Select Health Med Silver Copay Plan
SelectHealth, Inc. · 2026 plan year
Silver
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $8,450
- Family OOP max
- $8,450
Other cost-sharing reduction variants for this plan:
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Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $15.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 |
Hospital
| Benefit | In-network |
|---|---|
| Urgent Care Centers or Facilities | $60.00 |
| Emergency Room Services | $1,200.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1500.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | $75.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Specialty Drugs | 50.00% Coinsurance after deductible |
| Generic Drugs | $25.00 |
| Non-Preferred Brand Drugs | 25.00% Coinsurance after deductible |
| Preferred Brand Drugs | $100.00 Copay after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1500.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $15.00 |
Other
| Benefit | In-network |
|---|---|
| Substance Abuse Disorder Outpatient Services | $15.00 |
| Transplant | $1,500.00 |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $25.00 |
| Substance Abuse Disorder Inpatient Services | $1500.00 Copay per Day |
| Routine Eye Exam for Children | $60.00 |
| Skilled Nursing Facility | $1500.00 Copay per Day |
| Accidental Dental | 40.00% |
| Allergy Testing | $60.00 |
| Chemotherapy | 50.00% Coinsurance after deductible |
| Chiropractic Care | $15.00 |
| Delivery and All Inpatient Services for Maternity Care | $1,500.00 |
| Diabetes Education | No charge |
| Dialysis | $60.00 |
| Durable Medical Equipment | 40.00% |
| Emergency Transportation/Ambulance | $200.00 |
| Eye Glasses for Children | $60.00 |
| Habilitation Services | $60.00 |
| Home Health Care Services | $60.00 |
| Hospice Services | $60.00 |
| Imaging (CT/PET Scans, MRIs) | $475.00 |
| Infusion Therapy | $60.00 |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $25.00 |
| Nutritional Counseling | No charge |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $15.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $450.00 |
| Outpatient Rehabilitation Services | $30.00 |
| Prenatal and Postnatal Care | $20.00 |
| Prosthetic Devices | 50.00% |
| Radiation | 40.00% |
| Reconstructive Surgery | $1,500.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $60.00 |
| Rehabilitative Speech Therapy | $60.00 |
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