Maine Medical/Rx Benefits Benchmarks
Real plan data from verified employers in your state
Employee Benefits in Maine
Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.
Our database includes 170 employers in Maine offering 554 verified benefit plans. PPO plans are the most common (40% of employers), followed by HDHP (39%). Funding approaches are mixed, with fully-insured (49%) and self-insured (40%) both common. Most employers offer three or more plan options to employees (63%).
Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.
Maine plan design & cost benchmarks
| In-Network Benefits | LimitedBalancedRobust | Your Plan |
|---|---|---|
| Individual Deductible | $636 $1,687 $2,816 | $1,68752Bal |
| Family Deductible | $1,488 $3,434 $5,248 | $3,43452Bal |
| Individual OOP Max | $3,787 $4,640 $6,821 | $4,64052Bal |
| Family OOP Max | $6,742 $9,741 $13,987 | $9,74152Bal |
| Coinsurance | 12% 17% 29% | 17%52Bal |
| Primary Care | $21 $38 $46 | $3852Bal |
| Specialist | $37 $50 $69 | $5052Bal |
| Emergency Room | $170 $284 $458 | $28452Bal |
| Urgent Care | $54 $79 $94 | $7952Bal |
Unlock the full benchmarks
Real plan-design and cost benchmarks for maine, 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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