Mainstay Health Plan

Quoting in 2027

Replace your carrier. Build on the care.

A health plan built around Whole Care, for employers with 50 to 500 people. Go through your care team and it’s $0. Go your own way and you’re still covered. First quotes in spring 2027, first plans in July 2027.

One plan, two paths

Every visit, you choose how to get care. Nobody gets punished for choosing.

Coordinated

Through your care team

$0 deductible. $0 copays.

Your care team books it, sends your records ahead and handles the paperwork. The plan pays in full.

Self-directed

See anyone you like

Still covered.

A deductible and coinsurance apply, at fair prices set by reference to Medicare. Everyday visits keep a flat copay, and one out-of-pocket maximum caps the year.

How the two paths work

Who it’s for

Built for companies with 50 to 500 people.

Employers

One known cost.

Fund to a maximum that can never be more, and get back what the year doesn’t spend.

For employers

Your people

A team that knows them.

A doctor, a nurse and a care concierge they can text, and $0 when they go through the team.

What’s inside

Brokers

One census, one quote.

Quotes in 5 to 10 days from a shopped stop-loss panel, and pay that is disclosed up front.

For brokers

The people on your census

Four people, and what the plan does for each.

Planned for 2027. Final terms come with your quote.

The analyst, 31

No doctor in three years.

Wants a text and an answer the same day.

Gets a care team from day one, a first visit, and virtual care at $0, always.

The ops director, 47

Managing her blood pressure, mostly alone.

Wants a doctor who knows her, and no bill for the pills.

Gets a nurse by name, a recheck already on the calendar, and generic medicines at $0 after her first visit and medication review.

The parent of two, 39

Every fever happens at 4pm.

Wants one team for the whole family, and an answer before the ER.

Gets the kids and spouse on the same team, an answer by photo and text, and the ER at $350 only when it’s really the ER.

The partner, 58

A knee that needs a specialist.

Wants the specialist chosen, the approval handled, and no bill.

Gets a trusted DMV orthopedist with an opening, the care team as the approval, and $0 at the place the team books.

Why it only works with Whole Care

The care team is the authorization.

No prior auth to chase.

Your doctor already said yes. The referral, the booking and your records travel together.

Care sent where it’s good.

Your team knows where the care is good and the price is fair, like the imaging center near your office instead of the hospital.

The plan knows which was which.

When care comes through the team, the plan pays in full. The doctor and the plan are one company, so nobody is guessing.

A plan without the care can only pay claims. A doctor without the plan can’t change what anything costs. So we built both.

The timeline

Start with the care now. Switch the plan at your renewal.

  1. Now

    Whole Care on any carrier

    Your people meet their care team this year, beside the plan you already have.

  2. Spring 2027

    First quotes

    Send one census. See your quote in 5 to 10 days.

  3. From July 2027

    Switch the plan

    The care team your people already know becomes the heart of their plan. Nothing to relearn.

Part of Mainstay

Mainstay is one company that is your doctor and your health plan. Whole Care is available today.