SimpliveraCoverage Companion

Select Health SLHP Silver 5000 - no deductible for office visits

SelectHealth, Inc. · 2026 plan year

Silver
Ind. deductible
$4,500
Family deductible
$4,500
Ind. OOP max
$8,100
Family OOP max
$8,100

Other cost-sharing reduction variants for this plan:

87% AV Level Silver Plan94% AV Level Silver PlanLimited Cost Sharing Plan VariationStandard Silver Off Exchange PlanStandard Silver On Exchange PlanZero Cost Sharing Plan Variation

More SelectHealth, Inc. plans in ID

Select Health SLHP Gold 1500 - no deductible for office visitsSelect Health Med Bronze 8000Select Health SLHP Bronze 8000Select Health Med Exp Bronze 5000Select Health SLHP Silver 3000

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$25.00

Specialist

BenefitIn-network
Specialist Visit$40.00

Hospital

BenefitIn-network
Outpatient Surgery Physician/Surgical Services30.00% Coinsurance after deductible
Urgent Care Centers or Facilities$50.00
Inpatient Hospital Services (e.g., Hospital Stay)$850.00 Copay per Day after deductible
Emergency Room Services$400.00 Copay after deductible

Pharmacy

BenefitIn-network
Preferred Brand Drugs$40 Copay after deductible
Specialty Drugs40.00% Coinsurance after deductible
Non-Preferred Brand Drugs$50 Copay after deductible
Generic Drugs$25.00

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$850.00 Copay per Day after deductible
Mental/Behavioral Health Outpatient Services$25.00

Other

BenefitIn-network
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services$30.00
Prenatal and Postnatal Care30.00% Coinsurance after deductible
Prosthetic Devices30.00% Coinsurance after deductible
Radiation30.00% Coinsurance after deductible
Reconstructive Surgery$650.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$50 Copay after deductible
Rehabilitative Speech Therapy$50 Copay after deductible
Routine Eye Exam for Children$50.00
Skilled Nursing Facility$850.00 Copay per Day after deductible
Substance Abuse Disorder Inpatient Services$850.00 Copay per Day after deductible
Substance Abuse Disorder Outpatient Services$25.00
Transplant$650.00 Copay after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$20.00
Inpatient Physician and Surgical Services30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$20.00
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)$25.00
Infusion Therapy30.00% Coinsurance after deductible
Accidental Dental30.00% Coinsurance after deductible
Allergy Testing$50.00
Chemotherapy40.00% Coinsurance after deductible
Chiropractic Care$40.00
Delivery and All Inpatient Services for Maternity Care$850.00 Copay after deductible
Diabetes EducationNo charge
Dialysis30.00% Coinsurance after deductible
Durable Medical Equipment30.00% Coinsurance after deductible
Emergency Transportation/Ambulance$250 Copay after deductible
Eye Glasses for Children30.00% Coinsurance after deductible
Habilitation Services$50.00
Home Health Care Services30.00% Coinsurance after deductible
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)$200.00 Copay after deductible

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