Sentara Individual & Family Health Plans
Our Quality Stars Rating
Our Individual & Family Health Plans received 4 out of 5 stars1 from The Centers for Medicare & Medicaid Services (CMS). This 2024 rating is based on factors that include member surveys, data from doctors and hospitals, and how long members have stayed with their health plan.
Affordable health plans to fit your needs
Having medical insurance means you and your family will have peace of mind and access to health care whenever you need it. We have several affordable individual and family health care plan options with a range of deductibles and copayments so you can choose medical and prescription medication insurance that fits your needs, budget, and lifestyle.
We are committed to our mission: to improve health every day, so we're always innovating to add value to the products we provide. Our health insurance plans are part of an open-access network with no need to get a referral to see a specialist within our broad network of quality providers and facilities. Our plans include essential health benefits2 to help manage your health including value-added benefits and services such as wellness programs and gym membership discounts, useful tools like the Treatment Cost Calculator for comparing out-of-pocket expenses for common procedures, and savings to help you manage your healthcare costs.
With enhanced subsidies available through 2025, we’ve made it easier than ever for you to find the health insurance that works for you!
Ask Us How. Talk to a Personal Plan Advisor today toll free at 1-855-460-5819.
Our Plans
Sentara Individual & Family Health Plans offer more choices, innovative solutions, and enhanced access to affordable, high-quality care.
Sentara Plans
- Sentara Plans are part of an open-access network, there is no need to get a referral to see a specialist within our broad network of quality providers and facilities.
Sentara Unique Off-Exchange Plans
- These plans are only offered outside the Marketplace and are ideal for those without subsidies to receive plan benefits with lower out-of-pocket costs.
Sentara Standard Plans
- Sentara Standard Plans offer the same out-of-pocket costs as Standard Plans on the Marketplace from other carriers, but with the great service, coverage, and network of quality providers and facilities you have come to trust with Sentara Health Plans.
Value-Added Services & More
Our members have access to many great value-added services to help lower their healthcare costs.
Highlights
- On-demand virtual consults3
- 24/7 Nurse Advice and Behavioral Health Crisis Lines
- Emergency Travel Assistance
- Gym membership discounts; health and wellness services
- Discounts on complementary therapies like acupuncture, chiropractic, and massage
- Vision extras
Our Service Area
Our plans are offered statewide in the Commonwealth of Virginia.
- Open Enrollment Period is the yearly timeframe when individuals can enroll in a health insurance plan.
- Special Enrollment Period is a time when an individual can enroll in a health insurance plan outside the annual Open Enrollment Period.
- Do you qualify? Discover which subsidy you and your family are eligible for based on your income bracket.
- Request a call from a Personal Plan Advisor.
Other Health Insurance Coverage Options
Do you qualify for Medicaid? Even if you are not eligible for one of our Sentara Individual & Family Health Plans, you might be eligible for one of our other coverage options including Medicaid, or individual health insurance plans for self-employed sole-proprietors.
1 CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee.
2 Essential Health Benefits are a set of 10 categories of services covered under the Affordable Care Act. These include inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services and more.
3 Sentara Health Administration, Inc., Provider Database, 2023, available at sentarahealthplans.com.
4 Cost share may apply for Health Savings Account (HSA) plans.