Small Groups
Idaho Business Plans
Choose a level of coverage
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Bronze
Basic plans for infrequent trips to the doctor and mild medical requirements.
….
Silver
Great plans for families or individuals seeking more coverage throughout the year.
….
Gold
Highest coverage for those who frequently visit their doctor.
Bronze Small Group Plans
SG Bronze
Engage
Please Note: Highlighted benefits reflect In-Network coverage
$8,550
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$17,100
Family Deductible
$17,100
Family Out-of-pocket Maximum
Hospital Network: Statewide
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
$0 after deductible
Primary care visit - (First 2 visits $40 then $0 after deductible)
0% after deductible
Urgent Care Visit
0% after deductible
Specialist visit
$15 copay
Tier 1- Preferred Generic Drugs
SG Bronze
Engage PLUS
Please Note: Highlighted benefits reflect In-Network coverage
$7,000
Individual Deductible
$7,000
Individual Out-of-pocket Maximum
$14,000
Family Deductible
$14,000
Family Out-of-pocket Maximum
Hospital Network: Statewide Network
Plan Type: POS
HSA Eligible: Yes
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
0% after deductible
Primary care visit
0% after deductible
Urgent Care Visit
0% after deductible
Specialist visit
0% after deductible
Tier 1- Preferred Generic Drugs
SG Bronze
Engage Expanded
Please Note: Highlighted benefits reflect In-Network coverage
$8,550
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$17,100
Family Deductible
$17,100
Family Out-of-pocket Maximum
Hospital Network: Statewide
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
$40 copay
Primary care visit - (First 2 visits $40.00 then $0 after deductible)
$90 copay
Urgent Care Visit
$0 after deductible
Specialist visit
$15 copay
Tier 1- Preferred Generic Drugs
SG Bronze
Link
Please Note: Highlighted benefits reflect In-Network coverage
$8,550
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$17,100
Family Deductible
$17,100
Family Out-of-pocket Maximum
Hospital Network: St. Luke’s
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
$40 copay
Primary care visit - (First 2 visits $40.00 then $0 after deductible)
0% after deductible
Urgent Care Visit
0% after deductible
Specialist visit
$15 copay
Tier 1- Preferred Generic Drugs
SG Bronze
Link PLUS
Please Note: Highlighted benefits reflect In-Network coverage
$7,000
Individual Deductible
$7,000
Individual Out-of-pocket Maximum
$14,000
Family Deductible
$14,000
Family Out-of-pocket Maximum
Hospital Network: St. Luke’s
Plan Type: POS
HSA Eligible: Yes
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
0% after deductible
Primary care visit
0% after deductible
Urgent Care Visit
0% after deductible
Specialist visit
$15 after deductible
Tier 1- Preferred Generic Drugs
SG Bronze
Link Expanded
Please Note: Highlighted benefits reflect In-Network coverage
$8,550
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$17,100
family Deductible
$17,100
family Out-of-pocket Maximum
Hospital Network: St. Luke’s
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
$40 after deductible
Primary care visit - (First 2 visits $40.00 then $40.00 after deductible )
$90 copay
Urgent Care Visit
$60.00 after deductible
Specialist visit
$15 copay
Tier 1- Preferred Generic Drugs
Silver Small Group Plans
SG Silver
Engage
Please Note: Highlighted benefits reflect In-Network coverage
$5,000
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$10,000
Family Deductible
$17,100
Family Out-of-pocket Maximum
Hospital Network: Statewide
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
40%
Coinsurance after deductible
$30 copay
Primary care visit
$75 copay
Urgent Care Visit
$50 copay
Specialist visit
$10 copay
Tier 1- Preferred Generic Drugs
SG Silver
Engage Plus
Please Note: Highlighted benefits reflect In-Network coverage
$5,000
Individual Deductible
$5,000
Individual Out-of-pocket Maximum
$10,000
Family Deductible
$10,000
Family Out-of-pocket Maximum
Hospital Network: Statewide
Plan Type: POS
HSA Eligible: Yes
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
0% after deductible
Primary care visit
0% after deductible
Urgent Care Visit
0% after deductible
Specialist visit
0% after deductible
Tier 1- Preferred Generic Drugs
SG Silver
Engage Option 2
Please Note: Highlighted benefits reflect In-Network coverage
$5,800
Individual Deductible
$7,600
Individual Out-of-pocket Maximum
$11,600
Family Deductible
$15,200
Family Out-of-pocket Maximum
Hospital Network: Statewide
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
40%
Coinsurance after deductible
$40 copay
Primary care visit
$90 copay
Urgent Care Visit
$60 copay
Specialist visit
$5 after deductible
Tier 1- Preferred Generic Drugs
SG Silver
Link
$5,000
Individual Deductible
$8,550
Individual Out-of-pocket Maximum
$10,000
Family Deductible
$17,100
family Out-of-pocket Maximum
Hospital Network: St. Luke’s
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
40%
Coinsurance after deductible
$20 copay
Primary care visit
$75 copay
Urgent Care Visit
$50 copay
Specialist visit
$10 copay
Tier 1- Preferred Generic Drugs
SG Silver
Link PLUS
Please Note: Highlighted benefits reflect In-Network coverage
$5,000
Individual Deductible
$5,000
Individual Out-of-pocket Maximum
$10,000
family Deductible
$10,000
family Out-of-pocket Maximum
Hospital Network: St. Luke’s
Plan Type: POS
HSA Eligible: Yes
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
0%
Coinsurance after deductible
0% after deductible
Primary care visit
0% after deductible
Urgent Care Visit
0% after deductible
Specialist visit
0% after deductible
Tier 1- Preferred Generic Drugs
SG Silver
Link Option 2
Please Note: Highlighted benefits reflect In-Network coverage
$5,800
Individual Deductible
$7,600
Individual Out-of-pocket Maximum
$11,600
family Deductible
$15,200
family Out-of-pocket Maximum
Hospital Network: St. Luke’s
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
40%
Coinsurance after deductible
$30 copay
Primary care visit
$90 copay
Urgent Care Visit
$60 copay
Specialist visit
$5 copay
Tier 1- Preferred Generic Drugs
Gold Small Group Plans
SG Gold
Link
Please Note: Highlighted benefits reflect In-Network coverage
$1,000
Individual Deductible
$6,500
Individual Out-of-pocket Maximum
$2,000
Family Deductible
$13,000
family Out-of-pocket Maximum
Hospital Network: St. Luke’s
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
30%
Coinsurance after deductible
$10 copay
Primary care visit
$65 copay
Urgent Care Visit
$45 copay
Specialist visit
$5 copay
Tier 1- Preferred Generic Drugs
SG Gold
Link Option 2
Please Note: Highlighted benefits reflect In-Network coverage
$1,600
Individual Deductible
$6,000
Individual Out-of-pocket Maximum
$3,200
Family Deductible
$12,000
family Out-of-pocket Maximum
Hospital Network: St. Luke’s
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
30%
Coinsurance after deductible
$10 copay
Primary care visit
$60 copay
Urgent Care Visit
$40 copay
Specialist visit
$10 copay
Tier 1- Preferred Generic Drugs
SG Gold
Engage
Please Note: Highlighted benefits reflect In-Network coverage
$1,000
Individual Deductible
$6,500
Individual Out-of-pocket Maximum
$2,000
Family Deductible
$13,000
Family Out-of-pocket Maximum
Hospital Network: Statewide
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.
$0
Preventive Services
30%
Coinsurance after deductible
$25 copay
Primary care visit
$65 copay
Urgent Care Visit
$45 copay
Specialist visit
$5 copay
Tier 1- Preferred Generic Drugs
SG Gold
Engage Option 2
Please Note: Highlighted benefits reflect In-Network coverage
$1,600
Individual Deductible
$6,000
Individual Out-of-pocket Maximum
$3,200
Individual Deductible
$12,000
Individual Out-of-pocket Maximum
Hospital Network: Statewide
Plan Type: POS
HSA Eligible: No
Affordable coverage that includes annual wellness and preventive care. Peace of mind that you have access to a select network of dedicated providers.