Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.
Select Health Med Silver Copay Plan
SelectHealth, Inc. · 2027 plan year
Silver
- Ind. medical deductible
- $0
- Rx deductible (separate)
- $3,500
- Family deductible
- $0
- Ind. OOP max
- $9,900
- Family OOP max
- $19,800
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
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 | $367 | $367 |
| 21 | $480 | $480 |
| 30 | $544 | $544 |
| 40 | $613 | $656 |
| 50 | $857 | $942 |
| 60 | $1,302 | $1,588 |
| 64 and over | $1,439 | $1,755 |
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 | $35.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $70.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $1,000.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $2000.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | $200.00 |
| Urgent Care Centers or Facilities | $70.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $25.00 |
| Non-Preferred Brand Drugs | 50.00% Coinsurance after deductible |
| Preferred Brand Drugs | $100.00 Copay after deductible |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $2000.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $35.00 |
Other
| Benefit | In-network |
|---|---|
| Radiation | 40.00% |
| Prosthetic Devices | 50.00% |
| Accidental Dental | 40.00% |
| Allergy Testing | $70.00 |
| Chemotherapy | 50.00% Coinsurance after deductible |
| Chiropractic Care | $35.00 |
| Delivery and All Inpatient Services for Maternity Care | $1,500.00 |
| Diabetes Education | No charge |
| Dialysis | $70.00 |
| Durable Medical Equipment | 40.00% |
| Emergency Transportation/Ambulance | $200.00 |
| Eye Glasses for Children | $70.00 |
| Habilitation Services | $60.00 |
| Home Health Care Services | $70.00 |
| Hospice Services | $70.00 |
| Imaging (CT/PET Scans, MRIs) | $500.00 |
| Infusion Therapy | $70.00 |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $40.00 |
| Nutritional Counseling | No charge |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $35.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $1,500.00 |
| Outpatient Rehabilitation Services | $30.00 |
| Prenatal and Postnatal Care | $35.00 |
| Reconstructive Surgery | $1,500.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $60.00 |
| Rehabilitative Speech Therapy | $60.00 |
| Routine Eye Exam for Children | $70.00 |
| Skilled Nursing Facility | $2000.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $2000.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $35.00 |
| Transplant | $1,500.00 |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $40.00 |
Service area
This plan covers 11 geographic areas.
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