Financial Credit Intermediation Benefits Benchmarks
Real plan data from verified employers in your industry
128
Employers
409
Plans
Plan Type Mix
LiveHDHP38%
PPO38%
HMO13%
EPO7%
Plan Funding
LiveFully-Insured71%
Self-Insured22%
Level-Funded7%
Plans Offered
LiveThree or More Plans61%
Two Plans29%
One Plan10%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,636 | $1,813 | $636 |
| Family Deductible | $5,544 | $3,266 | $1,648 |
| Individual OOP Max | $6,725 | $5,437 | $3,461 |
| Family OOP Max | $12,630 | $8,858 | $7,510 |
| Coinsurance | 30% | 19% | 13% |
| Primary Care | $48 | $35 | $22 |
| Specialist | $75 | $60 | $39 |
| Emergency Room | $431 | $335 | $162 |
| Urgent Care | $93 | $69 | $53 |
| Inpatient Hospital | $719 | $552 | $272 |
| Outpatient Hospital | $338 | $251 | $131 |
| Lab & X-ray | $41 | $27 | $4 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $280 | $210 | $175 |
| Employee + Spouse | $646 | $509 | $411 |
| Employee + Child(ren) | $534 | $456 | $383 |
| Family | $890 | $760 | $616 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $846 | $789 | $633 |
| Employee + Spouse | $1,705 | $1,459 | $1,242 |
| Employee + Child(ren) | $1,494 | $1,225 | $1,035 |
| Family | $2,430 | $2,086 | $1,857 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $17 | $12 | $6 |
| Preferred Brand | $56 | $46 | $26 |
| Non-Preferred Brand | $95 | $79 | $53 |
| Specialty | $263 | $227 | $128 |
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