Wholesale Nondurable Goods Benefits Benchmarks
Real plan data from verified employers in your industry
225
Employers
609
Plans
Plan Type Mix
LivePPO40%
HDHP32%
HMO15%
POS8%
Plan Funding
LiveFully-Insured71%
Self-Insured25%
Level-Funded4%
Plans Offered
LiveThree or More Plans50%
Two Plans29%
One Plan21%
| In-Network Benefits | Limited | Balanced | Robust |
|---|---|---|---|
| Individual Deductible | $2,664 | $1,687 | $508 |
| Family Deductible | $5,512 | $3,050 | $1,936 |
| Individual OOP Max | $6,795 | $5,523 | $3,006 |
| Family OOP Max | $13,078 | $9,088 | $6,218 |
| Coinsurance | 27% | 20% | 11% |
| Primary Care | $46 | $36 | $26 |
| Specialist | $69 | $55 | $37 |
| Emergency Room | $457 | $351 | $185 |
| Urgent Care | $91 | $72 | $55 |
| Inpatient Hospital | $725 | $486 | $341 |
| Outpatient Hospital | $349 | $192 | $110 |
| Lab & X-ray | $49 | $26 | $5 |
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| Employee Contributions | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $293 | $246 | $166 |
| Employee + Spouse | $664 | $536 | $414 |
| Employee + Child(ren) | $513 | $479 | $350 |
| Family | $889 | $786 | $573 |
Available in full report
| Gross Premium Rates | Limited | Balanced | Robust |
|---|---|---|---|
| Employee Only | $845 | $755 | $600 |
| Employee + Spouse | $1,690 | $1,417 | $1,263 |
| Employee + Child(ren) | $1,490 | $1,266 | $1,030 |
| Family | $2,412 | $2,134 | $1,782 |
Available in full report
| Prescriptions | Limited | Balanced | Robust |
|---|---|---|---|
| Generic | $18 | $14 | $7 |
| Preferred Brand | $59 | $42 | $26 |
| Non-Preferred Brand | $100 | $78 | $53 |
| Specialty | $289 | $225 | $134 |
Available in full report
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