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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 | $4,950 |
| 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 | $125.00 |
| Urgent Care | $30.00 |
| PCP | $0.00 |
| Chiro | $15.00 |
| Specialist | $0.00 |
| Mental Health | $0.00 |
| Podiatry | $40.00 |
| Other Health Care Professional | $40.00 |
| Psychiatry | $0.00 |
| Outpatient Lab | $0.00 |
| X-Rays | $0 to $100 |
| Diagnostic Radiology | $150 for diagnostic imaging (e.g., sonagrams, ultrasounds) - $300 for advanced imaging (e.g., CT, MRI, PET) |
| Therapeutic Radiology | 20% |
| Outpatient Hospital Services | $300.00 |
| Outpatient Hospital Observation | $350.00 |
| ASC | $180.00 |
| Outpatient Substance Abuse | $0.00 |
| Ambulance - Ground | $225.00 |
| Ambulance - Air | $750.00 |
| DME | 20% |
| Prosthetics | 20% |
| Medical Supplies | 20% |
| Diabetic Supplies | 20% |
| Therapeutic Shoes or Inserts | 20% - $0 for Diabetics |
| 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 6 Retail 30/Retail 90/Mail | Not Covered |
| 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 | Unlimited 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: |
| -$285 Per Month Grocery + Gas Card Combined (no rollover) |
| -$300 Per Month towards Wellness Centers and Alternative Therapies (e.g., Equine Therapy, aquatherapy) |
| -$300 Per Month Housing/Utilities Support (no rollover) |
| All members receive: |
| -24 one way trips for non-primarily medical transporation |
| -$300 per year for Social and Active Clubs, Veterans affiliations and Hunting and Fishing Licenses. |
| Other (SSBCI Not required) |
|---|
| Member Selects one item from the list below: |
| -$3,500 Comprehensive Dental |
| -$2,500 Comprehensive Vision Services (including procedures) |
| -$2,000 Hearing Aid Allowance |
| All members receive: |
| -PTSD Support Benefit |
| -In Home Support - $0 4 hour per day, up to max 208 hours per year (including home safety assessment, caregiver, social support and medication reconciliation) |
| -12 visit Comprehensive Smoking Cessation Program |
| -Personal Emergency Response System |
| -Platelet Rich Plasma - 6 visits / year |
| Other Tier (SSBCI Not required) |
|---|
| Member selects one item from the list below: |
| -Routine Acupuncture - 12 Visits |
| -Routine Chiro - 12 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 |
| Dental - Comprehensive |
| Medicare Covered Only $40 |
| 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.
