PREF Silver 6500

Regence BlueShield of Idaho, Inc. · 2026 plan year

Silver

Ind. deductible: $5,400
Family deductible: $5,400
Ind. OOP max: $8,200
Family OOP max: $8,200

Other cost-sharing reduction variants for this plan:

87% 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 Regence BlueShield of Idaho, Inc. plans in ID

PREF Bronze HSA 7000 ICON Gold 1500 POS ICON Silver 5700 Separate RX Deductible POS ICON Silver 6500 POS ICON Gold 2300 POS

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	$50.00

Hospital

Benefit	In-network
Urgent Care Centers or Facilities	$50.00
Emergency Room Services	10.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	10.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	10.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	$10.00
Non-Preferred Brand Drugs	40.00% Coinsurance after deductible
Preferred Brand Drugs	20.00% Coinsurance after deductible
Specialty Drugs	50.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	10.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$10.00

Other

Benefit	In-network
Well Baby Visits and Care	No charge
Dialysis	10.00% Coinsurance after deductible
Accidental Dental	10.00% Coinsurance after deductible
Acupuncture	$10.00
Allergy Testing	10.00% Coinsurance after deductible
Basic Dental Care - Child	20.00%
Chemotherapy	10.00% Coinsurance after deductible
Chiropractic Care	$10.00
Delivery and All Inpatient Services for Maternity Care	10.00% Coinsurance after deductible
Dental Check-Up for Children	No charge
Diabetes Education	No charge
Durable Medical Equipment	10.00% Coinsurance after deductible
Emergency Transportation/Ambulance	10.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	10.00% Coinsurance after deductible
Hearing Aids	10.00% Coinsurance after deductible
Home Health Care Services	10.00% Coinsurance after deductible
Hospice Services	10.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	10.00% Coinsurance after deductible
Infusion Therapy	10.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	10.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	10.00% Coinsurance after deductible
Major Dental Care - Child	50.00%
Nutritional Counseling	10.00% Coinsurance after deductible
Orthodontia - Child	50.00%
Other Practitioner Office Visit (Nurse, Physician Assistant)	$10.00
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	10.00% Coinsurance after deductible
Rehabilitative Speech Therapy	10.00% Coinsurance after deductible
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	$10.00
Transplant	10.00% Coinsurance after deductible
X-rays and Diagnostic Imaging	10.00% Coinsurance after deductible

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