2018 Idaho Large Group Plans

The information on this page is for plans beginning January 1, 2018. 

Medical Plans

Medical handbook samples: 


Deductible and out-of-pocket limit amounts shown below are the costs for individuals. Amounts for families are twice the individual amounts. If members receive services from out-of-network providers, their deductible and out-of-pocket limit will be higher than the amounts listed in the table below.  

Plan

Deductible

Out-of-pocket limit

Office visits
Services performed during an office visit may be billed separately.

Co-insurance   

SBCs
by Network
Summaries
by Network
1000+30-45_20
$1,000
$5,000
$30 copay
After deductible, 20%
1000+30-45_30
$1,000 
$5,000
$30 copay
After deductible, 30%
1500+30-45_20
$1,500 
$5,500
$30 copay
After deductible, 20%
1500+30-45_30
$1,500
$5,500
$30 copay
After deductible, 30%
2000+30-45_20
$2,000
$6,000
$30 copay
After deductible, 20%
2000+30-45_30 
$2,000
$6,000
$30 copay
After deductible, 30%
2500+30-45_20 
$2,500
$6,000
$30 copay
After deductible, 20%
2500+30-45_30
$2,500
$6,000 
$30 copay
After deductible, 30%
3000+30-45_20
$3,000
$6,000 
$30 copay
After deductible, 20%
3000+30-45_30
$3,000
$6,000 
$30 copay
After deductible, 30%
4000+30-45_20
$4,000
$6,000 
$30 copay
After deductible, 20%
4000+30-45_30
$4,000
$6,000 
$30 copay
After deductible, 30%
5000+30-45_20
$5,000
$6,850 
$30 copay
After deductible, 20%
5000+30-45_30
$5,000
$6,850 
$30 copay
After deductible, 30%
HSA 1500_20+Rx Non-embedded
$1,500
$4,500
After deductible, 20%
After deductible, 20%
HSA 3000+Rx
$3,000
$3,000
After deductible, covered in full
After deductible, covered in full
HSA 3000_20+Rx
$3,000
$5,000
After deductible, 20%
After deductible, 20%
HSA 3000_50+Rx
$3,000
$6,350
After deductible, 50%
After deductible, 50%
HSA 4000+Rx
$4,000
$4,000
After deductible, covered in full
After deductible, covered in full
HSA 5000+Rx
$5,000
$5,000
After deductible, covered in full
After deductible, covered in full

 

Dental Plans

Dental handbook samples:  


Dental Advantage Plus 0-20-50 1000  
Dental Advantage Plus 0-20-50 1500
Dental Advantage Plus 20-20-50 1000
Dental Advantage Plus 20-20-50 1500
Kids Dental Advantage 0-20-50
Orthodontia 1000

Voluntary Dental Option Plans

Our Voluntary Dental option is available to businesses with ten or more enrolled employees.

Dental Advantage 0-20-50 1000
Dental Advantage 0-20-50 1500  
 

 

Pharmacy Plans


ID 7-25-50 IDL
ID 7-25-50 250D IDL  
 
 

 

Chiropractic Manipulation and Acupuncture


 Summary

 

Vision Plans

Vision 100
Vision 200

 

Brochures and Forms


Visit our Idaho Forms and Materials page for more sales materials.

  

Network Availability (Medical)


Network availability varies depending on geographic location.

PacificSource Network (PSN)

 

Availability: All Idaho businesses can choose health plans on the PacificSource Network, regardless of location.

Notable features: The PacificSource Network (PSN) includes the broadest access to in-network providers and facilities, such as hospitals and urgent care centers. Plans on the PacificSource Network will typically cost more because members will have more providers to choose from.

 

SmartAlliance Network

 

Availability: Businesses located in the following counties can choose plans on the SmartAlliance Network:

  • Ada
  • Boise
  • Canyon
  • Gem
 
  • Owyhee
  • Payette
  • Washington
 

Notable features: The SmartAlliance Network is designed to give members a coordinated-care experience through select provider groups and facilities. This level of provider collaboration means great care at a lower cost. This network includes coverage with Saint Alphonsus providers and facilities, as well as other local healthcare providers.

 

SmartHealth Network

 

Availability: Businesses located in the following counties can choose plans on the SmartHealth Network:

  • Bingham
  • Bonneville
  • Fremont
  • Jefferson
  • Madison
 

Notable features: The SmartHealth Network is designed to give members a coordinated-care experience through select provider groups and facilities. This level of provider collaboration means great care at a lower cost. 

 

BrightPath Network

 

Availability: Businesses located in the following counties can choose plans on the BrightPath Network:

  • Ada
  • Adams
  • Blaine
  • Boise
  • Camas
  • Canyon
  • Cassia
  • Elmore
 
  • Gem
  • Gooding
  • Jerome
  • Lincoln
  • Minidoka
  • Owyhee
 
  • Payette
  • Twin Falls
  • Valley
  • Washington
 

Notable features: The BrightPath Network is designed to give members a coordinated-care experience through select provider groups and facilities. This level of provider collaboration means great care at a lower cost. This includes coverage with St. Luke's providers and facilities, as well as other local healthcare providers.