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Healthcare Membership — Not Insurance

Healthcare on your own terms. Access changes everything.

Flat $70/month. Real access to a consistent care team. No copays, no deductibles, no employer required. Not insurance — designed to work with or without your existing coverage.

Start MembershipSee what's included
  • $70/month, flat
  • No copays or deductibles
  • No employer required
Vine Health · My Account
S

Sam

Individual account · Just you

Active
Membership

$70/month

Paid by you

Care team

Assigned

Same team every visit

Next visit

Wed · 2:00 PM

Video visit

ACH · Bank •••• 4523Solo household

The problem

You're paying for insurance you can't afford to use.

If you're uninsured, you already know why: coverage is expensive and most of what it “covers” is care you don't use. If you're on a high-deductible plan, you're paying premium every month for coverage that doesn't start paying anything toward a doctor visit until you've spent thousands out of pocket. If you're self-employed, between jobs, or gig-first, you're probably choosing between an ACA plan you can barely afford and going without. If you're on a spouse's plan, the plan may exist but the primary care access it delivers may not — a rotating in-network provider, a short-notice appointment three weeks out, a copay for a doctor who's never seen you before.

Most Americans don't have a primary care relationship. Not because they don't want one — because the system built around insurance made it too expensive, too complicated, and too impersonal to actually build one.

The gatekeeper problem

Insurance has become the gatekeeper for care that costs pennies but is billed as if it were surgery. Take a routine primary care visit. The actual cost of delivering that care is about $60. Insurance bills it as $200. The network negotiates it down to $150. Until your Bronze plan deductible is met, you pay that full $150 yourself. You paid a premium every month for coverage that made the visit more expensive than paying cash — and covered none of it.

The math you don't see

~$27,000

Average annual family premium in 2025, up 6% year over year. Workers pay $6,850 of that out of pocket before a single visit is covered.

Source: KFF 2025 Employer Health Benefits Survey
$7,186

Average Bronze-plan deductible on the 2026 marketplace. What you spend out of pocket before your plan pays for anything beyond preventive services.

Source: KFF 2026 Marketplace Deductibles
1 in 3

Adults who skipped or postponed care they knew they needed in the past twelve months because of cost. Most of what they skipped was primary and preventive.

Source: KFF Health Tracking Poll, May 2025
23.5 days

Average wait for a new-patient family medicine appointment across major U.S. metros. In some cities the wait crosses two months.

Source: AMN Healthcare 2025 Wait Time Survey

The insurance product isn't going to fix this. It's designed for catastrophic events, not everyday care. But you still need everyday care — that's what Vine is for.

The solution

Access to everyday care. On your terms.

Vine, in simple terms, gives you access. A flat $70/month healthcare membership that puts you in a real relationship with a licensed care team. Virtual primary care, an annual wellness lab, roughly 1,000 generic prescriptions at $0, and integrated mental health support. No copays. No deductibles. No claims. No prior authorization. No 800-number call center. No rotating strangers. Just a real care team that knows you, on your schedule.

Vine is not insurance and doesn't pretend to be. It's designed to work with or without your existing coverage. If you're uninsured, Vine gives you the everyday primary care access you've been going without. If you're on a high-deductible or catastrophic plan, Vine handles the visits and prescriptions your insurance makes expensive or hard to reach — you keep the catastrophic plan for the rare event that's actually catastrophic. If you're self-employed or gig-first, Vine works whether you're between clients or year-round on your own.

Price

Flat $70/month. Real access to a consistent care team.

Included

No copays. No deductibles. No claims. No employer required.

Not insurance

Works with or without your existing coverage — layers cleanly with HDHP, catastrophic, or ACA plans.

What you get for $70/month

Everything you need for everyday healthcare

No add-ons, no upsells, no tiered levels. The whole membership, in the flat monthly price.

Virtual primary care

Meet with your care team on your schedule — often same-day or next-day. No travel, no waiting room, no time away from work. Video visits from wherever you are.

Consistent care team

One clinical relationship, every visit. Your care team knows your history, your medications, your concerns. No starting over each time, no rotating strangers.

1,000+ generic prescriptions

Common generic medications for the everyday conditions primary care handles — blood pressure, cholesterol, thyroid, mental health, diabetes — included at $0 to you.

Annual wellness lab included

Comprehensive annual blood work — the tests that actually matter for tracking your baseline health year over year. Included, no separate lab fee.

Mental health support

Depression, anxiety, non-stimulant ADHD, and sleep — managed by the team that knows you. Integrated with primary care, not shipped off to a specialist behind another authorization.

How it works

Three steps. That's it.

No sales calls. No tiered levels. No fine print about what version of Vine you bought.

Step 01

Enroll

Sign up online. No medical underwriting, no waiting period, no separate approval. Confirm your state, agree to the acknowledgments, set up your payment method. Membership starts the day you enroll.

Step 02

Meet your care team

Once enrolled, you're assigned to a licensed care team that becomes your care team. Book your first video visit through the dashboard. Continuity of care starts on day one.

Step 03

Sponsor someone else (optional)

Pay for any adult 18 or older. They get their own account, their own care team, and their own private care record. You sponsor the monthly fee and nothing else.

Layers cleanly

Works alone. Works better together.

Vine is designed to sit inside your health coverage strategy, whatever that looks like.

If you have no insurance right now, Vine covers everyday primary care at a flat monthly cost — the visits, the prescriptions, the wellness labs. If you have a catastrophic plan, a high-deductible plan (HDHP), a catastrophic indemnity plan, or you're part of a health care sharing ministry, Vine handles the everyday layer those don't. You keep your other coverage for the rare catastrophic event; Vine covers everyday primary care.

The distinction to keep clear: Vine is not a replacement for a catastrophic or major-medical plan. If you get hospitalized, Vine doesn't cover it. That's what catastrophic, HDHP, or ACA coverage is designed for. Vine handles everything else — the layer traditional insurance makes expensive or hard to use. Two different tools, two different problems.

Coverage combinations that work well with Vine

Uninsured + Vine

The flat-rate path — primary care access without any insurance product.

Catastrophic or HDHP + Vine

Pay premium for the rare event; use Vine for everything else.

Indemnity plan + Vine

Pair Vine's everyday care with an indemnity plan's fixed-benefit catastrophic protection.

Health care sharing ministry + Vine

Sharing ministries handle catastrophic cost-sharing; Vine handles the everyday primary care most ministries don't.

ACA marketplace plan + Vine

Keep the ACA plan for ACA-required coverage; use Vine for everyday access.

Spouse's plan + Vine

Real primary care of your own, without navigating another network.

Compare

Vine vs. insurance vs. paying cash

The individual choice, side by side. Vine is not a substitute for a catastrophic plan — pair the two.

DimensionTraditional insurancePaying cash at a clinicVine membership
Monthly cost$200–$2,000+$0$70, flat
Deductible before benefits$1,500–$7,500+N/ANone
Cost per visitFull negotiated rate until deductible metFull retailIncluded in $70
Consistent care teamRotating in-network providersWhoever's availableYes — same team every visit
Generic prescriptionsCopays varyFull retail~1,000 included at $0
Mental healthSeparate specialist authorizationFull retailIntegrated with care team
Annual wellness labDeductible often appliesFull retailIncluded
Catastrophic protectionYesNoNo — pair with a catastrophic plan
Vine Health is not insurance. This is a healthcare membership program that does not meet minimum creditable coverage requirements under the Affordable Care Act (ACA).

Who it's for

Built for the person paying attention to what they pay for

Uninsured adults

Going without health coverage — because you can't afford it, because you're between jobs, or because the math didn't work. Vine is the everyday primary care access you've been going without. $70/month, no employer required, no medical underwriting.

Underinsured adults

You have a plan but can't actually afford to use it — high deductible, high copays, narrow network. Vine bridges the gap. Keep your existing plan for the catastrophic events it's designed for. Use Vine for the everyday care that plan makes expensive.

Adults on high-deductible plans

If your deductible is $5,000, $7,500 or higher, insurance is functionally invisible for everyday care. Vine covers the visits, prescriptions, and wellness labs that would otherwise be paid at full network rate.

Self-employed, gig, freelance

If your income is 1099, freelance, or otherwise not employer-benefits-eligible, you're on your own for healthcare. Vine works whether you're between clients or year-round on your own. No employer required.

Between-jobs adults

In transition — laid off, career-changing, or between employers. COBRA is often unaffordable and going without is risky. Vine gives you real primary care access without an employer, with a start date the same day you sign up.

Health care sharing ministry members

Sharing ministries handle catastrophic cost-sharing, but most don't handle everyday primary care visits, prescriptions, or wellness labs. Vine complements your ministry membership by covering the everyday care layer.

Common questions

Frequently asked

Want to see the enrollment and use flow end-to-end? See how Vine works.

Healthcare on your terms. Access changes everything.

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Important: Vine Health is a healthcare membership program and is not health insurance. This program does not meet the minimum creditable coverage requirements under the Affordable Care Act (ACA).

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