Medical/Rx Benefits

Montana Medical/Rx Benefits Benchmarks

Real plan data from verified employers in your state

Verified Data
211Employers
721Plans
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Medical/Rx benchmarks

Employee Benefits in Montana

Updated October 2026

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

Our database includes 211 employers in Montana offering 721 verified benefit plans. PPO plans are the most common (44% of employers), followed by HDHP (41%). Funding approaches are mixed, with fully-insured (45%) and self-insured (45%) both common. Most employers offer three or more plan options to employees (65%).

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

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Montana plan design & cost benchmarks

In-Network Cost Sharing — sample layout
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$560
$1,747
$2,896
$1,74752Bal
Family Deductible
$1,344
$2,918
$5,968
$2,91852Bal
Individual OOP Max
$3,077
$5,120
$6,379
$5,12052Bal
Family OOP Max
$7,562
$10,278
$13,411
$10,27852Bal
Coinsurance
11%
22%
29%
22%52Bal
Primary Care
$23
$32
$46
$3252Bal
Specialist
$39
$61
$73
$6152Bal
Emergency Room
$151
$288
$480
$28852Bal
Urgent Care
$51
$82
$98
$8252Bal

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Real plan-design and cost benchmarks for montana, 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

Plus full benchmarks for Life, Voluntary Life, Short- & Long-Term Disability, and Stop-Loss.

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
PPO44%
HDHP41%
HMO7%
POS4%

Plan Funding

% of employers by funding

VERIFIED
Fully-Insured45%
Self-Insured45%
Level-Funded10%

Plans Offered

% of employers by plan count

VERIFIED
Three or More Plans65%
Two Plans27%
One Plan8%

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