Skip to Navigation

eHealth Plans
phone: 919-544-5611,
toll free: toll free 866-544-1648,
P O Box 3664 Chapel Hill, NC 27515
Serving North Carolina for Over 20 Years.
  • Plan A 100%
  • Plan A 80%
  • Plan B 70%
  • Plan C 50%

Company
Plan Name Plan A 100%2,3 Plan A 80%2,3 Plan B 70%2,3 Plan C 50%2,3
Our Newest Plan A Our Most Popular Plan Budget-Minded
Premiums 15%-35%
Less		 Save Even More
Premiums 28%-40%
Less
Apply Apply Now Apply Now Apply Now Apply Now
Estimated Monthly Premium View Rates View Rates View Rates View Rates
Plan Type PPO PPO PPO PPO
Networks Search for Doctors and Hospitals Search for Doctors and Hospitals Search for Doctors and Hospitals Search for Doctors and Hospitals
Summary of Benefits Network Non-Network Network Non-Network Network Non-Network Network Non-Network
Office Visit/Copay
Primary doctors and specialists (including surgery, lab work, therapy and radiology performed by the same doctor on the same day in the office)		 100% after a $15 copay with no deductible for primary physicians4 or a $30 copay for specialists1 70% after calendar year deductible 100% after a $15 copay with no deductible for primary physicians or a $30 copay for specialists1 70% after calendar year deductible 100% after a $25 copay with no deductible for primary physicians or a $50 copay for specialists1 70% after calendar year deductible 100% after a $30 copay with no deductible for primary physicians or a $60 copay for specialists1 70% after calendar year deductible
Benefit period deductible Deductible options: $250,
$500, $1,000		 Same as In-Network Deductible options: $250,
$500, $1,000, $2,500		 Same as In-Network Deductible options: $500, $1,000, $2,500, $3,500, $5,000 Same as In-Network Deductible options: $1,000, $2,500, $3,500, $5,000 Same as In-Network
Coinsurance (% Paid by Company) Includes Home Health Care, Skilled Nursing, and Inpatient Hospital Care. 100% after calendar year deductible. You pay nothing after deductible of covered charges. 70% after calendar year deductible 80% after calendar year deductible 70% after calendar year deductible 70% after calendar year deductible 60% after calendar year deductible 50% after calendar year deductible 40% after calendar year deductible
Annual Out-of-Pocket Coinsurance Limit (% Paid by You) After calendar year deductible you pay nothing. You pay 20% after calendar year deductible until you have paid maximum $2000 per individual, $4000 per family You pay 30% after calendar year deductible until you have paid maximum $3000 per individual, $6000 per family You pay 50% after calendar year deductible until you have paid maximum $3000 per individual, $6000 per family
Lifetime Maximum unlimited unlimited $5 million $5 million
Prescription Drugs Unlimited coverage for generic drugs (max for brand drugs is $2000 benefit per person per calendar year) Includes family planning
100% after copayment with no deductible $10 copay for generic $35 or $50 copay for brand.6 Tier 4/25% coinsurance		 Unlimited coverage for generic drugs (max for brand drugs is $2000 benefit per person per calendar year) Includes family planning
100% after copayment with no deductible $10 copay for generic $35 or $50 copay for brand.6 Tier 4/25% coinsurance		 Unlimited coverage for generic drugs (max for brand drugs is $2000 benefit per person per calendar year) Includes family planning
100% after $200 annual deductible per member $10 copay for generic $35 or $50 for brand.6 Tier 4/25% coinsurance		 Unlimited coverage for generic drugs (max for brand drugs is $2000 benefit per person per calendar year) Includes family planning
100% after $500 annual deductible per member $10 copay for generic $35 or $50 for brand.6 Tier 4/25% coinsurance
Urgent Care Centers 100% after $30 copay with no deductible 100% after $30 copay with no deductible 100% after $30 copay with no deductible 100% after $30 copay with no deductible 100% after $50 copay with no deductible 100% after $50 copay with no deductible 100% after $60 copay with no deductible 100% after $60 copay with no deductible
Emergency Room 100% after $150 copay7 (copay waived if admitted) 100% after $150 copay7 (copay waived if admitted) 100% after $150 copay7 (copay waived if admitted) 100% after $150 copay7 (copay waived if admitted) 100% after $150 copay7 (copay waived if admitted) 100% after $150 copay7 (copay waived if admitted) 100% after $150 copay7 (copay waived if admitted) 100% after $150 copay7 (copay waived if admitted)
Preventive Care
Routine physical exam, including gynecological exam 100% after a $15 copay with no deductible for primary physicians4 or a $30 copay for specialists1 Not available 100% after a $15 copay with no deductible for primary physicians4 or a $30 copay for specialists1 Not available 100% after a $25 copay with no deductible for primary physicians4 or a $50 copay for specialists1 Not available 100% after a $30 copay with no deductible for primary physicians4 or a $60 copay for specialists1 Not available
Well-child and baby care (including periodic assessments and immunizations) 100% after a $15 copay with no deductible for primary physicians4 or a $30 copay for specialists1 Not available 100% after a $15 copay with no deductible for primary physicians4 or a $30 copay for specialists1 Not available 100% after a $25 copay with no deductible for primary physicians4 or a $50 copay for specialists1 Not available 100% after a $30 copay with no deductible for primary physicians4 or a $60 copay for specialists1 Not available
Immunizations 100% Not available 100% Not available 100% Not available 100% Not available
MRI PET & CT Scans Subject to the deductible and coinsurance regardless of where performed.
Physical Therapy $15/$30 copay maximum combined therapy 30 visits 70% after calendar year deductible $15/$30 copay maximum combined therapy 30 visits 70% after calendar year deductible $25/$50 copay maximum combined therapy 30 visits 60% after calendar year deductible $30/$60 copay maximum combined therapy 30 visits 40% after calendar year deductible
Vision Services 100% after $15 copay Not Available 100% after $15 copay Not Available Not Available Not Available Not Available Not Available
Mental Health $2,000 benefit max per person per calendar year; $10,000 lifetime max per person Inpatient facility, Inpatient professional, Outpatient professional
50% after calendar year deductible		 $2,000 benefit max per person per calendar year; $10,000 lifetime max per person Inpatient facility, Inpatient professional, Outpatient professional
50% after calendar year deductible		 $2,000 benefit max per person per calendar year; $10,000 lifetime max per person Inpatient facility, Inpatient professional, Outpatient professional
50% after calendar year deductible		 $2,000 benefit max per person per calendar year; $10,000 lifetime max per person Inpatient facility, Inpatient professional, Outpatient professional
50% after calendar year deductible
Maternity Benefits Optional -- please call for rates. Optional -- please call for rates. Optional -- please call for rates. Optional -- please call for rates.
Note

YOU MAY CHOOSE THE 1ST OR THE 15TH OF THE MONTH FOR YOUR COVERAGE TO BEGIN, BUT IT MUST BE AT LEAST 30 DAYS, BUT NO MORE THAN 60 DAYS, FROM SIGNATURE DATE

ONE EXCEPTION: IF YOU APPLY ON-LINE YOUR EFFECTIVE DATE CAN BE AS EARLY AS 15 DAYS FROM SIGNATURE DATE.

APPLYING ON LINE IS SIGNIFICANTLY FASTER AND EASIER THAN COMPLETING A PAPER APPLICATION AND REDUCES THE TIME IT TAKES TO GET YOUR POLICY ISSUED. CLICK "APPLY NOW" AND COMPLETE THE REQUESTED INFORMATION.

PLEASE FEEL FREE TO CONTACT US WITH ANY QUESTIONS:

Agent Mike Alexander
Phone: 919-544-5611
Fax: 919-806-8455
Toll Free: 866-544-1648

Apply Apply Now