2017 Idaho Large Group Plans

The information on this page is for plans beginning January 1, 2017.

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

Co-pay for office visits
Services performed during an office visit may be billed separately.

Co-insurance after deductible

SBCs
by Network
Summaries
by Network
1000+30-45_20
$1,000
$5,000
$30
20%
1000+30-45_30
$1,000 
$5,000
$30
30%
1500+30-45_20
$1,500 
$5,500
$30
20%
1500+30-45_30
$1,500
$5,500
$30
30%
2000+30-45_20
$2,000
$6,000
$30
20%
2000+30-45_30 
$2,000
$6,000
$30
30%
2500+30-45_20 
$2,500
$6,000
$30
20%
2500+30-45_30
$2,500
$6,000 
$30
30%
3000+30-45_20
$3,000
$6,000 
$30
20%
3000+30-45_30
$3,000
$6,000 
$30
30%
4000+30-45_20
$4,000
$6,000 
$30
20%
4000+30-45_30
$4,000
$6,000 
$30
30%
5000+30-45_20
$5,000
$6,000 
$30
20%
5000+30-45_30
$5,000
$6,850 
$30
30%
HSA 1500+Rx Non-embedded
$1,500
$4,500
No co-pay
20%
HSA 3000+50+Rx
$3,000
$6,350
No co-pay
50%
HSA 3000+Rx
$3,000
$3,000
No co-pay
No charge after deductible
HSA 4000+Rx
$4,000
$4,000
No co-pay
No charge after deductible
HSA 5000+Rx
$5,000
$5,000
No co-pay
No charge after deductible

 

Dental Plans 

Dental handbook samples:


Dental Advantage Plus 0-20-50 50-1000  
Dental Advantage Plus 0-20-50 50-1500
Dental Advantage Plus 20-20-50 50-1000
Dental Advantage Plus 20-20-50 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. For information and requirements, please see our Voluntary Dental flier.

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

 

Pharmacy Plans


ID 3000D IDL
ID 4000D IDL
ID 5000D IDL
 

 

Chiropractic Manipulation and Acupuncture


 Summary

 

Vision Plans

Vision 100
Vision 200

 

Brochure 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.

 

BrightPath Network

 

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

  • Ada
  • Blaine
  • Boise
  • Camas
  • Canyon
  • 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.