the applicable network and coverage rules for the option you’re considering.
What if I’m comparing costs for my spouse or kids too?
The headline rates are for one person. The plan comparison shows the listed per-dependent rates. Enter your household details to check dependent eligibility, current pricing, fees and your total.
PERSONAL COVERAGE FOR INDEPENDENT AGENTS
Ready to see your options?
Get started online (opens in a new tab)Review your household’s actual options and pricing during enrollment.