District of Columbia Medical/Rx Benefits Benchmarks
Real plan data from verified employers in your state
Employee Benefits in District of Columbia
Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.
Our database includes 354 employers in District of Columbia offering 1,104 verified benefit plans. HDHP plans are the most common (37% of employers), followed by PPO (35%). Fully-Insured funding is the predominant model, used by 61% of state employers. Most employers offer three or more plan options to employees (64%).
Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.
District of Columbia plan design & cost benchmarks
| In-Network Benefits | LimitedBalancedRobust | Your Plan |
|---|---|---|
| Individual Deductible | $764 $1,453 $2,660 | $1,45352Bal |
| Family Deductible | $1,856 $3,098 $5,840 | $3,09852Bal |
| Individual OOP Max | $3,422 $4,544 $6,808 | $4,54452Bal |
| Family OOP Max | $6,704 $9,318 $12,822 | $9,31852Bal |
| Coinsurance | 11% 20% 29% | 20%52Bal |
| Primary Care | $22 $31 $47 | $3152Bal |
| Specialist | $39 $55 $70 | $5552Bal |
| Emergency Room | $191 $357 $498 | $35752Bal |
| Urgent Care | $54 $76 $96 | $7652Bal |
Unlock the full benchmarks
Real plan-design and cost benchmarks for district of columbia, with percentile rankings and exportable data.
Deductibles, copays, coinsurance & out-of-pocket maximums
Monthly employee premium contributions by tier
Total monthly premium costs by coverage tier
Rx copays, deductibles & mail-order options
Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.
Plan Type Mix
% of employers offering each
Plan Funding
% of employers by funding
Plans Offered
% of employers by plan count
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