Navigator Silver 3600 (94)

PacificSource Health Plans · 2026 plan year

Silver

Ind. deductible: $400
Family deductible: $400
Ind. OOP max: $850
Family OOP max: $850

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 PacificSource Health Plans plans in ID

Navigator Bronze HSA 8300 Navigator Bronze HSA 6000 Navigator Bronze HSA 10600 Navigator Silver 6000 Navigator Gold 2000

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	$15.00

Specialist

Benefit	In-network
Specialist Visit	$50.00

Hospital

Benefit	In-network
Inpatient Hospital Services (e.g., Hospital Stay)	20.00% Coinsurance after deductible
Emergency Room Services	20.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	20.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$20.00

Pharmacy

Benefit	In-network
Non-Preferred Brand Drugs	40.00% Coinsurance after deductible
Generic Drugs	$10.00
Preferred Brand Drugs	$60.00 Copay after deductible
Specialty Drugs	40.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	20.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$15.00

Other

Benefit	In-network
Hospice Services	20.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	20.00% Coinsurance after deductible
Infusion Therapy	20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	20.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	20.00% Coinsurance after deductible
Nutritional Counseling	$15.00
Other Practitioner Office Visit (Nurse, Physician Assistant)	$15.00
Home Health Care Services	20.00% Coinsurance after deductible
Accidental Dental	20.00% Coinsurance after deductible
Acupuncture	$15.00
Allergy Testing	20.00% Coinsurance after deductible
Chemotherapy	20.00% Coinsurance after deductible
Chiropractic Care	$15.00
Cosmetic Surgery	20.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care	20.00% Coinsurance after deductible
Diabetes Education	$15.00
Dialysis	20.00% Coinsurance after deductible
Durable Medical Equipment	20.00% Coinsurance after deductible
Emergency Transportation/Ambulance	20.00% Coinsurance after deductible
Eye Glasses for Children	20.00% Coinsurance after deductible
Habilitation Services	20.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	20.00% Coinsurance after deductible
Outpatient Rehabilitation Services	20.00% Coinsurance after deductible
Prenatal and Postnatal Care	20.00% Coinsurance after deductible
Prosthetic Devices	20.00% Coinsurance after deductible
Radiation	20.00% Coinsurance after deductible
Reconstructive Surgery	20.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	20.00% Coinsurance after deductible
Rehabilitative Speech Therapy	20.00% Coinsurance after deductible
Routine Eye Exam for Children	No charge
Routine Foot Care	20.00% Coinsurance after deductible
Skilled Nursing Facility	20.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	20.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$15.00
Transplant	No Charge after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	20.00% Coinsurance after deductible

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