SimpliveraCoverage Companion

Select Health SAHA Silver 5000 - no deductible for office visits

SelectHealth, Inc. · 2026 plan year

Silver
Ind. deductible
$1,500
Family deductible
$1,500
Ind. OOP max
$3,250
Family OOP max
$3,250

Other cost-sharing reduction variants for this plan:

73% 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$15.00

Specialist

BenefitIn-network
Specialist Visit$35.00

Hospital

BenefitIn-network
Inpatient Hospital Services (e.g., Hospital Stay)$500 Copay per Day after deductible
Emergency Room Services$350.00 Copay after deductible
Outpatient Surgery Physician/Surgical Services30.00% Coinsurance after deductible
Urgent Care Centers or Facilities$40.00

Pharmacy

BenefitIn-network
Non-Preferred Brand Drugs$50 Copay after deductible
Generic Drugs$10.00
Preferred Brand Drugs$30.00 Copay after deductible
Specialty Drugs40.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$500 Copay per Day after deductible
Mental/Behavioral Health Outpatient Services$15.00

Other

BenefitIn-network
Inpatient Physician and Surgical Services30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$10.00
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)$15.00
Accidental Dental30.00% Coinsurance after deductible
Allergy Testing$30.00
Chemotherapy40.00% Coinsurance after deductible
Chiropractic Care$10.00
Delivery and All Inpatient Services for Maternity Care$500.00 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$30.00
Home Health Care Services30.00% Coinsurance after deductible
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)$150 Copay after deductible
Infusion Therapy30.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services$20.00
Prenatal and Postnatal Care30.00% Coinsurance after deductible
Prosthetic Devices30.00% Coinsurance after deductible
Radiation30.00% Coinsurance after deductible
Reconstructive Surgery$500.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$30.00 Copay after deductible
Rehabilitative Speech Therapy$30.00 Copay after deductible
Routine Eye Exam for Children$35.00
Skilled Nursing Facility$500 Copay per Day after deductible
Substance Abuse Disorder Inpatient Services$500 Copay per Day after deductible
Substance Abuse Disorder Outpatient Services$15.00
Transplant$500.00 Copay after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$10.00

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