Services Consulting Services Benefits Benchmarks
Real plan data from verified employers in your industry
311
Employers
867
Plans
Plan Type Mix
LivePPO40%
HDHP37%
HMO11%
POS7%
Plan Funding
LiveFully-Insured73%
Self-Insured15%
Level-Funded12%
Plans Offered
LiveThree or More Plans54%
Two Plans31%
One Plan15%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,884 | $1,831 | $612 |
| Family Deductible | $5,576 | $3,902 | $1,616 |
| Individual OOP Max | $6,558 | $4,698 | $3,794 |
| Family OOP Max | $13,258 | $10,202 | $7,101 |
| Coinsurance | 27% | 22% | 14% |
| Primary Care | $46 | $38 | $20 |
| Specialist | $69 | $57 | $41 |
| Emergency Room | $457 | $325 | $174 |
| Urgent Care | $100 | $78 | $55 |
| Inpatient Hospital | $698 | $516 | $329 |
| Outpatient Hospital | $349 | $240 | $103 |
| Lab & X-ray | $47 | $24 | $3 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $285 | $240 | $155 |
| Employee + Spouse | $700 | $553 | $450 |
| Employee + Child(ren) | $512 | $444 | $379 |
| Family | $908 | $709 | $619 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $869 | $758 | $639 |
| Employee + Spouse | $1,788 | $1,570 | $1,265 |
| Employee + Child(ren) | $1,414 | $1,187 | $1,061 |
| Family | $2,455 | $2,105 | $1,799 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $20 | $12 | $8 |
| Preferred Brand | $56 | $47 | $27 |
| Non-Preferred Brand | $94 | $75 | $50 |
| Specialty | $272 | $216 | $128 |
Available in full report
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