Individual and Family Plans

Why Premier HealthOne?

Premier HealthOne is your local health insurance option, led by doctors you’ve come to know and trust. Your care and insurance carrier will work together in the same network, meaning a better care experience for you. With health insurance led by local physicians, you can feel confident that your care and treatment is based on helping you live your best life.

Population Health

Premier HealthOne wants to build healthier communities with preventive care – by helping patients improve their health so they won’t get sick. Our emphasis is on quality of care, improving overall health in our community, one patient at a time.

Our value-based approach gives you access to the support and treatment you need while enhancing the efficiency of your care and keeping medical costs down. At Premier HealthOne, our focus is on supporting your wellness in addition to providing care when you’re ill.

Learn more about the advantages of Premier HealthOne, from affordable cost-sharing to preventive care and clinical programs, we have coverage plans that are right for you. Premier HealthOne gives you access to a large network of skilled physicians and care givers across nine Southwest Ohio counties. We provide online resources and health education to help you achieve and maintain your wellness. Our individual and family plans give you access to emergency care when you need it, and prescription brand-name and generic drugs at no additional premium cost. Enrolling in a Premier HealthOne plan is easy and takes just a few simple steps.

We build healthier communities with preventive care – by helping patients improve their health so they won’t get sick. At Premier HealthOne, our focus is on supporting your wellness in addition to providing care when you’re ill.

Advantages of Premier HealthOne

Premier HealthOne offers a wide range of benefits in comprehensive health plans to fit your budget. Our network of more than 2,800 leading physicians and 1,300 locations means more accessible care and choice for you and your family. With Premier HealthOne, you have access to the five hospitals in our network — Atrium Medical Center, Good Samaritan Hospital, Miami Valley Hospital, Miami Valley Hospital South, and Upper Valley Medical Center  — and more than 100 locations across nine counties in Southwest Ohio. With Premier HealthOne, you have the following benefits:

  • No referrals required
  • Copays for primary care and specialist visits before reaching your deductible
  • In-network and out-of-network urgent care coverage
  • Preventive care services at no additional charge
  • Maternity care coverage
  • Wellness programs and services, including a portal to help you meet your health and fitness goals
  • 24/7 Nurse Line
  • Prescription drug coverage

Your Premier HealthOne plan comes with deductibles and copays that fit your budget. We offer an affordable range of costs:

  Individual Family
Deductible From $1,500 to $6,850 From $3,000 to $13,700
Out-of-pocket From $5,500 to $6,850 From $11,000 to $13,700
Coinsurance From 0% to 40% From 0% to 40%

Premier HealthOne plans gives you access to emergency and urgent care whenever you need it, and prescription drug coverage for thousands of brand-name and generic medications at no additional premium cost. We offer a 24-hour, seven-day per week Nurse Line to answer your health questions, and access to nationwide pharmacies including CVS, Kroger, Rite Aid, Sam’s Club, Target, and Wal-Mart.

When you choose Premier HealthOne, you get affordable coverage and access to high-quality care at convenient locations. Find a provider in your area.

Clinical Programs

Premier HealthOne takes a team approach to your care with a commitment to offering personal attention to help you achieve and maintain good health. We offer clinical programs with your wellness in mind, partnering you with caring professionals who are dedicated to guiding you along your health care journey. We offer the following clinical programs to help you live your best life:

  • Complex Care Program - Your care team of doctors, nurses, care advisors, dietitians, pharmacists, and social workers provide supplemental care if you have one or multiple chronic illnesses. This includes your Personal Approach to Health (PATH), in which your care advisor, a registered nurse, will work with you and your physician to guide you through your care plan. The program supports your independence and wellness with a goal of reducing your hospital visits and medical interventions. You will be offered health and self-management education to help you understand and regulate your diagnosis. The program is available to you at no additional cost.
  • Transition Care Program - Your care team helps you make a safe and comfortable transition from the hospital to your home, reducing your risk of readmission. Your coordinated care may include home visits, follow-up appointments, and utilization of local resources. The program is available to you at no additional cost.
  • Emergent Care Program - Your care advisor and other health care professionals assess your needs and put you in touch with the appropriate providers to oversee your treatment so you don’t have to make unnecessary trips to the emergency room.
  • Condition Care Program - This program supplies you with the necessary education and support you need when you are being treated for a specific chronic medical condition such as asthma, diabetes, or heart failure. Part of the focus is on helping you learn things that you can do yourself to manage your condition. This program is available to you at no additional cost.
  • Catastrophic Care Program - This program supports a patient and his or her caregivers in the event of a substantial, potentially life-changing health condition. This program is available to you at no additional cost.

At Premier HealthOne, our focus is on helping to keep you healthy as well as caring for you when you’re ill.

Members and caregivers may self-refer to any of our Care Advising programs by calling the toll-free Care Advising Line at (855) 859-1734(855) 859-1734 or TTY (855) 250-5604(855) 250-5604, press option 1.

The Primary Care Physician can also refer the patient for one or more Care Advising programs by calling (937) 499-7441(937) 499-7441.

Premier Healthy Living

When you sign up for a Premier HealthOne plan, you can take advantage of Premier Healthy Living, your own online interactive health website. Your site includes health education and tools to track your healthy activities and information to maintain and support your wellness. With Premier Healthy Living, you have access to:

  • MyActivity Tracker – Log your fitness and activity routine and track progress
  • MyCommunity – Find discounts to local gym memberships, fitness classes, community activities, dance classes, and massage services.
  • Online Assessments – Complete assessments and find personalized resources to meet your health goals.
  • WebMD OnLine Stress Reduction Coaching – Browse professional information on WebMD, one of the most trusted online names in health and wellness.

At Premier HealthOne, we are committed to putting you in touch with the health education and tools to help you live your best life.

How to Enroll

With Premier HealthOne, you have access to an online shopping tool which makes it easy to search for health care coverage and buy your plan online. The tool allows you to compare benefits and prices and purchase your plan.