Services Engineering Rd Architecture Benefits Benchmarks
Real plan data from verified employers in your industry
436
Employers
1,248
Plans
Plan Type Mix
LivePPO41%
HDHP39%
HMO10%
EPO5%
Plan Funding
LiveFully-Insured68%
Self-Insured21%
Level-Funded11%
Plans Offered
LiveThree or More Plans53%
Two Plans32%
One Plan15%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,848 | $1,375 | $556 |
| Family Deductible | $5,208 | $3,170 | $1,392 |
| Individual OOP Max | $6,821 | $5,043 | $3,128 |
| Family OOP Max | $12,707 | $10,221 | $6,934 |
| Coinsurance | 29% | 19% | 11% |
| Primary Care | $44 | $35 | $24 |
| Specialist | $73 | $50 | $39 |
| Emergency Room | $434 | $358 | $152 |
| Urgent Care | $98 | $76 | $52 |
| Inpatient Hospital | $721 | $538 | $260 |
| Outpatient Hospital | $303 | $236 | $146 |
| Lab & X-ray | $48 | $21 | $0 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $289 | $225 | $162 |
| Employee + Spouse | $668 | $563 | $448 |
| Employee + Child(ren) | $521 | $465 | $370 |
| Family | $886 | $792 | $569 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $857 | $724 | $636 |
| Employee + Spouse | $1,745 | $1,411 | $1,247 |
| Employee + Child(ren) | $1,452 | $1,299 | $1,003 |
| Family | $2,384 | $2,005 | $1,744 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $18 | $10 | $8 |
| Preferred Brand | $57 | $39 | $31 |
| Non-Preferred Brand | $91 | $78 | $55 |
| Specialty | $300 | $197 | $124 |
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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