Manufacturing Pharmaceutical Benefits Benchmarks
Real plan data from verified employers in your industry
63
Employers
186
Plans
Plan Type Mix
LivePPO37%
HDHP33%
HMO19%
POS8%
Plan Funding
LiveFully-Insured77%
Self-Insured15%
Level-Funded9%
Plans Offered
LiveThree or More Plans54%
Two Plans25%
One Plan21%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,656 | $1,405 | $832 |
| Family Deductible | $5,232 | $3,326 | $1,584 |
| Individual OOP Max | $6,482 | $5,082 | $3,589 |
| Family OOP Max | $13,757 | $10,797 | $7,485 |
| Coinsurance | 30% | 17% | 11% |
| Primary Care | $47 | $37 | $24 |
| Specialist | $70 | $53 | $35 |
| Emergency Room | $432 | $278 | $213 |
| Urgent Care | $100 | $79 | $54 |
| Inpatient Hospital | $717 | $529 | $343 |
| Outpatient Hospital | $317 | $196 | $120 |
| Lab & X-ray | $42 | $19 | $5 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $300 | $216 | $171 |
| Employee + Spouse | $672 | $575 | $430 |
| Employee + Child(ren) | $527 | $430 | $358 |
| Family | $882 | $748 | $590 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $888 | $794 | $615 |
| Employee + Spouse | $1,757 | $1,458 | $1,250 |
| Employee + Child(ren) | $1,463 | $1,291 | $1,074 |
| Family | $2,368 | $2,084 | $1,855 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $18 | $12 | $6 |
| Preferred Brand | $54 | $45 | $28 |
| Non-Preferred Brand | $93 | $71 | $50 |
| Specialty | $291 | $202 | $125 |
Available in full report
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Stoploss Plans and Strategues
HSA Accounts and Funding
Employer Contributions as a %
Out-of-Network Benefits
Surcharges and Opt-Outs
Rx-Carve Out Benefits