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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
Unless indicated, benefits are per service or per year.
*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 | $9,350 |
| Part A |
| Inpatient Acute | 20% |
| Inpatient Psych | 20% |
| SNF | 20% |
| Home Health | 20% |
| Part B |
| Cardiac & Pulmonary Rehab | 20% |
| PT/OT/ST | 20% |
| ER | 20% |
| Urgent Care | 20% |
| PCP | 20% |
| Chiro | 20% |
| Specialist | 20% |
| Mental Health | 20% |
| Podiatry | 20% |
| Other Health Care Professional | 20% |
| Psychiatry | 20% |
| Outpatient Lab | 20% |
| X-Rays | 20% |
| Diagnostic Radiology | 20% |
| Therapeutic Radiology | 20% |
| Outpatient Hospital Services | 20% |
| Outpatient Hospital Observation | 20% |
| ASC | 20% |
| Outpatient Substance Abuse | 20% |
| Ambulance - Ground | 20% |
| Ambulance - Air | 20% |
| 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 | 25%/25%/25% |
| Tier 2 Retail 30/Retail 90/Mail | 25%/25%/25% |
| Tier 3 Retail 30/Retail 90/Mail | 25%/25%/25% |
| Tier 4 Retail 30/Retail 90/Mail | 25%/25%/25% |
| Tier 5 Retail 30/Retail 90/Mail | 25%/25%/25% |
| Tier 6 Retail 30/Retail 90/Mail | Not Covered |
| Tier 2 Insulin | $10/$20/$0 |
| Tier 3 Insulin | $35/$70/$70 |
| Tier 4 Insulin | $35/$70/$70 |
| Supplemental Benefits |
| Worldwide Emergency | Not Covered |
| Non-Emergency Transportation | 50 one-way trips |
| OTC | $300 per quarter |
| Meals | 2 meals a day for 14 days provided immediately following each surgery or inpatient hospitalization. Up to 4 times per year |
| Fitness | Silver & Fit |
| Nursing Hotline | Covered |
| SSBCI |
|---|
| Flex Card $295 / Month to apply towards list below (amount does NOT roll over): |
| -Home Safety/Access Modifications |
| -Social and Active Club Membership (includes non-network gyms e.g., YMCA) |
| -Internet / Cell Data |
| -Sports License (hunting/fishing) |
| -Pet Supplies |
| -Gasoline |
| Members also get: |
| Transportation: 50 One Way Trips (routine, non emergent) |
| Meals: Routine - 10 per month |
| $250 Per month Grocery + Utilities (combined) |
| Other (SSBCI Not required) |
|---|
| In Home Support - $0 4 hour per day, up to max 104 hours per year (including home safety assessment, caregiver, social support and medication reconciliation) |
| Personal Emergency Response System |
| Routine foot care $0 - 6 visit per year |
| Routine Chiro - $0 Copay 12 visits per year |
| Dental |
|---|
| Dental - Preventative |
| Annual Max Benefit Amount: $5,000 combined with Comprehensive |
| Exams: 1 every 6 months |
| Prophylaxis: 1 every 6 months |
| Flouride: 1 every 6 months |
| X-Rays: 1 every 2 years |
| Dental - Comprehensive |
| Annual Max Benefit Amount: $5,000 combined with Preventative |
| Non-Routine Services: Unlimited |
| Diagnostic Services: Unlimited |
| Restorative Services: Unlimited |
| Endodontics: Unlimited |
| Periodontics: Unlimited |
| Extractions: Unlimited |
| Prosthodontics, Other Oral/Maxillofacial Surgery: Unlimited |
| Vision |
|---|
| Vision - Exams: |
| Medicare Covered - $0, 1 Routine Exam / year - $0 |
| Vision - Hardware: |
| Annual Max Benefit Amount: $500 |
| Contact Lenses |
| Eyeglasses (lenses and frames) |
| Hearing | |
|---|---|
| Hearing - Exams | Medicare Covered - $0, 1 Routine Exam / year - $0 |
| Hearing - Aids | $0 Copay |
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.
