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 2025 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 coverage that fit your needs
Life isn't just busy – it's full. With Sentara Individual & Family Health Plans, we make it simple and easy to get and stay covered, so you can focus on what matters most.
- Health coverage to support your overall well-being
- Access to a wide network of skilled doctors and hospitals
- No referrals needed to see specialists within the network2
- Prescription benefits to keep you covered
- Wellness programs to help you stay healthy
- Tools and resources to manage your plan and your healthcare costs
- Local customer service representatives to guide you year-round
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, with no requirement for 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 of Virginia's Insurance Marketplace and are ideal for those without subsidies to help lower out-of-pocket costs.
Sentara Standard Plans
- Sentara Standard Plans offer the same out-of-pocket costs as Standard Plans from other carriers, but also include our broad network of quality providers and facilities.
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
Open Enrollment Period is the yearly timeframe when individuals can enroll in a health insurance plan.Special Enrollment Period
Special Enrollment Period is a time when an individual can enroll in a health insurance plan outside the annual Open Enrollment Period.Subsidy Eligibility
Do you qualify? Discover which subsidy you and your family are eligible for based on your income bracket.Call Me
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.
2Sentara Health Administration, Inc., Provider Database, 2025, available at sentarahealthplans.com.
3 Eligible members earn up to $250 each plan year for healthy actions like preventive care to condition management. Members are 18+ subscribers.
4 Cost share may apply for Health Savings Account (HSA) plans.