Health Plans, Made Simple.
Choosing a health plan can be confusing. We make it simple. This guide explains our different plan suites: Complete, Elite, Standard, and Catastrophic, to help you find the best fit for your health and budget.
Included in Every Plan
No matter which plan you choose, you can count on these core benefits. We make sure you have the coverage you need to stay healthy and get care when you need it.
Complete Health Coverage
All plans cover the 10 essential health benefits, including doctor visits, hospital care, prescriptions, mental health services, and maternity care.
Mental & Behavioral Health Support
Your mental well-being is important. All our plans include coverage for mental health and substance use services.
$0 Preventive Care*
Stay on top of your health with key preventive services at no cost to you, like annual check-ups, flu shots, and important health screenings.
Network of Quality Providers
Access our strong network of trusted doctors, hospitals, and specialists, so you can be confident in the quality of your care.
A Member Support Team That Cares
Have questions about your plan or benefits? Our friendly Member Services team helps you navigate your healthcare journey.
These benefits are core to our mission of making great healthcare simple and accessible. Learn more about why people choose Antidote Health.
Our Plans At a Glance
Three suites, Complete, Elite, and Standard, come in Bronze, Silver, and Gold levels. The metal level changes how you and your plan share costs.
Complete
Most Popular Plan
$0 unlimited virtual visits**
Four $0 PCP visits/plan year***
$0 CoreRx drug list (medications $0 when prescribed by an Antidote virtual provider****)
Discounted PCP & specialist copays when referred by an Antidote virtual provider^
Elite
Richest Plan
$0 unlimited virtual visits**
Four $0 PCP visits/plan year***
$0 AdvancedRx drug list (CoreRx + extra $0 drugs, regardless of prescriber****)
$0 labs referred by Antidote virtual providers^^
Copays for physical therapy, occupational therapy and speech therapy instead of applying to your deductible
Discounted PCP & specialist copays when referred by an Antidote virtual provider^
Standard
Government-Compliant Plan
Same low copay to see Antidote virtual providers and in-network providers, regardless of provider Tier
Standardized benefits make it easy to compare across insurers
Predictable costs across services
Catastrophic
Low-premium Safety Net
Low monthly premium with a high deductible
Three $0 PCP visits per plan year, including Antidote virtual provider visits^^
Protection from major, unexpected medical bills
Ready to shop?
See how much you can save with an Antidote health insurance plan. It's quick and simple to get a quote for our health plan. If you have additional questions, you can call our Sales line.
What Are Metal Levels?
Bronze Plans
A Bronze plan pays for about 60% of your care. The monthly cost is low, but you pay more when you see a doctor. This is a good choice if you don't expect to need much medical care.
Silver Plans
A Silver plan pays for about 70% of your care. The monthly premium cost is in the middle. This is a good choice if you qualify for 'extra savings' (also called Cost-Sharing Reductions), which can lower your deductible, copayments, and coinsurance.
Gold Plans
A Gold plan pays for about 80% of your care. The monthly cost is higher, but you pay much less when you get care. This could be a good choice if you use medical services more often.
Who qualifies for a Catastrophic plan?
Historically, anyone under the age of 30 could purchase a Catastrophic plan without any additional documentation.
Good news for 2026. Eligibility has been expanded. Now, individuals over 30 who are not eligible for financial assistance (like premium tax credits) because their income is below 100% or above 400% of the Federal Poverty Level may qualify for a hardship exemption to enroll in a Catastrophic plan. This change provides a more affordable coverage option for those who might otherwise find health insurance to be out of reach.
Ready to find your plan?
Enter your zip code and answer a few questions to see which Antidote Health plans are available where you live and get a free, instant quote.
Want to learn more first?
Check out our network, see which medications are covered or find out why members choose Antidote Health.
* $0 cost applies to eligible in-network preventive services. Some services may not be covered. Refer to plan documents for full coverage details.
** $0 virtual care benefit applies only to virtual visits with an Antidote Health clinician for Complete and Elite plans. Antidote's clinicians are available in select states. If you are traveling outside your plan's service area and have not previously established care, please contact Member Services to confirm virtual care availability. Prescriptions, visits, and services may be limited at the clinician's discretion in accordance with state law or under plan terms.
*** $0 copay applies to designated Tier-1 primary care providers, up to 4 visits/plan year. Refer to the Antidote Provider Directory to confirm Tier-1 designation.
**** $0 copay applies to all medications on the $0 Core Rx Drug List when prescribed by an Antidote Health clinician, and to all medications on the $0 Advanced Rx Drug List regardless of the prescribing clinician. Refer to the applicable drug list for the most current information and pricing.
^ $0 copay applies to Tier-1 primary care provider (PCP) visits, up to 4 visits/plan year. When referred by an Antidote Health clinician, PCP visits are $0 regardless of Tier designation. Without a referral, the standard PCP copay applies. Referrals maybe limited when the requested service can be provided directly by an Antidote clinician or when a referral is not considered medically necessary. Members may choose to self-refer; however, doing so will result in the Tier-1 or Tier-2 copay applying. Specialist referrals are discounted based on Tier designation .See plan details for more information.
^^ $0 lab copay applies to Antidote Elite plans. Refer to plan documents for full details and limitations.
