ICON Silver 6500 POS
Regence BlueShield of Idaho, Inc. · 2026 plan year
Silver
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $1,700
- Family OOP max
- $1,700
Other cost-sharing reduction variants for this plan:
More Regence BlueShield of Idaho, Inc. plans in ID
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 | $10.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $30.00 |
Hospital
| Benefit | In-network |
|---|---|
| Urgent Care Centers or Facilities | $30.00 |
| Outpatient Surgery Physician/Surgical Services | 10.00% |
| Emergency Room Services | 10.00% |
| Inpatient Hospital Services (e.g., Hospital Stay) | 10.00% |
Pharmacy
| Benefit | In-network |
|---|---|
| Specialty Drugs | 50.00% |
| Preferred Brand Drugs | 20.00% |
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | 40.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 10.00% |
| Mental/Behavioral Health Outpatient Services | $10.00 |
Other
| Benefit | In-network |
|---|---|
| Prenatal and Postnatal Care | 10.00% |
| Prosthetic Devices | 10.00% |
| Radiation | 10.00% |
| Reconstructive Surgery | 10.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 10.00% |
| Rehabilitative Speech Therapy | 10.00% |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | 10.00% |
| Substance Abuse Disorder Inpatient Services | 10.00% |
| Substance Abuse Disorder Outpatient Services | $10.00 |
| Transplant | 10.00% |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 10.00% |
| Accidental Dental | 10.00% |
| Acupuncture | $10.00 |
| Allergy Testing | 10.00% |
| Basic Dental Care - Child | 20.00% |
| Chemotherapy | 10.00% |
| Chiropractic Care | $10.00 |
| Delivery and All Inpatient Services for Maternity Care | 10.00% |
| Dental Check-Up for Children | No charge |
| Diabetes Education | No charge |
| Dialysis | 10.00% |
| Durable Medical Equipment | 10.00% |
| Emergency Transportation/Ambulance | 10.00% |
| Eye Glasses for Children | No charge |
| Habilitation Services | 10.00% |
| Hearing Aids | 10.00% |
| Home Health Care Services | 10.00% |
| Hospice Services | 10.00% |
| Imaging (CT/PET Scans, MRIs) | 10.00% |
| Infusion Therapy | 10.00% |
| Inpatient Physician and Surgical Services | 10.00% |
| Laboratory Outpatient and Professional Services | 10.00% |
| Major Dental Care - Child | 50.00% |
| Nutritional Counseling | 10.00% |
| Orthodontia - Child | 50.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $10.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 10.00% |
| Outpatient Rehabilitation Services | 10.00% |
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.