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indipop Prime VPC
Navigating the healthcare system doesn’t have to be a headache. All indipop plans include a level of service that most of our members have never known possible before indipop.
Why people love the Prime VPC:
- Dedicated virtual primary, specialist providers and mental health
- In-person urgent care
- Sharing for maternity needs in the first year*
- Access to additional wellness services!
Things to consider:
- 36-month look back period
- 6-month waiting period for preventive screenings.
*Not available in WA, VT, ND, PA, NM, CA, MD, MT and FL
What's Included?
Preventive Care
Age appropriate screenings are available after 6 months of continuous membership and reimbursed based on guideline allowance.
Preventive care labs $0
Access to virtual primary care that allows for your annual wellness.
Virtual Care
- $0 Copay
- Select & keep the same doctor
- U.S.-Based Licensed Physicians
- Unlimited use
Primary Care
Unlimited Virtual Primary care visits are available for $0, choose and keep the same provider.
To see a primary care provider in person simply ask for the “self-pay” or “cash pay” rate to take advantage of the discounted rate, or use the Savvos cash pay marketplace to locate low-cost providers and services near you. If the need becomes larger, your payment will apply to your chosen IUA.
Specialists
Virtual specialists are available
5,100+ highly-trained specialists from 50+ leading hospitals
To see a specialist in person simply ask for the “self-pay” or “cash pay” rate to take advantage of the discounted rate, or use the Savvos cash pay marketplace to locate low-cost providers and services near you. If the need becomes larger, your payment will apply to your chosen IUA.
Virtual Mental Health
- $0 Copay – Includes marriage, addiction, bullying, depression and anxiety, trauma, PTSD, and more
- 24/7, 365 days a year
- U.S.-Based Licensed Physicians
- Unlimited use
Imaging and Labs
Labs
$0 fee on most basic lab services through QuestSelectTM with no annual cap for use, including a complete metabolic panel, complete blood count, and a lipid panel.
Additional labs available at a discount fee.
Imaging
ask for the “self-pay” or “cash pay” rate to take advantage of the discounted rate, or use the Savvos cash pay marketplace to locate low-cost providers and services near you. If the need becomes larger, your payment will apply to your chosen IUA.
E.R./Urgent Care
Urgent Care
3-6 urgent care appointments are available per year per household with no copay – based on household size
Members must initiate care by calling in before scheduling.
Emergency Room
Capped at the chosen IUA for expenses related to a single eligible medical need.
High Cost Medical
Expenses related to eligible medical needs are capped at your chosen IUA (initial unshareable amount) or member responsibility.
You are responsible for no more than 3 in a 12 month period per membership. Choose between a $500, $1000, $1500, $2500 or $5000 IUA.
Example: If you choose the $1,000 IUA and you break your leg and need surgery, medical expenses total $10,000. Your cost for this medical need is capped at $1,000 – including follow-up care, provider visits, and physical therapy, if necessary.
TIP: If you select the $5,000 IUA, you may be saving monthly, but if your family has 3 major medical needs in a year, you could be responsible for $15,000 ($5000 X 3) out of pocket.
RX
- $0 PRESCRIPTIONS
Common medications are included for $0. Highly discounted rates for other medications. - LARGE FORMULARY
Find over 800 generic acute and maintenance medications. - MAIL ORDER
Get your Rx refills mailed directly to you.
Dental and Vision Discount
Save 20-50% on most dental procedures including braces and retainers for children and adults
Members can save 5-30% off the retail price of eye exams, eye glasses, contact lenses, and LASIK from participating providers.
Chiropractic and Gym Discount
Save 25% on services from specialty healthcare providers and access over 16,000 participating fitness centers for as low as $25 a month each. With additional discounts on chiropractic and other health services, achieving your wellness goals has never been more affordable.
Discount Marketplace Savings
Savings of up to $4,900 per year With great deals across travel, entertainment, and car insurance.
Maternity
Maternity Specific Initial Unshareable Amount applies:
2x the Member’s selected IUA up to a maximum of $5,000.
Newborn Members must be added to a household no later than 30 days after birth to be eligible for shared funds.
*Existing pregnancy will be treated as a pre-existing condition
Pre-Membership
This membership limits sharing for pre-membership conditions.
The existence of a pre-membership condition does not prevent participation in the membership and is not intended to deny care. If you or someone in your membership has a pre-membership condition, sharing for that condition will not be shareable in the first year of membership.
Thereafter, sharing for pre-membership conditions for which symptoms and/or treatment existed within 36 months prior to membership.
Year 1: No cost sharing for the condition
Year 2: A $25,000 sharing limit for condition
Year 3: A $50,000 sharing limit for condition
Year 4: Condition eligible for full sharing
A pre-membership medical condition is any illness or injury for which a person has been:
- Examined
- Diagnosed
- Taken medication
- Had symptoms or,
- Has a personal history of or known increased risk of conditions that may arise or worsen in pregnancy or
- Received medical treatment within the 36 months prior to their membership start date.
Exclusions: Back pain, genetic defects, high blood pressure, diabetes not requiring insulin and heart conditions are not considered pre-membership medical conditions as long as the member has not been hospitalized for the condition in the 36 months prior to joining, the member is able to control the condition through medication or diet and exercise, and a written verification signed by both the Member and the Member’s treating physician must be submitted to substantiate that there have been no signs or symptoms of the condition, no treatment needed, no medication recommended or taken, and no suspicion by the patient or doctors that the condition was resurfacing for at least 36 months prior to membership Start Date.
If you think you have a premembership condition, reach out to a member of our team to discuss the applicability of this provision.
indipop Prime VPC Rates
Your Initial Unshareable Amount (IUA) is the upfront amount you’re responsible for when a high cost medical need arises. Unlike a deductible, it’s not tied to the calendar year—instead, it applies per incident and caps your cost for major medical events.
Routine services are available without needing to meet your IUA first. Once your IUA is met (up to three times per year), there’s no additional coinsurance—the community shares the rest.
Important: Always review pre-membership medical condition guidelines before enrolling.
Routine services are available without needing to meet your IUA first. Once your IUA is met (up to three times per year), there’s no additional coinsurance—the community shares the rest.
Important: Always review pre-membership medical condition guidelines before enrolling.
Select the IUA (cap on high-cost medical expenses)
Similar Options
Similar Options
indipop Prime VPC FAQ
An IUA, or initial unshareable amount, is your member responsibility for expenses related to a single eligible Medical Need. Designed to avoid costly surprise medical bills, IUAs function as caps on your out of pocket costs for eligible medical needs. You are responsible for a maximum of 3 IUA’s in a 12 month period. For many of our memberships, you have the freedom to select your IUA.
No. These month to month memberships and plans offer an alternative approach to paying for and accessing healthcare. Each membership included in our marketplace was carefully selected to meet indipop’s strict criteria. Registration for Group Plans and Individual or Family memberships is available year round – some with a same day effective date. Simply structured to provide set, transparent pricing and designed to avoid surprise medical bills – see if you are a good fit for one of our memberships.
Why choose indipop
All of our memberships feature:
- Large or open nationwide networks
- Set, transparent pricing
- No lifetime or annual caps
- Open enrollment all year long
- Portability in all 49 states and when traveling abroad
- Concierge service and medical advocates
Yes, this membership uses their own network of DPC's to bring you the lowest cost for in person and virtual visits. Unlike traditional HMO or PPO plans, this membership utilizes a care coordination team to help you manage your care effectively, keeping medical bills low.
Need help finding a doctor? Our concierge service can connect you with a provider near you.
Add these supplements to any plan
indipop dental and vision
Vision, dental and prescription discounts
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