LINK PLATINUM

Mountain Health CO-OP · 2026 plan year

Platinum

Ind. deductible: $500
Family deductible: $500
Ind. OOP max: $1,500
Family OOP max: $1,500

Other cost-sharing reduction variants for this plan:

Standard Platinum Off Exchange Plan Standard Platinum On Exchange Plan Zero Cost Sharing Plan Variation

More Mountain Health CO-OP plans in ID

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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	No charge

Specialist

Benefit	In-network
Specialist Visit	$40.00

Hospital

Benefit	In-network
Inpatient Hospital Services (e.g., Hospital Stay)	10.00% Coinsurance after deductible
Emergency Room Services	20.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	10.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$40.00

Pharmacy

Benefit	In-network
Non-Preferred Brand Drugs	$200.00
Generic Drugs	$5.00
Preferred Brand Drugs	$45.00
Specialty Drugs	$250.00

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	10.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	No charge

Other

Benefit	In-network
Laboratory Outpatient and Professional Services	40.00% Coinsurance after deductible
Nutritional Counseling	10.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	No charge
Inpatient Physician and Surgical Services	10.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	40.00% Coinsurance after deductible
Infusion Therapy	10.00% Coinsurance after deductible
Accidental Dental	10.00% Coinsurance after deductible
Allergy Testing	10.00% Coinsurance after deductible
Chemotherapy	10.00% Coinsurance after deductible
Chiropractic Care	$40.00
Delivery and All Inpatient Services for Maternity Care	10.00% Coinsurance after deductible
Diabetes Education	10.00% Coinsurance after deductible
Dialysis	10.00% Coinsurance after deductible
Durable Medical Equipment	10.00% Coinsurance after deductible
Emergency Transportation/Ambulance	20.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	10.00% Coinsurance after deductible
Home Health Care Services	10.00% Coinsurance after deductible
Hospice Services	10.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	10.00% Coinsurance after deductible
Outpatient Rehabilitation Services	10.00% Coinsurance after deductible
Prenatal and Postnatal Care	10.00% Coinsurance after deductible
Prosthetic Devices	10.00% Coinsurance after deductible
Radiation	10.00% Coinsurance after deductible
Reconstructive Surgery	10.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$40.00
Rehabilitative Speech Therapy	$40.00
Routine Eye Exam for Children	No charge
Skilled Nursing Facility	10.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	10.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	No charge
Transplant	10.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	40.00% Coinsurance after deductible

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