Services Advertising Pr Market Research Benefits Benchmarks

Real plan data from verified employers in your industry

187
Employers
547
Plans
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Plan Type Mix

Live
PPO42%
HDHP35%
HMO11%
EPO7%

Plan Funding

Live
Fully-Insured74%
Self-Insured15%
Level-Funded11%

Plans Offered

Live
Three or More Plans63%
Two Plans27%
One Plan11%
In-Network BenefitsLimitedBalancedRobust
Individual Deductible
$2,952
$1,627
$692
Family Deductible
$5,984
$3,182
$1,880
Individual OOP Max
$6,802
$4,573
$3,346
Family OOP Max
$13,296
$9,434
$7,587
Coinsurance
28%
22%
11%
Primary Care
$46
$38
$26
Specialist
$70
$57
$36
Emergency Room
$482
$285
$210
Urgent Care
$98
$80
$60
Inpatient Hospital
$710
$478
$319
Outpatient Hospital
$318
$253
$108
Lab & X-ray
$46
$28
$9

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Employee ContributionsLimitedBalancedRobust
Employee Only
$297
$226
$164
Employee + Spouse
$652
$563
$405
Employee + Child(ren)
$528
$442
$374
Family
$876
$718
$558
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Gross Premium RatesLimitedBalancedRobust
Employee Only
$852
$749
$603
Employee + Spouse
$1,761
$1,570
$1,222
Employee + Child(ren)
$1,499
$1,209
$1,054
Family
$2,446
$2,178
$1,827
Available in full report
PrescriptionsLimitedBalancedRobust
Generic
$19
$14
$6
Preferred Brand
$60
$38
$26
Non-Preferred Brand
$100
$78
$50
Specialty
$294
$226
$139
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