St Luke's Health Plan Silver

St. Luke's Health Plan, Inc. · 2026 plan year

Silver

Ind. deductible: $250
Family deductible: $250
Ind. OOP max: $1,100
Family OOP max: $1,100

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan Limited Cost Sharing Plan Variation Standard Silver Off Exchange Plan Standard Silver On Exchange Plan Zero Cost Sharing Plan Variation

More St. Luke's Health Plan, Inc. plans in ID

St Luke's Health Plan Expanded Bronze HDHP St Luke's Health Plan Expanded Bronze St Luke's Health Plan Gold

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Primary Care Visit to Treat an Injury or Illness	No charge
Preventive Care/Screening/Immunization	No charge

Specialist

Benefit	In-network
Specialist Visit	$25.00

Hospital

Benefit	In-network
Urgent Care Centers or Facilities	$25.00
Outpatient Surgery Physician/Surgical Services	10.00% Coinsurance after deductible
Emergency Room Services	10.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	10.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Specialty Drugs	20.00% Coinsurance after deductible
Preferred Brand Drugs	15.00% Coinsurance after deductible
Generic Drugs	No charge
Non-Preferred Brand Drugs	30.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	10.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	No charge

Other

Benefit	In-network
Prosthetic Devices	10.00% Coinsurance after deductible
Radiation	10.00% Coinsurance after deductible
Reconstructive Surgery	10.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$25.00
Rehabilitative Speech Therapy	$25.00
Routine Eye Exam for Children	No charge
Skilled Nursing Facility	10.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	10.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	No charge
Transplant	10.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	$30.00
Prenatal and Postnatal Care	No charge
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	10.00% Coinsurance after deductible
Accidental Dental	10.00% Coinsurance after deductible
Allergy Testing	$30.00
Chemotherapy	10.00% Coinsurance after deductible
Chiropractic Care	$40.00
Delivery and All Inpatient Services for Maternity Care	10.00% Coinsurance after deductible
Diabetes Education	No charge
Dialysis	10.00% Coinsurance after deductible
Durable Medical Equipment	10.00% Coinsurance after deductible
Emergency Transportation/Ambulance	10.00% Coinsurance after deductible
Eye Glasses for Children	10.00% Coinsurance after deductible
Habilitation Services	$25.00
Hearing Aids	10.00% Coinsurance after deductible
Home Health Care Services	10.00% Coinsurance after deductible
Hospice Services	No charge
Imaging (CT/PET Scans, MRIs)	10.00% Coinsurance after deductible
Infusion Therapy	10.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	10.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	$30.00
Nutritional Counseling	No charge
Other Practitioner Office Visit (Nurse, Physician Assistant)	No charge
Outpatient Rehabilitation Services	$25.00

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