Education Miscellaneous Benefits Benchmarks
Real plan data from verified employers in your industry
125
Employers
360
Plans
Plan Type Mix
LivePPO38%
HDHP33%
HMO18%
EPO6%
Plan Funding
LiveFully-Insured79%
Self-Insured15%
Level-Funded6%
Plans Offered
LiveThree or More Plans59%
Two Plans28%
One Plan13%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,852 | $2,017 | $736 |
| Family Deductible | $5,752 | $4,226 | $1,080 |
| Individual OOP Max | $6,418 | $4,640 | $3,083 |
| Family OOP Max | $13,552 | $9,395 | $6,128 |
| Coinsurance | 28% | 19% | 10% |
| Primary Care | $48 | $38 | $24 |
| Specialist | $69 | $52 | $38 |
| Emergency Room | $480 | $277 | $184 |
| Urgent Care | $94 | $77 | $54 |
| Inpatient Hospital | $736 | $457 | $275 |
| Outpatient Hospital | $306 | $192 | $108 |
| Lab & X-ray | $46 | $32 | $9 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $298 | $221 | $172 |
| Employee + Spouse | $676 | $514 | $456 |
| Employee + Child(ren) | $528 | $440 | $389 |
| Family | $874 | $715 | $612 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $880 | $781 | $624 |
| Employee + Spouse | $1,798 | $1,564 | $1,210 |
| Employee + Child(ren) | $1,458 | $1,290 | $1,094 |
| Family | $2,451 | $2,197 | $1,740 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $17 | $12 | $7 |
| Preferred Brand | $53 | $40 | $31 |
| Non-Preferred Brand | $96 | $71 | $51 |
| Specialty | $271 | $224 | $129 |
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