2016 Idaho Small Group Plans

The information on this page is for small group plans beginning January 1, 2016. Small groups in Idaho are employers with one to 50 employees.

Medical Plans

All plans are available direct with PacificSource and through YourHealthIdaho.org.


 

Plan

Deductible*

OOP*

Co-insurance

HSA-eligible?

SBCs and Handbooks
by Network
Summaries
by Network
  Balance Bronze 6850
$6,850
$6,850
0%
No
BIN / PSN / SAN / SCN
BINPSNSANSCN
Value Bronze 6450
$6,450
$6,450
0%
Yes
BIN / PSN / SAN / SCN
BINPSN / SANSCN
Value Bronze 3500
$3,500
$6,450
50%
Yes
BIN / PSN / SAN / SCN
BINPSN / SANSCN
  Balance Silver 4000 VH
$4,000
$6,850
30%
No
BIN / PSN / SAN / SCN
BINPSNSANSCN
Balance Silver 2500 VH
$2,500
$6,850
30%
No
BIN / PSN / SAN / SCN
BINPSNSANSCN
Value Silver 3600
$3,600
$3,600
0%
Yes
BIN / PSN / SAN / SCN
BINPSNSANSCN
  Balance Gold 1000 VH
$1,000
$5,000
20%
No
BIN / PSN / SAN / SCN
BINPSNSANSCN

*Deductible and out-of-pocket limit amounts shown above are the costs for individuals. Amounts for families are twice the individual amounts.

Dental Plans


  Dental Advantage Core  Dental Choice 0-20-50 50-1000
Dental Advantage 0-20-50 750  Dental Choice Plus 0-20-50 25-1000
Dental Advantage 0-20-50 1000  Dental Choice Plus 0-20-50 25-1500
Dental Advantage 0-20-50 1500  Dental Choice Plus 0-20-50 50-1000
Dental Advantage Plus 0-20-50 1000  Dental Choice Plus 0-20-50 50-1500
Dental Advantage Plus 0-20-50 1500  
  Kids Dental Advantage 0-20-50     Sample Handbook Kids Dental Advantage 20-40-50     Sample Handbook
  Ortho 1000 WP

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 Core Dental Advantage 0-20-50 750

Brochure and Forms


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

Network Availability


Plan availability varies depending on geographic location. All network plans are available direct with PacificSource and through YourHealthIdaho.org.

PacificSource Network (PSN)

 
 Idaho PSN

Available in the following counties:

  • All counties

Notable features:

  • Access to participating PSN providers in Oregon, Idaho, Montana, and southern counties in Washington, as well as access to a nationwide travel network of providers
  • Referrals not required for specialty care
  • Some plans qualified for health savings accounts
 

SmartChoice Network (SCN)

 
 Idaho SCN

Available in the following counties:

  • Bannock
  • Bear Lake
  • Benewah
  • Bingham
  • Bonner
  • Bonneville
  • Boundary
 
  • Butte
  • Caribou
  • Cassia
  • Clark
  • Clearwater
  • Custer
  • Franklin
 
  • Fremont
  • Idaho
  • Jefferson
  • Kootenai
  • Latah
  • Lemhi
  • Lewis
  • Madison
 
  • Nez Perce
  • Oneida
  • Power
  • Shoshone
  • Teton
 

Notable features:

  • Partner with a primary care provider (PCP)
  • Referrals not required for specialty care
  • Some plans qualified for health savings accounts
 

SmartAlliance Network (SAN)

 
 Idaho SAN

Available in the following counties:

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

Notable features:

  • Referrals not required for specialty care
  • Some plans qualified for health savings accounts
  • Includes the only Level II Trauma Center in the region

Network includes:

  • All hospitals and clinics in the Saint Alphonsus Health System
  • Primary Health Medical Group
  • West Valley Medical Center and Providers
  • Weiser Memorial Hospital and Providers
  • Walter Knox Memorial Hospital
 

BrightIdea Network (BIN)

 
 Idaho BIN

Available in the following counties:

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

Notable features:

  • Referrals not required for specialty care
  • Some plans qualified for health savings accounts

Network includes:

  • St. Luke's Health System
  • West Valley Medical Center
  • Walter Knox Medical Center
  • Weiser Memorial Hospital
  • Minidoka Memorial Hospital
  • North Canyon Medical Center