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Molina Silver Saver Off Exchange with Four Free PCP Visits
Health Insurance Plan Details (2026 Plan)
by Molina Healthcare of Utah, Inc. dba Molina Healthcare of Idaho, Inc.
Monthly Premium
HMO
$ubsidy
Silver
- Deductible
- N/A /yr
- Max Out-of-Pocket
- N/A /yr
Details
| Deductible (per individual) | $7,000 /yr |
| Deductible (per family) | $14,000 /yr |
| Max Out-of-Pocket (per individual) | $10,150 /yr |
| Max Out-of-Pocket (per family) | $20,300 /yr |
| Plan Type | HMO |
| Includes Child Dental? | No |
| Includes Adult Dental? | No |
Out-of-Pocket Costs
| Preventive Care | No Charge |
| Primary Care Visit | $40 Copay |
| Specialist Visit | $62 Copay |
| Emergency Room | 20.00% Coinsurance after deductible |
| Inpatient Facility | 20.00% Coinsurance after deductible |
| Inpatient Physician | 20.00% Coinsurance after deductible |
| Generic Drugs | $5 Copay |
| Preferred Brand Drugs | $100 Copay |
| Non-preferred Brand Drugs | 20.00% Coinsurance after deductible |
| Specialty Drugs | 20.00% Coinsurance after deductible |
Plan Documents
| Summary of Benefits and Coverage | SBC doc |
| Provider Directory | Doctor lookup |
| Drug Formulary List | n/a |
* Figures shown are only for in-network medical costs
** Please check with insurance company if Copay and Coinsurance rates are before or after the deductible
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