PEAK PPO SILVER

Mountain Health CO-OP · 2026 plan year

Silver

Ind. deductible: $700
Family deductible: $700
Ind. OOP max: $2,500
Family OOP max: $2,500

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 94% 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 Mountain Health CO-OP plans in ID

ACCESS GOLD LINK BRONZE HDHP LINK CATASTROPHIC ACCESS SILVER ACCESS BRONZE

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Primary Care Visit to Treat an Injury or Illness	$30.00
Preventive Care/Screening/Immunization	No charge

Specialist

Benefit	In-network
Specialist Visit	$40.00

Hospital

Benefit	In-network
Urgent Care Centers or Facilities	$60.00
Outpatient Surgery Physician/Surgical Services	30.00% Coinsurance after deductible
Emergency Room Services	40.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	30.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Specialty Drugs	$250.00
Preferred Brand Drugs	$35.00
Generic Drugs	$5.00
Non-Preferred Brand Drugs	$220.00

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$30.00

Other

Benefit	In-network
Reconstructive Surgery	30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$40.00
Rehabilitative Speech Therapy	$50.00
Routine Eye Exam for Children	No charge
Skilled Nursing Facility	30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$30.00
Transplant	30.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	40.00% Coinsurance after deductible
Prosthetic Devices	30.00% Coinsurance after deductible
Radiation	30.00% Coinsurance after deductible
Nutritional Counseling	30.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	$30.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	30.00% Coinsurance after deductible
Outpatient Rehabilitation Services	30.00% Coinsurance after deductible
Prenatal and Postnatal Care	30.00% Coinsurance after deductible
Accidental Dental	30.00% Coinsurance after deductible
Allergy Testing	30.00% Coinsurance after deductible
Chemotherapy	30.00% Coinsurance after deductible
Chiropractic Care	$40.00
Delivery and All Inpatient Services for Maternity Care	30.00% Coinsurance after deductible
Diabetes Education	30.00% Coinsurance after deductible
Dialysis	30.00% Coinsurance after deductible
Durable Medical Equipment	30.00% Coinsurance after deductible
Emergency Transportation/Ambulance	40.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	30.00% Coinsurance after deductible
Home Health Care Services	30.00% Coinsurance after deductible
Hospice Services	30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	40.00% Coinsurance after deductible
Infusion Therapy	30.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	40.00% Coinsurance after deductible

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