Services Legal Services Benefits Benchmarks
Real plan data from verified employers in your industry
269
Employers
777
Plans
Plan Type Mix
LivePPO38%
HDHP35%
HMO13%
EPO8%
Plan Funding
LiveFully-Insured79%
Self-Insured13%
Level-Funded7%
Plans Offered
LiveThree or More Plans52%
Two Plans25%
One Plan23%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,696 | $1,567 | $776 |
| Family Deductible | $5,016 | $3,734 | $1,504 |
| Individual OOP Max | $6,526 | $4,784 | $3,403 |
| Family OOP Max | $13,142 | $10,912 | $6,282 |
| Coinsurance | 26% | 22% | 13% |
| Primary Care | $49 | $36 | $22 |
| Specialist | $68 | $50 | $41 |
| Emergency Room | $478 | $342 | $166 |
| Urgent Care | $99 | $80 | $56 |
| Inpatient Hospital | $731 | $515 | $303 |
| Outpatient Hospital | $347 | $232 | $121 |
| Lab & X-ray | $45 | $21 | $1 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $295 | $247 | $152 |
| Employee + Spouse | $645 | $552 | $445 |
| Employee + Child(ren) | $525 | $460 | $365 |
| Family | $880 | $692 | $625 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $889 | $737 | $623 |
| Employee + Spouse | $1,747 | $1,535 | $1,211 |
| Employee + Child(ren) | $1,470 | $1,270 | $1,050 |
| Family | $2,389 | $2,034 | $1,799 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $20 | $11 | $5 |
| Preferred Brand | $59 | $41 | $27 |
| Non-Preferred Brand | $99 | $75 | $56 |
| Specialty | $294 | $215 | $114 |
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