SelectHealth plans offer coverage for hospital, medical, preventive care, and surgical expenses incurred as a result of a covered accident or illness. It also offers health plans to small groups, small businesses, small employers, or entrepreneurs.

Health Plan Highlights

Small Employer Value Bronze Single

  • Deductible: $7,000 per person
  • Out-of-pocket max: $7,000 per person
  • Network type: HMO
  • Metal tier: Bronze
  • Plan type: HSA-Qualified
  • Member rating: 4 stars
*plan pricing displayed here is based on 40 yr old male in Salt Lake County with no tobacco use. Pricing will vary based on age, location, and tobacco use. Need 2 employees to enroll in this business health plan.

Health Plan Features

Below is the list coverages that are covered 100% regardless of deductible

  • Annual Wellness Checkup
  • Virtual Visits
  • Preventive Care and Immunizations

Below is the list of coverages this health plan offers after the deductible is met

  • Primary Care Provider (PCP) (100% covered)
  • Secondary Care Provider (SCP) (100% covered)
  • Urgent Care Services (100% covered)
  • Inpatient Hospital Services (100% covered)
  • Outpatient Services (100% covered)
  • Emergency Room (100% covered)
  • Chiropractic 10 visits per year (100% covered)
  • Rx Deductible (Medical and Rx combined)

Qualified Health Plan

The SelectHealth Small Employer Plan is a Qualified Health plan and provides essential health benefits outlined by the Affordable Care Act.

These benefits include:

  • Ambulatory patient services (outpatient care you get without being admitted to a hospital)
  • Emergency services
  • Hospitalization (like surgery and overnight stays)
  • Pregnancy, maternity, and newborn care (both before and after birth)
  • Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
  • Prescription drugs
  • Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits)

Essential health benefits are minimum requirements for all Marketplace plans. Specific services covered in each broad benefit category can vary based on your state’s requirements.

Official Plan Documents

Next Step

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