Healthcare Physicians Practitioners Medical/Rx Benefits Benchmarks
Real plan data from verified employers in your industry
Healthcare Physicians Practitioners Employee Benefits Overview
Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.
Our database includes 528 healthcare physicians practitioners employers offering 1,508 verified benefit plans. PPO plans are the most common (41% of employers), followed by HDHP (39%). Fully-Insured funding is the predominant model, used by 68% of industry employers. Most employers offer three or more plan options to employees (53%).
Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.
Healthcare Physicians Practitioners plan design & cost benchmarks
| In-Network Benefits | LimitedBalancedRobust | Your Plan |
|---|---|---|
| Individual Deductible | $956 $1,897 $2,788 | $1,89752Bal |
| Family Deductible | $1,368 $2,930 $5,224 | $2,93052Bal |
| Individual OOP Max | $3,762 $4,640 $6,430 | $4,64052Bal |
| Family OOP Max | $7,165 $9,626 $13,066 | $9,62652Bal |
| Coinsurance | 14% 20% 27% | 20%52Bal |
| Primary Care | $24 $36 $49 | $3652Bal |
| Specialist | $35 $53 $71 | $5352Bal |
| Emergency Room | $157 $336 $489 | $33652Bal |
| Urgent Care | $56 $79 $92 | $7952Bal |
Unlock the full benchmarks
Real plan-design and cost benchmarks for healthcare physicians practitioners, with percentile rankings and exportable data.
Deductibles, copays, coinsurance & out-of-pocket maximums
Monthly employee premium contributions by tier
Total monthly premium costs by coverage tier
Rx copays, deductibles & mail-order options
Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.
Plan Type Mix
% of employers offering each
Plan Funding
% of employers by funding
Plans Offered
% of employers by plan count
Healthcare Physicians Practitioners Benefits Landscape
Industry trends and benchmarking considerations
Physician practices and healthcare practitioner groups face distinct benefits challenges compared to hospital systems. Our data shows smaller practice sizes correlate with higher rates of fully-insured plans, while larger multi-specialty groups more often self-fund. Plan design choices in this sector balance attracting clinical talent with practice economics.
Key Trends
Fully-Insured Prevalence
Smaller practices in our database predominantly use fully-insured plans for cost predictability and administrative simplicity.
PPO Preference
Physician practices show strong preference for PPO plans, offering flexibility that clinical professionals expect.
Benchmarking Considerations
Practice size affects benefits patterns. Compare against similar-sized practices for meaningful benchmarks—a 10-physician group will show different patterns than a 200-provider multi-specialty practice.
Related Industries
Frequently Asked Questions
About healthcare physicians practitioners benefits benchmarking
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