BrightPath Silver 5000 - no deductible for office visits

SelectHealth, Inc. · 2026 plan year

Silver
Ind. deductible
$0
Family deductible
$0
Ind. OOP max
$2,000
Family OOP max
$2,000

More SelectHealth, Inc. plans in ID

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$10.00

Specialist

BenefitIn-network
Specialist Visit$20.00

Hospital

BenefitIn-network
Outpatient Surgery Physician/Surgical Services20.00%
Urgent Care Centers or Facilities$20.00
Emergency Room Services$150.00
Inpatient Hospital Services (e.g., Hospital Stay)$250.00 Copay per Day

Pharmacy

BenefitIn-network
Non-Preferred Brand Drugs$40.00
Preferred Brand Drugs$30.00
Specialty Drugs30.00%
Generic Drugs$10.00

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$250.00 Copay per Day
Mental/Behavioral Health Outpatient Services$10.00

Other

BenefitIn-network
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)$10.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)20.00%
Outpatient Rehabilitation Services$15.00
Prenatal and Postnatal Care20.00%
Prosthetic Devices20.00%
Radiation20.00%
Reconstructive Surgery$250.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$15.00
Rehabilitative Speech Therapy$15.00
Routine Eye Exam for Children$20.00
Skilled Nursing Facility$250.00 Copay per Day
Substance Abuse Disorder Inpatient Services$250.00 Copay per Day
Substance Abuse Disorder Outpatient Services$10.00
Transplant$150.00
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$5.00
Accidental Dental20.00%
Allergy Testing$15.00
Chemotherapy30.00%
Chiropractic Care$5.00
Delivery and All Inpatient Services for Maternity Care$250.00
Diabetes EducationNo charge
Dialysis20.00%
Durable Medical Equipment20.00%
Emergency Transportation/Ambulance$150.00
Eye Glasses for Children20.00%
Habilitation Services$15.00
Home Health Care Services20.00%
Hospice Services20.00%
Imaging (CT/PET Scans, MRIs)$100.00
Infusion Therapy20.00%
Inpatient Physician and Surgical Services20.00%
Laboratory Outpatient and Professional Services$5.00

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