PEAK PPO BRONZE

Mountain Health CO-OP · 2026 plan year

Expanded BronzeHSA eligible

Ind. deductible: $9,000
Family deductible: $9,000
Ind. OOP max: $10,500
Family OOP max: $10,500

Other cost-sharing reduction variants for this plan:

Standard Bronze Off Exchange Plan Standard Bronze 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
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	$50.00

Specialist

Benefit	In-network
Specialist Visit	$100.00

Hospital

Benefit	In-network
Emergency Room Services	50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	50.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	50.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$120.00

Pharmacy

Benefit	In-network
Non-Preferred Brand Drugs	No Charge after deductible
Generic Drugs	$10.00
Preferred Brand Drugs	No Charge after deductible
Specialty Drugs	No Charge after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$50.00

Other

Benefit	In-network
Nutritional Counseling	50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	$50.00
Inpatient Physician and Surgical Services	50.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	No Charge after deductible
Accidental Dental	50.00% Coinsurance after deductible
Allergy Testing	50.00% Coinsurance after deductible
Chemotherapy	50.00% Coinsurance after deductible
Chiropractic Care	$100.00
Delivery and All Inpatient Services for Maternity Care	50.00% Coinsurance after deductible
Diabetes Education	50.00% Coinsurance after deductible
Dialysis	50.00% Coinsurance after deductible
Durable Medical Equipment	50.00% Coinsurance after deductible
Emergency Transportation/Ambulance	50.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	50.00% Coinsurance after deductible
Home Health Care Services	50.00% Coinsurance after deductible
Hospice Services	50.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	No Charge after deductible
Infusion Therapy	50.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	50.00% Coinsurance after deductible
Outpatient Rehabilitation Services	50.00% Coinsurance after deductible
Prenatal and Postnatal Care	50.00% Coinsurance after deductible
Prosthetic Devices	50.00% Coinsurance after deductible
Radiation	50.00% Coinsurance after deductible
Reconstructive Surgery	50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$100.00
Rehabilitative Speech Therapy	$100.00
Routine Eye Exam for Children	No charge
Skilled Nursing Facility	50.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$50.00
Transplant	50.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	No Charge after deductible

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