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.

Moda Select Idaho Bronze 10,000 + Vision Exam

Moda Health Plan, Inc. · 2026 plan year

Expanded BronzeHSA eligible
Ind. deductible
$10,000
Family deductible
$10,000
Ind. OOP max
$10,000
Family OOP max
$10,000

More Moda Health Plan, Inc. plans in ID

Monthly premiums by age

Rating Area 3 — the lowest-priced of the 6 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$198$198
21$259$297
30$294$338
40$331$380
50$462$531
60$702$807
64 and over$776$892

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$50.00

Specialist

BenefitIn-network
Specialist Visit$125.00

Hospital

BenefitIn-network
Emergency Room ServicesNo Charge after deductible
Inpatient Hospital Services (e.g., Hospital Stay)No Charge after deductible
Outpatient Surgery Physician/Surgical ServicesNo Charge after deductible
Urgent Care Centers or Facilities$125.00

Pharmacy

BenefitIn-network
Generic Drugs$20.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs40.00%
Specialty Drugs40.00%

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient ServicesNo Charge after deductible
Mental/Behavioral Health Outpatient Services$50.00

Other

BenefitIn-network
Routine Eye Exam (Adult)$10.00
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNo Charge after deductible
Accidental DentalNo Charge after deductible
Allergy TestingNo Charge after deductible
ChemotherapyNo Charge after deductible
Chiropractic Care$125.00
Delivery and All Inpatient Services for Maternity CareNo Charge after deductible
Diabetes EducationNo Charge after deductible
DialysisNo Charge after deductible
Durable Medical EquipmentNo Charge after deductible
Emergency Transportation/AmbulanceNo Charge after deductible
Eye Glasses for ChildrenNo charge
Gender Affirming CareNo Charge after deductible
Habilitation ServicesNo Charge after deductible
Hearing AidsNo Charge after deductible
Home Health Care ServicesNo Charge after deductible
Hospice ServicesNo Charge after deductible
Imaging (CT/PET Scans, MRIs)No Charge after deductible
Infusion TherapyNo Charge after deductible
Inpatient Physician and Surgical ServicesNo Charge after deductible
Laboratory Outpatient and Professional Services$75.00
Nutritional CounselingNo Charge after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)$50.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)No Charge after deductible
Outpatient Rehabilitation ServicesNo Charge after deductible
Prenatal and Postnatal CareNo Charge after deductible
Prosthetic DevicesNo Charge after deductible
RadiationNo Charge after deductible
Reconstructive SurgeryNo Charge after deductible
Rehabilitative Occupational and Rehabilitative Physical TherapyNo Charge after deductible
Rehabilitative Speech TherapyNo Charge after deductible
Skilled Nursing FacilityNo Charge after deductible
Substance Abuse Disorder Inpatient ServicesNo Charge after deductible
Substance Abuse Disorder Outpatient Services$50.00
TransplantNo Charge after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$75.00

Service area

This plan covers 33 geographic areas.

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