
Vault Silver
PHCS / Multiplan Network
Vault Silver is a guaranteed-issue plan with no health questions required and no waiting period, making it easy to enroll right away regardless of your health history. It offers low copays for everyday doctor visits and access to a broad PHCS/Multiplan network. It's a good fit for individuals who want predictable costs for routine care and need coverage they can count on starting immediately.
Monthly premiums
- member_only
- $887.96/mo
- child
- $1,067.63/mo
- spouse
- $1,158.04/mo
- family
- $1,536.90/mo
Vault Silver has no deductible, meaning your benefits kick in from your very first covered service — no need to meet a spending threshold before the plan starts helping. You'll pay just $15 for primary care visits and $25 for specialist visits, with up to 10 combined doctor visits covered per year. Urgent care is available for a $35 copay with up to 3 visits per year, and the plan includes telemedicine at no consult fee so you can get care quickly without leaving home. Preventive care and screenings are covered at no charge, as required under the Affordable Care Act. For more serious medical needs, the plan covers up to 7 days of inpatient hospitalization and up to 3 inpatient or 2 outpatient surgeries per year, with 50% coinsurance applying to those services. Emergency room care is covered once per year at 50% coinsurance. Prescription drugs are tiered, with preventive generic medications available at no cost, and other tiers ranging from $15 or less up through higher tiers depending on the drug. There is a monthly prescription benefit maximum of $250 for individuals. This plan is guaranteed issue — no health questions are asked and there is no waiting period, so you can enroll and gain coverage right away. It uses the PHCS/Multiplan network, one of the largest in the country, giving you access to a wide range of doctors and facilities. Out-of-network services are generally not covered, so it's important to confirm your providers are in-network before scheduling care. Vault Silver is best suited for individuals who want low, predictable out-of-pocket costs for routine visits and need immediate coverage without going through medical underwriting. However, keep in mind that annual limits apply to most service categories, and the 50% coinsurance on hospital stays and surgeries means costs could be significant for major medical events. This plan is a strong choice for relatively healthy individuals who primarily need coverage for everyday care, prescriptions, and occasional urgent situations.
Plan details
- Deductible (Individual)
- $0
- Deductible (Family)
- $0
- Coinsurance (In-Network)
- 50%
- Primary Care Copay
- $15
- Specialist Copay
- $25
- Urgent Care Copay
- $35
Benefits
Deductible
$0 / $0
Copay
$15 / $25 / $35
PCP / Specialist / Urgent Care
Coinsurance
50% after deductible
Doctor Visits
10 combined/yr
PCP + Specialist + MH outpatient
Rx Coverage
$0 / ≤$15 / ≤$30 / ≤$40
T1 Preventive / T2 Generic / T3 Preferred / T4 Non-Preferred
Hospitalization
7 days/yr
Surgeries
3 inpatient / 2 outpatient per yr
ER
1 visit/yr
Copay included in hospitalization
Urgent Care
3 visits/yr
Plan documents
Available in
- AK
- AL
- AR
- AZ
- CA
- CO
- CT
- DC
- DE
- FL
- GA
- HI
- IA
- ID
- IL
- IN
- KS
- KY
- LA
- MA
- MD
- ME
- MI
- MN
- MO
- MS
- MT
- NC
- ND
- NE
- NH
- NJ
- NM
- NV
- NY
- OH
- OK
- OR
- PA
- RI
- SC
- SD
- TN
- TX
- UT
- VA
- VT
- WI
- WV
- WY
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