Medical/Rx Benefits

Healthcare Nursing Residential Care Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your industry

Verified Data
278Employers
746Plans
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Medical/Rx benchmarks

Healthcare Nursing Residential Care Employee Benefits Overview

Updated November 2026

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 278 healthcare nursing residential care employers offering 746 verified benefit plans. PPO plans are the most common (43% of employers), followed by HDHP (31%). Fully-Insured funding is the predominant model, used by 61% of industry employers. Most employers offer three or more plan options to employees (49%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

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Healthcare Nursing Residential Care plan design & cost benchmarks

In-Network Cost Sharing: sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$692
$1,543
$2,688
$1,54352Bal
Family Deductible
$1,232
$3,386
$5,032
$3,38652Bal
Individual OOP Max
$3,627
$4,515
$6,437
$4,51552Bal
Family OOP Max
$6,845
$9,568
$13,309
$9,56852Bal
Coinsurance
11%
18%
29%
18%52Bal
Primary Care
$25
$36
$47
$3652Bal
Specialist
$42
$55
$74
$5552Bal
Emergency Room
$151
$375
$478
$37552Bal
Urgent Care
$54
$70
$91
$7052Bal

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Real plan-design and cost benchmarks for healthcare nursing residential care, with percentile rankings and exportable data.

What's inside the full report
In-Network Cost Sharing

Deductibles, copays, coinsurance & out-of-pocket maximums

Employee Contributions

Monthly employee premium contributions by tier

Gross Premium Rates

Total monthly premium costs by coverage tier

Prescription Drug Coverage

Rx copays, deductibles & mail-order options

Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.

Percentile rankings (25th / 50th / 75th)
Live, real-time data (this preview refreshes monthly)
Exportable to PDF & CSV

Plan Type Mix

% of employers offering each

VERIFIED
PPO43%
HDHP31%
HMO13%
EPO8%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured61%
Self-Insured34%
Level-Funded5%

Plans Offered

% of employers by plan count

VERIFIED
Three or More Plans49%
Two Plans34%
One Plan16%

Frequently Asked Questions

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