Arts Entertainment Recreation Benefits Benchmarks
Real plan data from verified employers in your industry
241
Employers
600
Plans
Plan Type Mix
LivePPO41%
HDHP32%
HMO15%
EPO8%
Plan Funding
LiveFully-Insured82%
Self-Insured11%
Level-Funded7%
Plans Offered
LiveThree or More Plans45%
Two Plans30%
One Plan25%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,892 | $1,489 | $688 |
| Family Deductible | $5,056 | $3,086 | $1,752 |
| Individual OOP Max | $6,866 | $5,446 | $3,070 |
| Family OOP Max | $12,413 | $9,030 | $6,435 |
| Coinsurance | 30% | 22% | 11% |
| Primary Care | $48 | $39 | $23 |
| Specialist | $69 | $52 | $40 |
| Emergency Room | $439 | $309 | $176 |
| Urgent Care | $92 | $78 | $53 |
| Inpatient Hospital | $700 | $521 | $278 |
| Outpatient Hospital | $305 | $191 | $116 |
| Lab & X-ray | $48 | $19 | $7 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $279 | $240 | $159 |
| Employee + Spouse | $698 | $524 | $446 |
| Employee + Child(ren) | $520 | $476 | $387 |
| Family | $890 | $787 | $613 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $868 | $708 | $657 |
| Employee + Spouse | $1,779 | $1,424 | $1,242 |
| Employee + Child(ren) | $1,491 | $1,302 | $1,079 |
| Family | $2,451 | $2,197 | $1,708 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $18 | $14 | $8 |
| Preferred Brand | $58 | $41 | $31 |
| Non-Preferred Brand | $90 | $76 | $59 |
| Specialty | $270 | $179 | $136 |
Available in full report
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Stoploss Plans and Strategues
HSA Accounts and Funding
Employer Contributions as a %
Out-of-Network Benefits
Surcharges and Opt-Outs
Rx-Carve Out Benefits