Select Health Med Silver 4000 - $0 Copay for PCP visits

SelectHealth, Inc. · 2026 plan year

Silver

Ind. deductible: $1,500
Family deductible: $1,500
Ind. OOP max: $3,000
Family OOP max: $3,000

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 94% 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 SelectHealth, Inc. plans in ID

Select Health SLHP Gold 1500 - no deductible for office visits Select Health Med Bronze 8000 Select Health SLHP Bronze 8000 Select Health Med Exp Bronze 5000 Select Health SLHP Silver 3000

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
Outpatient Surgery Physician/Surgical Services	30.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$40.00
Inpatient Hospital Services (e.g., Hospital Stay)	30.00% Coinsurance after deductible
Emergency Room Services	$300.00 Copay after deductible

Pharmacy

Benefit	In-network
Non-Preferred Brand Drugs	25% Coinsurance after deductible
Preferred Brand Drugs	15% Coinsurance after deductible
Specialty Drugs	40.00% Coinsurance after deductible
Generic Drugs	$10.00

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	No charge

Other

Benefit	In-network
Inpatient Physician and Surgical Services	30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	$25.00
Nutritional Counseling	No charge
Other Practitioner Office Visit (Nurse, Physician Assistant)	No charge
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	30.00% Coinsurance after deductible
Outpatient Rehabilitation Services	$20.00
Prenatal and Postnatal Care	30.00% Coinsurance after deductible
Prosthetic Devices	30.00% Coinsurance after deductible
Radiation	30.00% Coinsurance after deductible
Reconstructive Surgery	30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$40.00 Copay after deductible
Rehabilitative Speech Therapy	$40.00 Copay after deductible
Routine Eye Exam for Children	$40.00
Skilled Nursing Facility	30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	No charge
Transplant	30.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	$25.00
Imaging (CT/PET Scans, MRIs)	30.00% Coinsurance after deductible
Infusion Therapy	30.00% Coinsurance after deductible
Accidental Dental	30.00% Coinsurance after deductible
Allergy Testing	$40.00
Chemotherapy	40.00% Coinsurance after deductible
Chiropractic Care	$10.00
Delivery and All Inpatient Services for Maternity Care	30.00% Coinsurance after deductible
Diabetes Education	No charge
Dialysis	30.00% Coinsurance after deductible
Durable Medical Equipment	30.00% Coinsurance after deductible
Emergency Transportation/Ambulance	30.00% Coinsurance after deductible
Eye Glasses for Children	30.00% Coinsurance after deductible
Habilitation Services	$40.00
Home Health Care Services	30.00% Coinsurance after deductible
Hospice Services	30.00% Coinsurance after deductible

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