Medical/Rx Benefits

Arizona Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your state

Verified Data
643Employers
2,163Plans
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Source-verified plan dataReal plans, not surveysRefreshed monthly
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Employee Benefits in Arizona

Medical plan benchmarks from verified employer data

Verified Data

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 643 employers in Arizona offering 2,163 verified benefit plans. PPO plans are the most common (42% of employers), followed by HDHP (41%). Funding approaches are mixed, with fully-insured (50%) and self-insured (40%) both common. Most employers offer three or more plan options to employees (66%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

643 employers2,163 verified plansUpdated October 2026
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Arizona plan design & cost benchmarks

In-Network Cost Sharing — sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$648
$1,999
$2,756
$1,99952Bal
Family Deductible
$1,136
$3,230
$5,264
$3,23052Bal
Individual OOP Max
$3,250
$4,582
$6,206
$4,58252Bal
Family OOP Max
$6,973
$9,741
$13,821
$9,74152Bal
Coinsurance
11%
17%
28%
17%52Bal
Primary Care
$22
$37
$45
$3752Bal
Specialist
$38
$51
$73
$5152Bal
Emergency Room
$150
$320
$447
$32052Bal
Urgent Care
$59
$81
$98
$8152Bal

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Real plan-design and cost benchmarks for arizona, with percentile rankings and exportable data.

What's inside the full report
In-Network Cost Sharing

Deductibles, copays, coinsurance & out-of-pocket maximums

Employee Contributions

Monthly employee premium contributions by tier

Gross Premium Rates

Total monthly premium costs by coverage tier

Prescription Drug Coverage

Rx copays, deductibles & mail-order options

Percentile rankings (25th / 50th / 75th)
Live, real-time data (this preview refreshes monthly)
Exportable to PDF & CSV

Plan Type Mix

% of employers offering each

VERIFIED
PPO42%
HDHP41%
HMO8%
EPO6%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured50%
Self-Insured40%
Level-Funded10%

Plans Offered

% of employers by plan count

VERIFIED
Three or More Plans66%
Two Plans25%
One Plan9%
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See What You'll Discover

Our reports reveal exactly where your plan stands, and why. Preview using sample Arizona data.

72
Balanced
Sample Report
Sample PPO Gold 1500
Blue Cross Blue Shield · PPO

This plan aligns well with common market practices. Benefits and costs are competitive, providing reliable value that meets typical employer offerings in your segment.

Based on 847 comparable plans
Core Scoring Drivers
In-Network Cost Sharing78Robust

Deductibles and copays rank above market median, offering strong value to employees.

Employee Contributions65Balanced

Contribution levels are competitive with peer employers in your industry.

Premium Rates71Balanced

Gross premiums align with market expectations for comparable coverage.

Plan Types
PPO
42%
HDHP
31%
HMO
18%
POS
9%

% of employers

Plans Offered
2 Plans
38%
3 Plans
29%
1 Plan
22%
4+ Plans
11%

% of employers

Funding Types
Fully Insured: 58%
Self-Funded: 34%
Level-Funded: 8%
Top Performers

Features in top 25% of peers

Individual Deductible82Robust
In-Network Cost Sharing
Primary Care Copay79Robust
In-Network Cost Sharing
Generic Rx Copay77Robust
Prescription Drugs
Individual OOP Max76Robust
In-Network Cost Sharing
Under Performers

Features in bottom 25% of peers

Family Premium18Low
Gross Premium Rates
EE+Spouse Contribution21Low
Employee Contributions
Specialist Copay24Low
In-Network Cost Sharing
Actionable Insight

Family Premium ranks in the 18th percentile. Adjusting employer contribution strategy could improve retention without significant cost increases.

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Arizona Benefits Landscape

Regional trends and benchmarking considerations

Arizona employers operate in a rapidly growing market with moderate healthcare costs and business-friendly regulations. Our benchmarking data shows Arizona benefits evolving as the state attracts employers from higher-cost states, bringing more sophisticated benefits expectations and raising competitive standards.

Key Highlights

Growth Market Effect

Companies relocating from higher-cost states often bring richer benefits expectations, raising the competitive bar.

Cost Advantage

Arizona premium rates in our database remain below California and other coastal states, providing employer cost advantages.

Benchmarking Considerations

Arizona benefits are evolving as the market grows. Healthcare, technology, and financial services employers typically show richer patterns. Use industry filters for relevant comparisons.

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Frequently Asked Questions

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Detailed benchmarks, industry breakdowns, and exportable data

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