Select Health SLHN Silver 5500
SelectHealth, Inc. · 2027 plan year
Silver
- Ind. medical deductible
- $5,500
- Rx deductible (separate)
- $2,500
- Family deductible
- $11,000
- 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.
Compare with other Silver plans in ID
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More SelectHealth, Inc. plans in ID
Monthly premiums by age
Rating Area 3 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $347 | $347 |
| 21 | $454 | $454 |
| 30 | $515 | $515 |
| 40 | $580 | $621 |
| 50 | $811 | $892 |
| 60 | $1,232 | $1,503 |
| 64 and over | $1,362 | $1,661 |
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 | $30.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $55.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $600.00 Copay after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $850.00 Copay per Day after deductible |
| Outpatient Surgery Physician/Surgical Services | 50.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $55.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $25.00 |
| Non-Preferred Brand Drugs | $55.00 Copay after deductible |
| Preferred Brand Drugs | $45.00 Copay after deductible |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $850.00 Copay per Day after deductible |
| Mental/Behavioral Health Outpatient Services | $30.00 |
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | 50.00% Coinsurance after deductible |
| Allergy Testing | $55.00 |
| Chemotherapy | 50.00% Coinsurance after deductible |
| Chiropractic Care | $50.00 |
| Delivery and All Inpatient Services for Maternity Care | $850.00 Copay after deductible |
| Diabetes Education | No charge |
| Dialysis | 50.00% Coinsurance after deductible |
| Durable Medical Equipment | 50.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | $300 Copay after deductible |
| Eye Glasses for Children | 50.00% Coinsurance after deductible |
| Habilitation Services | $50.00 |
| Home Health Care Services | 50.00% Coinsurance after deductible |
| Hospice Services | 50.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | $200.00 Copay after deductible |
| Infusion Therapy | 50.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 50.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | $40.00 |
| Nutritional Counseling | No charge |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $30.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 50.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | $30.00 |
| Prenatal and Postnatal Care | 50.00% Coinsurance after deductible |
| Prosthetic Devices | 50.00% Coinsurance after deductible |
| Radiation | 50.00% Coinsurance after deductible |
| Reconstructive Surgery | $650.00 Copay after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $50 Copay after deductible |
| Rehabilitative Speech Therapy | $50 Copay after deductible |
| Routine Eye Exam for Children | $55.00 |
| Skilled Nursing Facility | $850.00 Copay per Day after deductible |
| Substance Abuse Disorder Inpatient Services | $850.00 Copay per Day after deductible |
| Substance Abuse Disorder Outpatient Services | $30.00 |
| Transplant | $650.00 Copay after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $40.00 |
Service area
This plan covers 20 geographic areas.
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