Select Health Med Silver Copay Plan
SelectHealth, Inc. · 2026 plan year
Silver
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $9,900
- Family OOP max
- $9,900
Compare with other Silver plans in ID
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More SelectHealth, Inc. plans in ID
Monthly premiums by age
Rating Area 6 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $335 | $335 |
| 21 | $438 | $438 |
| 30 | $497 | $497 |
| 40 | $560 | $599 |
| 50 | $782 | $860 |
| 60 | $1,188 | $1,450 |
| 64 and over | $1,313 | $1,602 |
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 | $20.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 |
Hospital
| Benefit | In-network |
|---|---|
| Inpatient Hospital Services (e.g., Hospital Stay) | $2000.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | $175.00 |
| Urgent Care Centers or Facilities | $60.00 |
| Emergency Room Services | $1,200.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Non-Preferred Brand Drugs | 50.00% Coinsurance after deductible |
| Preferred Brand Drugs | $100.00 Copay after deductible |
| Specialty Drugs | 50.00% Coinsurance after deductible |
| Generic Drugs | $25.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $2000.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $20.00 |
Other
| Benefit | In-network |
|---|---|
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $25.00 |
| Nutritional Counseling | No charge |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $20.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $1,500.00 |
| Outpatient Rehabilitation Services | $30.00 |
| Prenatal and Postnatal Care | $30.00 |
| Prosthetic Devices | 50.00% |
| Radiation | 40.00% |
| Reconstructive Surgery | $1,500.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $60.00 |
| Rehabilitative Speech Therapy | $60.00 |
| Routine Eye Exam for Children | $60.00 |
| Skilled Nursing Facility | $2000.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $2000.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $20.00 |
| Transplant | $1,500.00 |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $25.00 |
| Infusion Therapy | $60.00 |
| Accidental Dental | 40.00% |
| Allergy Testing | $60.00 |
| Chemotherapy | 50.00% Coinsurance after deductible |
| Chiropractic Care | $20.00 |
| Delivery and All Inpatient Services for Maternity Care | $1,500.00 |
| Diabetes Education | No charge |
| Dialysis | $60.00 |
| Durable Medical Equipment | 40.00% |
| Emergency Transportation/Ambulance | $200.00 |
| Eye Glasses for Children | $60.00 |
| Habilitation Services | $60.00 |
| Home Health Care Services | $60.00 |
| Hospice Services | $60.00 |
| Imaging (CT/PET Scans, MRIs) | $500.00 |
Service area
This plan covers 11 geographic areas.
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