Financial Investment Services Benefits Benchmarks
Real plan data from verified employers in your industry
167
Employers
425
Plans
Plan Type Mix
LivePPO45%
HDHP38%
HMO7%
EPO5%
Plan Funding
LiveFully-Insured63%
Self-Insured25%
Level-Funded12%
Plans Offered
LiveThree or More Plans50%
One Plan25%
Two Plans25%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,824 | $1,669 | $532 |
| Family Deductible | $5,984 | $2,954 | $1,672 |
| Individual OOP Max | $6,219 | $4,448 | $3,352 |
| Family OOP Max | $13,757 | $10,893 | $6,678 |
| Coinsurance | 27% | 21% | 11% |
| Primary Care | $48 | $35 | $22 |
| Specialist | $75 | $60 | $42 |
| Emergency Room | $434 | $364 | $158 |
| Urgent Care | $96 | $77 | $51 |
| Inpatient Hospital | $722 | $479 | $348 |
| Outpatient Hospital | $320 | $224 | $123 |
| Lab & X-ray | $42 | $27 | $1 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $287 | $235 | $150 |
| Employee + Spouse | $656 | $556 | $406 |
| Employee + Child(ren) | $514 | $479 | $350 |
| Family | $884 | $809 | $570 |
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| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $850 | $711 | $644 |
| Employee + Spouse | $1,723 | $1,519 | $1,224 |
| Employee + Child(ren) | $1,465 | $1,300 | $1,092 |
| Family | $2,386 | $1,999 | $1,754 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $19 | $11 | $7 |
| Preferred Brand | $55 | $45 | $30 |
| Non-Preferred Brand | $99 | $76 | $53 |
| Specialty | $266 | $179 | $128 |
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Out-of-Network Benefits
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