WellnessShare Plans
Stay on top of your health for less than a phone bill. Checkups, screenings and immunizations are covered from $99/month — with plans that add doctor visits, hospital benefits and low-cost prescriptions.
Preventive care included
All 47 PPACA preventive services plus the full childhood and adult immunization schedule — on every plan.
No deductible to meet
Flat copays on covered visits, so you know your cost before you go. No deductible, no coinsurance math.
Prescriptions from $0
BestChoice Rx Plus covers 114 acute and preventive medications at no cost, with 70,000+ pharmacies nationwide.
Choose Your Plan
Every plan covers preventive care. Pick how much more you want.
Who are you covering?
Value
WSW$99/month
Preventive and wellness benefits under PPACA with discount prescriptions. No physician visit copays or hospital indemnity benefit.
- Preventive care — 47 covered services & full immunization schedule
- No doctor visit copays
- No specialist or urgent care copays
- No hospital benefit
- Prescriptions — discount pricing at 70,000+ pharmacies
Preferred
WS1$157/month
Preventive and wellness benefits plus primary care, specialist and urgent care copays and a hospital indemnity benefit, with discount prescriptions.
- Preventive care — 47 covered services & full immunization schedule
- Doctor visits — $25 copay · 3 visits/yr
- Specialist & urgent care — $50 copay · 1 visit/yr
- Hospital benefit — $1,000/day · $5,000/yr max
- Prescriptions — discount pricing at 70,000+ pharmacies
Elite
WS2$175/month
The full WellnessShare benefit: preventive and wellness care, higher visit limits, a $10,000 annual hospital indemnity benefit and no-cost acute and ACA/MEC prescriptions.
- Preventive care — 47 covered services & full immunization schedule
- Doctor visits — $25 copay · 4 visits/yr
- Specialist & urgent care — $50 copay · 2 visits/yr
- Hospital benefit — $1,000/day · $10,000/yr max
- Prescriptions — $0 acute & preventive, $5 maintenance generics
What's Covered
Look up a specific service or medication before you enroll.
47 of 47 services covered on every plan
Screenings
Abdominal Aortic Aneurysm Screening
1 per lifetime
By ultrasonography in men ages 65-75 years who have ever smoked.
Alcohol Misuse: Unhealthy Alcohol Use Screening and Counseling
1 per plan year
Screenings for unhealthy alcohol use in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.
Bacteriuria Screening
1 per plan year
Screening for asymptomatic bacteriuria with urine culture in pregnant women at 12 to 16 weeks’ gestation or at the first prenatal visit, if later.
Breast Cancer Screening
1 time per year
Up to $850 maximum benefit
Screening mammography for women age 40+ years. Coverage limited to 2D mammograms only.
Cervical Cancer Screening: with Cytology (Pap Smear)
1 time every 3 plan years
Women age 21 to 65 years with cervical cytology alone.
Cervical Cancer Screening: with Combination of Cytology and Human Papilloma Virus (HPV) testing
1 time every 5 plan years
Women age 30 to 65 years with high-risk papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology.
Chlamydia Screening
1 per plan year
Sexually active women age 24 and younger and in older women who are at increased risk infection.
Depression Screening
1 per plan year
Screening for major depressive disorder (MDD) in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up Screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate followup. Pregnant and postpartum persons at increased risk of perinatal depression should be refer to counseling interventions.
Diabetes Screening
1 per plan year
Screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese. Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity.
Gestational Diabetes Mellitus Screening
1 per plan year
Asymptomatic pregnant women after 24 weeks of gestation.
Gonorrhea Screening
1 per plan year
Sexually active women age 24 years or younger and in older women who are at increased risk for infection.
Hemoglobinopathies Screening
1 per plan year
Screening for sickle cell disease in newborns.
Hepatitis B Screening
1 per plan year
Non-pregnant adolescents and adults at high risk for infection. Pregnant women at their first prenatal visit.
Hepatitis C Virus (HCV) Infection Screening
1 per plan year
Persons at high risk for infection and Adults born between 1945 and 1965.
High Blood Pressure Screening
1 per plan year
Screening for high blood pressure in adults aged 18 or older.
HIV Screening
1 per plan year
Adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk should also be screened. Pregnant women including those who present in labor, who are untested and whose HIV status is unknown.
Hypothyroidism Screening
1 per plan year
Screening for congenital hypothyroidism in newborns.
Intimate Partner Violence Screening
1 per plan year
Screening for intimate partner violence, in women of reproductive age and provide or refer women who screen positive to ongoing supporting services.
Lung Cancer Screening
1 per plan year
With low-dose computed tomography in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.
Obesity screening and Counseling
1 per plan year
To children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status. Screening all adults. Clinicians should offer or refer patients with a body mass index of 30 kg/m2 or higher to intensive, multicomponent behavioral interventions.
Osteoporosis Screening
1 per plan year
In women aged 65 and older and in younger postmenopausal women at increased risk of osteoporosis.
Phenylketonuria Screening
1 per plan year
Screening for phenylketonuria in newborns.
Preeclampsia Screening
1 per plan year
Pregnant women with blood pressure measurements throughout pregnancy .
Rh Incompatibility Screening: First Pregnancy Visit
1 per plan year
Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy - related care.
RH Incompatibility Screening: 24–28 Weeks’ Gestation
1 per plan year
Repeated Rh (D) antibody testing for all unsensitized Rh (D)-negative women at 24 to 28 weeks’ gestation, unless the biological father is known to be Rh (D) - negative.
Syphilis Screening
1 per plan year
Non-pregnant persons who are at increased risk for infection. All pregnant women.
Tuberculosis Screening
1 per plan year
Interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents. Screening for latent tuberculosis infection in populations at risk.
Vision Screening
1 time every 2 plan years
All children aged 3 to 5 years to detect amblyopia or its risk factors.
Visits & exams
Adult Annual Standard Physical
1 per plan year
Adults, one (1) physical preventive exam per plan year.
Well-Woman Visits
1 per plan year
Women under 65 to obtain the recommended preventive services that are age and developmentally appropriate, including preconception care and many services necessary for prenatal care.
Well-Child Visits
1 per plan year
Children to obtain the recommended preventive services that are age and developmentally appropriate. (Covers 1 visit except as more frequently recommended for children under the age of 3 years.)
Preventive medications
Aspirin: Preventive Medication
As prescribed
Adults ages 50 to 59 with high risk of cardiovascular diseases and for the primary prevention of cardiovascular disease and colorectal cancer. Low-dose aspirin (81 mg/d) as preventive medication for women after 12 weeks of gestation who are at high risk for preeclampsia.
Breast Cancer Preventive Medications
As prescribed
Risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors for women who are at increased risk for breast cancer and at low risk for adverse medication effects.
Folic Acid Supplementation
As prescribed
Daily supplement containing 0.4 to 0.8 mg (400 to 800μg) of folic acid for all women planning or capable of pregnancy.
Gonorrhea Prophylactic Medication
As prescribed
Prophylactic ocular topical medication for all newborns for the prevention of gonococcal ophthalmia neonatorum.
Statin Preventive Medication
As prescribed
Adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a lowto moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: 1) they are aged 40 to 75 years; 2) they have 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension, or smoking); and 3) they have a calculated 10-year risk of a cardiovascular event of 10% or greater. Identification of dyslipidemia and calculation of 10-year CVD event risk requires universal lipids screening in adults ages 40 to 75 years.
Counseling
BRCA Risk Assessment and Genetic Counseling/Testing
1 per plan year
Screening to women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA 1 or BRCA2 ). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.
Breastfeeding Support, Supplies and Counseling
In Conjunction with each birth
Interventions during pregnancy and after birth to support breastfeeding. Costs for renting breastfeeding equipment will be covered in conjunction with each birth.
Contraceptive Methods and Counseling
As prescribed
Food and Drug Administration (FDA) approved contraceptive methods, sterilization procedures, and patient education and counseling for all women with reproductive capacity, not including abortifacient drugs.
Healthy Diet and Physical Activity Counseling to Prevent Cardiovascular Disease
1 per plan year
Adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.
Sexually Transmitted Infections Counseling
1 per plan year
Intensive behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.
Skin Cancer Behavioral Counseling
1 per plan year
Counseling young adults, adolescents, children, and parents of young children about minimizing their exposure to ultraviolet radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk for skin cancer.
Tobacco Use Counseling and Interventions
2 per plan year
Provide behavioral interventions for cessation to all adults who use tobacco, advise them to stop using tobacco, and provide behavioral interventions, U.S. Food and Drug Administration (FDA) approved pharmacotherapy for cessation to adults who use tobacco is covered. Provide behavioral interventions for cessation to pregnant women who use tobacco.
Other
Preventative colonoscopy
1 time every 5 plan years
Up to $2,250 maximum benefit
Starting in adults at age 45 years and continuing until age 74 years.
Dental Caries Prevention: Infants and Children Up to Age 5
1 per plan year
Application of fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption and prescription of oral fluoride supplementation starting at age 6 months for children whose water supply is fluoride deficient.
Fall Prevention: Older Adults
1 per plan year
Exercise interventions for community-dwelling adults age 65 years and older who are at increased risk for falls.
HIV Preexposure Prophylaxis for the Prevention of HIV Infection
As prescribed
Persons who are at high risk of HIV acquisition.
Not sure which plan fits?
Talk it through with a licensed agent — no cost, no obligation.
Important:WellnessShare is a limited-benefit preventive and wellness plan. It is not major medical coverage and does not satisfy the individual mandate in states that impose one. Benefits are limited to the services listed in the plan's Schedule of Benefits. Outpatient physician and wellness benefits require in-network providers. Sickness benefits are subject to a 30-day waiting period on the Preferred and Elite plans, and hospitalization benefits are not payable for a pre-existing condition during the first 12 months of coverage. This page is a summary; if it conflicts with the Plan Document, the Plan Document governs.