Medical/Rx Benefits

Healthcare Social Services Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your industry

Verified Data
398Employers
1,042Plans
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Medical/Rx benchmarks

Healthcare Social Services 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 398 healthcare social services employers offering 1,042 verified benefit plans. PPO plans are the most common (39% of employers), followed by HDHP (27%). Fully-Insured funding is the predominant model, used by 77% 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 Social Services plan design & cost benchmarks

In-Network Cost Sharing: sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$876
$1,729
$2,596
$1,72952Bal
Family Deductible
$1,360
$4,034
$5,328
$4,03452Bal
Individual OOP Max
$3,326
$5,302
$6,629
$5,30252Bal
Family OOP Max
$7,382
$9,011
$13,872
$9,01152Bal
Coinsurance
12%
21%
27%
21%52Bal
Primary Care
$24
$35
$46
$3552Bal
Specialist
$42
$53
$73
$5352Bal
Emergency Room
$190
$352
$434
$35252Bal
Urgent Care
$58
$75
$99
$7552Bal

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Real plan-design and cost benchmarks for healthcare social services, 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
PPO39%
HDHP27%
HMO20%
EPO10%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured77%
Self-Insured18%
Level-Funded5%

Plans Offered

% of employers by plan count

VERIFIED
Three or More Plans49%
Two Plans33%
One Plan19%

Frequently Asked Questions

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