Solutions → Plan Navigator

Plan Navigator

Hundreds of plans. One right answer for each employee.

Plan Navigator evaluates every available plan against each employee's expected care, provider relationships, financial priorities, and local network depth — surfacing the best-fit plan, not just the cheapest one.

Built for: Employers  ·  Brokers  ·  Insurance Carriers  ·  TPAs  ·  Enrollment Platforms

121plans
InsurerPlan TypeQualityNetwork
$300$600$900$1.2kBronzeSilverGoldPlatinum

Everyday Silver

$612/mo premium

~$9,344/yr (incl. est. OOP)

★ Best match

The Problem

A handful of group options becomes hundreds of individual-market plans.

As employers move to ICHRA, employees lose the short, curated list they used to choose from. Overnight, they're shopping a marketplace, and "which plan is best for me?" gets a lot harder to answer.

3–4 group plans

Curated. Familiar.

100s of plans

Overwhelming. Easy to choose wrong.

How it works

The more context, the smarter the recommendation.

Plan Navigator builds a complete member profile before making any recommendation.

1

Members share what they expect

In plain language: the care they anticipate, their doctors, medications, hospitals, concerns, and what they can spend.

2

It builds an editable care forecast

A transparent forecast of expected usage they can review and adjust before a single plan is compared.

3

It simulates total annual cost

That forecast runs against every plan's deductibles, copays, and coinsurance so total annual cost is comparable across plans, alongside network fit.

4

It explains the recommendation

Plain-language reasoning with a confidence level on each result so members can self-serve and support staff can give faster, better-grounded answers.

What members share

Demographics
Doctors & hospitals
Medications
Health conditions
Anticipated health needs
Financial priorities

What's Different

Network depth varies by specialty, hospital, and location.

The biggest network isn't biggest for everything. Network depth changes by specialty, by hospital, and by where the member actually lives.

Specialty depth within 25 mi

Each row is scaled to its own deepest network; the right column names the leader.

6 of 35 specialties

Family Medicine

Carrier C

Internal Medicine

Carrier E

Pediatrics

Carrier D

Psychiatry

Carrier C

Orthopedics

Carrier B

Cardiology

Carrier C

Carrier labels are anonymized for illustration; the chart reflects real specialty-depth variation.

The Recommendation

Not a list of plans. A complete picture of every option, with a clear recommendation.

Plan Navigator doesn't just rank plans — it shows the full plan landscape, explains its reasoning, and actively flags when a lower-premium option carries hidden costs.

All plans in your area121 plans evaluated · filtered to your profile
All PlansNetwork Fit
$1,050$700$350$0
BronzeSilverGoldPlatinum
#1
Strong fit
Poor fit
Your recommendation
1Recommended plan

Carrier A Silver Advantage PPO

Silver · PPO · Carrier A

HSA Eligible

Monthly premium

$350

Annual premium

$4,200

Est. OOP

$1,840

Total annual

$6,040

Estimated out-of-pocket breakdown

Deductible$1,050
Copays$790

Network fit

Strong fit

Why we recommend this: Your preferred providers are in-network, your medications are covered at Tier 1, and this plan is a strong fit for your expected care by specialty and location. Given your anticipated specialist visits, the lower coinsurance rate saves you significantly vs. cheaper Bronze options with poorer fit for this profile.
2Next best option

Carrier B Bronze Essential

Bronze · HMO · Carrier B

Lower premium

Monthly premium

$271

Annual premium

$3,252

Est. OOP

$3,100

Total annual

$6,352

Estimated out-of-pocket breakdown

Deductible$2,100
Copays$1,000

Network fit

Poor fit

This plan costs $948 less in annual premium than the top recommendation, but carries $1,260 more in estimated out-of-pocket costs given your health profile, and poorer network fit for your expected care. Total annual cost is $312 higher than the top recommendation.

Carrier and plan names are anonymized for illustration.

Why It Matters To You

Better employee decisions make ICHRA transitions stick.

01

Makes hundreds of choices feel like one clear decision

Plan Navigator distills every available plan into a personalized recommendation, with individual guidance that goes far deeper than any marketplace comparison tool.

02

Catches the network trap before it costs them

Cheaper plans often carry narrower networks, a tradeoff most members never see until they need care. Plan Navigator measures network depth and surfaces it as part of every recommendation.

03

Turns ICHRA from a transition into a long-term strategy

Employees who choose the right plan stay satisfied. Poor plan selection in year one creates noise that undermines the whole model. Plan Navigator makes the first year work and every year after easier.

How It Fits Your Workflow

Flexible enough to work the way you do.

Standalone

Deploy directly to employees

Ideal for brokers and employers who want to offer guided plan selection as part of their ICHRA rollout without a full platform integration.

Embedded via API

Integrate into your existing platform

For enrollment platforms, carriers, and TPAs, embed Plan Navigator's decision engine directly into your existing enrollment experience.

White-label

Your brand, our intelligence

Deploy Plan Navigator under your own brand — giving clients a premium guided experience without building the engine yourself.

Broker-assisted

Run it alongside your clients

Walk employees through Plan Navigator together during enrollment sessions — turning a complex individual decision into a guided, confident conversation.

Paired with

ICHRA Model

ICHRA Model helps employers decide. Plan Navigator guides employees through what comes next.

ICHRA Model helps brokers answer whether an employer should make the switch. Plan Navigator picks up where that conversation ends — giving every employee the personalized guidance they need to choose the right plan.

See Plan Navigator in action.

Watch how Plan Navigator turns an overwhelming individual market into a clear, confident decision for every employee.

Interested in embedding Plan Navigator into your platform? Let's talk about API access and white-label options.