Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.
Select Health Monument Value Silver $1800 Medical Deductible
SelectHealth, Inc. · 2027 plan year
Silver
- Ind. medical deductible
- $1,800
- Rx deductible (separate)
- $2,400
- Family deductible
- $3,600
- Ind. OOP max
- $11,000
- Family OOP max
- $22,000
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Other cost-sharing reduction variants for this plan:
More SelectHealth, Inc. plans in CO
Select Health Value Colorado Option Bronze HSA EligibleSelect Health Monument Value Colorado Option Bronze HSA EligibleSelect Health Value Bronze $6900 Medical Deductible HSA EligibleSelect Health Monument Value Bronze $6900 Medical Deductible HSA EligibleSelect Health Value Bronze $8500 Medical Deductible HSA Eligible
Monthly premiums by age
Rating Area 5 — the lowest-priced of the 2 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $403 | $403 |
| 21 | $526 | $526 |
| 30 | $597 | $597 |
| 40 | $672 | $720 |
| 50 | $940 | $1,034 |
| 60 | $1,428 | $1,642 |
| 64 and over | $1,579 | $1,815 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $35.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $85.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $1,800.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $3150.00 Copay per Day after deductible |
| Outpatient Surgery Physician/Surgical Services | 50.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $45.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $15.00 |
| Medical Service Drugs | 50.00% Coinsurance after deductible |
| Non-Preferred Brand Drugs | 50.00% Coinsurance after deductible |
| Non-Preferred Generic Drugs | $25.00 |
| Preferred Brand Drugs | $125.00 Copay after deductible |
| Preventive Drugs | No charge |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental Health Wellness Visit | No charge |
| Telehealth Mental/Behavioral Health | $35.00 |
| Telehealth Substance Use Disorder | $35.00 |
| Intensive Outpatient for Mental/Behavioral Health | 50.00% Coinsurance after deductible |
| Intensive Outpatient for Substance Use Disorder | 50.00% Coinsurance after deductible |
| Mental/Behavioral Health Inpatient Services | $3150.00 Copay per Day after deductible |
| Mental/Behavioral Health Outpatient Services | $85.00 |
| Mental/Behavioral Health Prenatal Care | $35.00 |
| Office Visit - Mental/Behavioral Health | $85.00 |
| Office Visit - Substance Use Disorder | $85.00 |
| Partial Hospitalization for Mental/Behavioral Health | 50.00% Coinsurance after deductible |
| Partial Hospitalization for Substance Use Disorder | 50.00% Coinsurance after deductible |
| Postpartum Mental/Behavioral Health | $35.00 |
| Postpartum Substance Use Disorder | $35.00 |
| Residential Day Treatment for Mental/Behavioral Health | 50.00% Coinsurance after deductible |
| Residential Day Treatment for Substance Use Disorder | 50.00% Coinsurance after deductible |
| Substance Use Disorder Prenatal Care | $35.00 |
Other
| Benefit | In-network |
|---|---|
| Telehealth PCP | No charge |
| Telehealth Specialist | $85.00 |
| Transplant | $3150.00 Copay after deductible |
| Abortion for Which Public Funding is Prohibited | No charge |
| Acupuncture | $35.00 |
| Allergy Testing | $85.00 |
| Applied Behavior Analysis Based Therapies | No Charge after deductible |
| Autism Spectrum Disorders - Assessment and Evaluation Services | $85.00 |
| Bariatric Surgery | $3150.00 Copay after deductible |
| Chemotherapy | 50.00% Coinsurance after deductible |
| Chiropractic Care | $35.00 |
| Delivery and All Inpatient Services for Maternity Care | $3150.00 Copay after deductible |
| Diabetes Education | $85.00 |
| Diabetic Supplies | 50.00% Coinsurance after deductible |
| Dialysis | $85.00 |
| Durable Medical Equipment | 50.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | $300.00 |
| Eye Glasses for Children | $85.00 |
| Gender Affirming Care | 50.00% Coinsurance after deductible |
| Habilitation Services | $85.00 Copay after deductible |
| Hearing Aids | 50.00% Coinsurance after deductible |
| Home Health Care Services | $85.00 |
| Hospice Services | $85.00 |
| Imaging (CT/PET Scans, MRIs) | 50.00% Coinsurance after deductible |
| Infertility Treatment | 50.00% Coinsurance after deductible |
| Infusion Therapy | 50.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | No charge |
| Inpatient Rehabilitation | $3150.00 Copay after deductible |
| Laboratory Outpatient and Professional Services | $20.00 |
| Nutritional Counseling | $85.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $35.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 50.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | $85.00 Copay after deductible |
| Prenatal and Postnatal Care | $35.00 |
| Private-Duty Nursing | $85.00 |
| Prosthetic Devices | 50.00% Coinsurance after deductible |
| Prosthetics: Legs and Arms | 20.00% |
| Prosthetics: Recreational | 50.00% Coinsurance after deductible |
| Radiation | 50.00% Coinsurance after deductible |
| Reconstructive Surgery | $3150.00 Copay after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $85.00 Copay after deductible |
| Rehabilitative Occupational Therapy | $85.00 Copay after deductible |
| Rehabilitative Physical Therapy | $85.00 Copay after deductible |
| Rehabilitative Speech Therapy | $85.00 Copay after deductible |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | $3150.00 Copay per Day after deductible |
| Standalone Laboratory | $20.00 |
| Substance Abuse Disorder Inpatient Services | $3150.00 Copay per Day after deductible |
| Substance Abuse Disorder Outpatient Services | $85.00 |
| Treatment for Temporomandibular Joint Disorders | 50.00% Coinsurance after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 50.00% Coinsurance after deductible |
Service area
This plan covers 2 geographic areas.
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