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We know what you need is unique to you. Sonder Health Plans offers four plans to fit your health and lifestyle.
Explore our plans to find the right fit for you! You can see more details about each plan on the Summary of Benefits.
$0 Copay on Your PCP Visits
when you become a Sonder member
Vision, Hearing and Dental Benefits in Every Plan
$0 Copay on Your PCP Visits
when you become a Sonder Diabetes Wellness member
Vision, Hearing and Dental Benefits in Every Plan
Choose one benefit from each of the choice benefits below
*Only for members who have qualifying chronic medical conditions.
Please see Summary of Benefits for full list of conditions.
| Deductible & Max Out-Of-Pocket |
| Deductible | $0 |
| MOOP | $6,800 |
| Part A |
| Inpatient Acute | $350 days 1-5;$0 days 6-90 |
| Inpatient Psych | $350 days 1-5;$0 days 6-90 |
| SNF | $0 days 1-20;$203 days 21-100 |
| Home Health | $0 |
| Part B |
| Cardiac & Pulmonary Rehab | $25 Cardiac/Pulm, $20 SET for PAD, $40 Intensive Cardiac Rehab |
| PT/OT/ST | $25.00 |
| ER | $110.00 |
| Urgent Care | $30.00 |
| PCP | $0.00 |
| Chiro | $15.00 |
| Specialist | $0.00 |
| Mental Health | $40.00 |
| Podiatry | $40.00 |
| Other Health Care Professional | $0 to $40 ($0 copay at office $40 copay at facility) |
| Psychiatry | $40.00 |
| Outpatient Lab | $0.00 |
| X-Rays | $0 to $100 |
| Diagnostic Radiology | $0 For office based diagnostic imaging, $150 for facility based diagnostic imaging (e.g., sonagrams, ultrasounds) - $300 for advanced imaging (e.g., CT, MRI, PET) |
| Therapeutic Radiology | 20% |
| Outpatient Hospital Services | $200.00 |
| Outpatient Hospital Observation | $350.00 |
| ASC | $100.00 |
| Outpatient Substance Abuse | $25 Ind / $15 Group |
| Ambulance - Ground | $325.00 |
| Ambulance - Air | $750.00 |
| DME | 20% |
| Prosthetics | 20% |
| Medical Supplies | 20% |
| Diabetic Supplies | 20% |
| Therapeutic Shoes or Inserts | 20% |
| Renal Dialysis | 20% |
| Chemotherapy Drugs | 20% |
| Part B Drugs | 20% |
| Part D |
| Deductible | $0 |
| ICL | $2,000 |
| Tier 1 Retail 30/Retail 90/Mail | $0/$0/$0 |
| Tier 2 Retail 30/Retail 90/Mail | $10/$30/$0 |
| Tier 3 Retail 30/Retail 90/Mail | $44/$132/$88 |
| Tier 4 Retail 30/Retail 90/Mail | $95/$285/$285 |
| Tier 5 Retail 30/Retail 90/Mail | 33%/33%/33% |
| Tier 2 Insulin | $10/$30/$0 |
| Tier 3 Insulin | $35/$70/$70 |
| Tier 4 Insulin | $35/$70/$70 |
| Supplemental Benefits |
| Worldwide Emergency | Up to $10,000 Maximum |
| Non-Emergency Transportation | 50 one-way trips |
| OTC | $125 per quarter |
| Meals | 2 meals a day for 14 days provided immediately following each surgery or inpatient hospitalization. Up to 2 times per year |
| Fitness | Silver & Fit |
| Nursing Hotline | Covered |
| SSBCI |
|---|
| Member Selects one item from the list below: |
| -$400 Per Month Grocery Card |
| -$325 Per Month Gas Card |
| -$3,500 Medical Reconstructive Procedures |
| -$3,000 Mobility Device Allowance |
| All members receive: |
| $100 / month Social and Active Club Membership |
| 24 one way trips for non-primarily medical transporation |
| $500 Herbal Medicine every 6 months |
| Other (SSBCI Not required) |
|---|
| Member Selects one item from the list below: |
| -$4,000 Comprehensive Dental |
| -$4,000 Comprehensive Vision Services (including procedures) |
| -$3,000 Hearing Aid Allowance |
| Other Tier (SSBCI Not required) |
|---|
| Member selects one item from the list below: |
| -24 Acupuncture Visits |
| -12 Therapeutic Massage Visits |
| Dental |
|---|
| Dental - Preventative |
| Exams: 1 every 6 months |
| Prophylaxis: 1 every 6 months |
| Flouride: 1 every 6 months |
| X-Rays: 1 every 2 years |
| Vision | |
|---|---|
| Vision - Exams | Medicare Covered - $40, 1 Routine Exam / year - $0 |
| Vision - Hardware | Medicare Covered Only $40 |
| Hearing | |
|---|---|
| Hearing - Exams | Medicare Covered - $40 |
| Hearing - Aids | Not Covered |
If you are a Sonder Health Plans member and have questions about your benefits, please contact the Toll-Free Sonder Member Services Center
1 (888) 428-4440
TTY/TDD 711
Monday through Friday, 8:00 a.m. to 6:00 p.m.
If you are a prospective Sonder Health Plans member and are interested in learning more about us, please call a licensed agent at
(888) 217-7110 7 days a week 8:00 a.m. to 6:00 p.m.
