Sentara Individual & Family Health Plans
Our plans combine great health plan coverage and a wide variety of deductible and copayment options.
Shop and compare plans to find one that works best for you whether you’re purchasing our health plans On-Exchange through Virginia’s Insurance Marketplace or Off-Exchange directly through us.
Did you know?
When shopping for health insurance coverage, plans with the lowest monthly premium may not necessarily be your best option. You must also compare plan costs with their value and benefits.
For example, for cost-conscious consumers, a low-cost Catastrophic plan may be attractive. However, if you analyze its value, you may be better off with a plan that's slightly higher premium and covers more of your daily healthcare expenses, like our Bronze plan. Additionally, all Sentara Individual & Family Health Plans covers all preventive services at no charge.
Cost and Value Analysis – for illustrative purposes only
| Monthly Premium | Deductible | Maximum Out-of-Pockets costs | PCP | |||
| Monthly Premium | DeductibleIndividual | Maximum Out-of-Pockets costsFamily | PCPIndividual | undefinedFamily | undefined | |
| Catastrophic Plan | Monthly Premium $264 | Deductible$10,600 | Maximum Out-of-Pockets costs$21,200 | PCP$10,600 | undefined$21,200 | undefinedFirst 3 visits per member, $40 then 0% AD |
| Sentara M Bronze 9800 Ded | Monthly Premium $271 | Deductible$9,800 | Maximum Out-of-Pockets costs$19,600 | PCP$9,800 | undefined$19,600 | undefined$75 |
| Sentara 7200 Ded | Monthly Premium $275 | Deductible$7,200 | Maximum Out-of-Pockets costs$14,000 | PCP$7,200 | undefined$14,000 | undefined$45 |
Plan Features
- Twenty-four–hour access to virtual consults1 with board-certified physicians
- Sentara Well-being Rewards program that empowers members to engage in heathy actions2
- Access to award-winning free health and wellness programs with MyLife MyPlan
- Discounts on health and wellness services3
- Emergency Travel Assistance3
- A wide range of deductible and copayment options
- Health Savings Accounts (HSAs)
- Gold-, Silver-, and Bronze-level plans both on and off the Health Insurance Marketplace
- Free preventive care services when received from an in-network doctor or facility
Provider Network
Our plans feature our provider network with exceptional providers and hospitals that meet the high standards we set.
Sentara Individual & Family Health Plans members have access to our entire provider network of primary care physicians, specialists, and hospitals. You can find participating providers using the Find-a-doc tool.
Plans are available across the entire Commonwealth of Virginia.
Other Coverage Options
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.
Learn about our other health insurance coverage options
Still Have Questions?
If you still have questions, contact one of our Sentara Personal Plan Advisors at individualsales@sentara.com or call 1-855-460-5819. We are open from 8:00 a.m. to 8:00 p.m., seven days a week from October 1 through March 31 and from 8:00 a.m. to 8:00 p.m., Monday through Friday from April 1 through September 30.
1For most plans, virtual consults are at no charge when accessed through the member portal or Sentara Health Plans mobile app. This is a separate benefit from telemedicine visits scheduled with a member's provider. Mental health and substance use disorder virtual consults may carry an additional charge.
2Eligible members are 18+ subscribers and can earn up to $250 each plan year.
3Value-Added services; not a covered benefit.
3Standard plans have access to the full provider network and are not tiered