The Complete Guide

How it all works

Three phases — choose your plan, sign up, and use your membership. Everything you need to know about Kings Health Plan, from picking the right tier to your first telehealth visit to what happens during a major medical event.

1 Phase One

Choose the plan that fits how you actually use care

Three core plans — Silver (virtual), Gold (in-person), Platinum (both) — plus an optional Plus add-on for emergency and major-event coverage. Click any plan for the full details.

Silver

Virtual-First

Built for households who want fast, convenient care from home.

  • 24/7 virtual urgent care at $0
  • Virtual primary care, mental health
  • 27,000+ included medications
  • Specialty consultations + expert opinions

Gold

In-Person

Routine in-person office visits with clear, predictable amounts.

  • $0 preventive visits & immunizations
  • $25 primary & specialist visits
  • $50 urgent care, labs, X-rays
  • Nationwide MultiPlan PPO network

Platinum

Virtual + In-Person

Combines everything in Silver and Gold into one membership.

  • Everything in Silver and Gold
  • 24/7 virtual + in-person visits
  • Both included meds & tiered formulary
  • ACA Minimum Essential Coverage

+ Plus

Optional Add-On

Add to Gold or Platinum for major-event cost sharing.

  • Emergency room sharing
  • Hospitalization & surgery
  • Ambulance & maternity
  • IUA: $1,250 / $2,500 / $5,000
See the full side-by-side comparison
2 Phase Two

Sign up & get set up

Enrollment takes a few minutes. Benefits start the first day of the next month — no waiting period for pre-existing conditions on routine care. Here’s the full flow.

01

Create your account

Quick signup with email and basic info.

  • Email + password
  • Identity verification
  • HIPAA-compliant intake
02

Add household

Spouse, partner, or kids up to age 26.

  • Up to 5 dependents per plan
  • Add or remove anytime
  • Pricing scales by tier
03

Pick your plan

Silver, Gold, Platinum, optional Plus add-on.

  • Switch tiers at renewal
  • Add Plus to Gold/Platinum
  • Choose IUA at checkout if Plus
04

Pay & activate

Card or ACH. Auto-renew monthly.

  • Billed on the 24th each month
  • 48-hour grace on failed payments
  • Cancel anytime, no fees
When do benefits start?

Routine benefits begin the first day of the month after you enroll — no waiting period for pre-existing conditions on routine care. Plus has a 6-month waiting period for maternity and phased eligibility for pre-existing conditions over the first few membership years.

3 Phase Three

Use your membership, three ways

Care happens through one of three channels depending on your plan: virtual visits from home, in-person office visits, or major medical events handled through the Plus add-on. Each one follows a clear flow.

Path A · Virtual

From your couch

Silver · Platinum
  1. Open the member portal or app on your phone.
  2. Pick the visit type — urgent care, PCP, or mental health.
  3. Connect with a licensed clinician by phone or video (usually within minutes).
  4. Get a treatment plan and Rx if needed — shipped to your door.
Path B · In-Person

At the office

Gold · Platinum
  1. Find a participating provider via the MultiPlan search.
  2. Confirm participation when scheduling your visit.
  3. Show up — pay the simple amount: $0 preventive, $25 office, $50 urgent.
  4. Pick up Rx through the tiered formulary or local pharmacy.
Path C · Major Event

When it's serious

Gold + Plus · Platinum + Plus
  1. For life-threatening events, call 911. Go to any ER.
  2. Submit a sharing request through the member portal.
  3. Pay your IUA first ($1,250, $2,500, or $5,000).
  4. Community shares eligible expenses with no annual or lifetime cap.
Real Scenarios

What this looks like in real life

Quick tour of common situations and which path each one takes — so you know what to expect before you need it.

"I have a sore throat and fever"

Virtual urgent care visit. Silver / Platinum · $0 visit.

"Time for my annual checkup"

In-person preventive visit. Gold / Platinum · $0.

"My kid broke their arm"

ER visit. Requires Plus add-on. IUA applies first.

"I need a maintenance prescription"

Home delivery on Silver / Platinum, or tiered formulary on Gold.

"I'm struggling with anxiety"

Virtual mental health visit. Silver / Platinum.

"I want to lose weight"

Medical weight loss program. Silver / Platinum · included.

Questions People Ask

Common questions, straight answers

Is this insurance?

Silver is a consumer health benefit program — not insurance. Gold and Platinum meet ACA Minimum Essential Coverage (MEC) requirements. The Plus add-on uses a medical cost-sharing model (also not insurance) for major events.

Translation: it’s a membership. Transparent pricing, no surprise bills, no annual enrollment windows.

How fast can I see a clinician?

Virtual urgent care (Silver or Platinum): typically within minutes — 24/7, by phone or video.

Virtual primary care: usually scheduled within a few days. In-person visits (Gold or Platinum): same-day urgent care is widely available; primary and specialist scheduling varies by provider.

When do benefits actually start?

Routine benefits begin the first day of the month after you enroll. There’s no waiting period for pre-existing conditions on routine care.

The Plus add-on has a 6-month waiting period for maternity (conception must occur after 6 months of continuous Plus membership). Pre-existing conditions phase in over the first few years on Plus — see the Plus details page for specifics.

Can I add family members?

Yes — up to 5 dependents per plan. Spouse or domestic partner, plus unmarried children under age 26. You can add or remove dependents anytime. Pricing scales by household size and varies by tier.

If your household needs more than 5 additional members, you can purchase a second plan.

What if I cancel?

Cancel anytime from your member dashboard or by contacting support. Membership remains active through the end of the current paid billing cycle. Cancellation requests must be submitted at least 24 hours before the next billing cycle (the 24th of the month) to avoid the next charge.

Partial-period refunds are not provided. You can re-enroll later, but a gap of more than 30 days means pre-existing conditions on Plus reset to their phase-in period.

How do prescriptions work?

Silver and Platinum: 27,000+ included medications shipped to your home at $0 cost (covered Rx).

Gold and Platinum: tiered formulary at participating pharmacies — Tier 1 $15, Tier 2 $30, Tier 3 $50, Tier 4 $75.

Platinum gives you access to both. Check the included medications list to see what’s covered.

Do I need Plus?

Plus is optional — it adds cost sharing for emergency room visits, hospitalization, surgery, ambulance, and maternity. If you want protection against major medical events, add Plus to your Gold or Platinum membership. Plus is not available on Silver alone.

You pick an IUA deductible level ($1,250, $2,500, or $5,000) at checkout. Full Plus details here.

Is this available in my state?

Yes — available in all 50 U.S. states. Some virtual services and medication shipping may have state-specific rules. Plus has limited availability in Washington State due to state law (WA 284-43-8210).

You know how it works. Ready?

Enrollment takes a few minutes. Benefits start the first day of next month. No waiting period on routine care.

Still have questions?

Our team can walk you through pick-the-right-plan, enrollment, family coverage, or Plus deductibles.