Public Administration Government Benefits Benchmarks
Real plan data from verified employers in your industry
318
Employers
660
Plans
Plan Type Mix
LivePPO45%
HDHP38%
HMO10%
POS4%
Plan Funding
LiveFully-Insured61%
Self-Insured36%
Level-Funded3%
Plans Offered
LiveOne Plan39%
Three or More Plans31%
Two Plans30%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,776 | $2,041 | $872 |
| Family Deductible | $5,096 | $2,846 | $1,592 |
| Individual OOP Max | $6,514 | $4,698 | $3,192 |
| Family OOP Max | $12,848 | $10,221 | $6,154 |
| Coinsurance | 26% | 17% | 11% |
| Primary Care | $44 | $33 | $26 |
| Specialist | $69 | $54 | $37 |
| Emergency Room | $478 | $351 | $158 |
| Urgent Care | $93 | $68 | $54 |
| Inpatient Hospital | $713 | $461 | $275 |
| Outpatient Hospital | $322 | $231 | $132 |
| Lab & X-ray | $46 | $31 | $5 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $287 | $228 | $177 |
| Employee + Spouse | $662 | $593 | $420 |
| Employee + Child(ren) | $531 | $456 | $356 |
| Family | $928 | $724 | $572 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $887 | $711 | $649 |
| Employee + Spouse | $1,681 | $1,426 | $1,313 |
| Employee + Child(ren) | $1,412 | $1,289 | $1,020 |
| Family | $2,418 | $2,028 | $1,811 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $20 | $13 | $8 |
| Preferred Brand | $55 | $47 | $25 |
| Non-Preferred Brand | $98 | $70 | $59 |
| Specialty | $286 | $198 | $109 |
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