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.
PEAK PPO SILVER
Mountain Health CO-OP · 2026 plan year
Silver
- Ind. deductible
- $8,000
- Family deductible
- $8,000
- Ind. OOP max
- $9,500
- Family OOP max
- $9,500
Other cost-sharing reduction variants for this plan:
More Mountain Health CO-OP plans in ID
Monthly premiums by age
Rating Area 2 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $384 | $384 |
| 21 | $501 | $501 |
| 30 | $569 | $569 |
| 40 | $641 | $641 |
| 50 | $895 | $1,030 |
| 60 | $1,361 | $1,565 |
| 64 and over | $1,504 | $1,730 |
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 | $40.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $75.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 50.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | 40.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 40.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $110.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | $250.00 |
| Preferred Brand Drugs | $65.00 |
| Specialty Drugs | $300.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 40.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | $40.00 |
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | 40.00% Coinsurance after deductible |
| Allergy Testing | 40.00% Coinsurance after deductible |
| Chemotherapy | 40.00% Coinsurance after deductible |
| Chiropractic Care | $75.00 |
| Delivery and All Inpatient Services for Maternity Care | 40.00% Coinsurance after deductible |
| Diabetes Education | 40.00% Coinsurance after deductible |
| Dialysis | 40.00% Coinsurance after deductible |
| Durable Medical Equipment | 40.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | 50.00% Coinsurance after deductible |
| Eye Glasses for Children | No charge |
| Habilitation Services | 40.00% Coinsurance after deductible |
| Home Health Care Services | 40.00% Coinsurance after deductible |
| Hospice Services | 40.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 50.00% Coinsurance after deductible |
| Infusion Therapy | 40.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 40.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | 50.00% Coinsurance after deductible |
| Nutritional Counseling | 40.00% Coinsurance after deductible |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $40.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 40.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | 40.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | 40.00% Coinsurance after deductible |
| Prosthetic Devices | 40.00% Coinsurance after deductible |
| Radiation | 40.00% Coinsurance after deductible |
| Reconstructive Surgery | 40.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $75.00 |
| Rehabilitative Speech Therapy | $75.00 |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | 40.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 40.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | $40.00 |
| Transplant | 40.00% Coinsurance after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 50.00% Coinsurance after deductible |
Service area
This plan covers 26 geographic areas.
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