Services Accounting Tax Benefits Benchmarks
Real plan data from verified employers in your industry
73
Employers
203
Plans
Plan Type Mix
LiveHDHP44%
PPO35%
HMO10%
POS7%
Plan Funding
LiveFully-Insured67%
Self-Insured21%
Level-Funded12%
Plans Offered
LiveThree or More Plans51%
Two Plans29%
One Plan21%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $3,000 | $1,843 | $740 |
| Family Deductible | $5,512 | $3,218 | $1,936 |
| Individual OOP Max | $6,437 | $4,717 | $3,038 |
| Family OOP Max | $13,910 | $10,163 | $6,998 |
| Coinsurance | 29% | 19% | 10% |
| Primary Care | $47 | $34 | $20 |
| Specialist | $73 | $51 | $37 |
| Emergency Room | $482 | $341 | $187 |
| Urgent Care | $98 | $77 | $59 |
| Inpatient Hospital | $714 | $454 | $340 |
| Outpatient Hospital | $311 | $250 | $126 |
| Lab & X-ray | $46 | $30 | $7 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $277 | $210 | $172 |
| Employee + Spouse | $695 | $577 | $444 |
| Employee + Child(ren) | $543 | $466 | $353 |
| Family | $916 | $704 | $608 |
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| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $844 | $771 | $639 |
| Employee + Spouse | $1,796 | $1,545 | $1,236 |
| Employee + Child(ren) | $1,476 | $1,186 | $1,065 |
| Family | $2,416 | $2,005 | $1,842 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $19 | $14 | $6 |
| Preferred Brand | $58 | $38 | $30 |
| Non-Preferred Brand | $96 | $78 | $59 |
| Specialty | $265 | $209 | $133 |
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