Utah health plan · 2026

Med Benchmark Platinum · 68781UT0200035

Select Health offers this marketplace health insurance plan (Plan ID 68781UT0200035) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Platinum Plan type: HMO CSR: Standard Platinum On Exchange Plan Issuer: Select Health
Telehealth Data pending HSA eligible No Dental Not listed Vision Child
Pay / Manage Plan View issuer site

CMS AV Calculator output: 89.98% (10.02% member share on average). Learn about AV methodology.

2026 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

$558 – $2950

Before subsidies

Estimate after subsidies

Deductible

N/A

N/A

See deductible details

Max out-of-pocket

$8,950

$17900 per group

Review MOOP rules

Office visits

Primary care $0.00
Specialist $0.00
HSA Not eligible

Drug tiers

Generic $10.00
Preferred brand $45.00

View formulary tiers

$1008 / mo before subsidies

≈ $12093 per year before tax credits.

Start with this unsubsidized premium, then apply marketplace tax credits to see your final monthly payment.

  • Ideal for shoppers comparing Bronze vs. Silver budgets.
  • Update your Marketplace application to apply premium tax credits.

$3484 / mo before subsidies

≈ $41803 per year before tax credits.

Pre-subsidy rate for a couple with one dependent. Switch to Silver CSR plans if you qualify to reduce these numbers.

  • Compares well against PPO vs HMO networks when planning for childcare and telehealth needs.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$3952 / mo before subsidies

≈ $47428 per year before tax credits.

Pairs with cost-sharing reductions (CSR) when you select a Silver tier and qualify based on income.

  • Use this estimate before adding childcare, dental, or vision extras.
  • CSR Silver variants can lower deductibles dramatically for eligible incomes.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$2909 / mo before subsidies

≈ $34904 per year before tax credits.

Shows the combined pre-subsidy rate for two adults. Add dependents or subsidies in your application to refine it.

  • Great for households deciding between PPO and HMO networks.
  • Telehealth and HSA perks (when offered) apply to both members.
Issuer profile See benefits

Preventive Care/Screening/Immunization

No Charge, No Charge

Emergency Room Services

$250.00

Durable Medical Equipment

10.00%

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Enrollment guidance

Stay on top of 2026 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2026 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Utah). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Standard Platinum On Exchange Plan plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Top covered benefits

How this plan handles key care scenarios

Preventive Care/Screening/Immunization

No Charge, No Charge

Emergency Room Services

$250.00

Durable Medical Equipment

10.00%

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 68781UT0200035
Coverage year 2026
State Utah
Issuer Select Health
Formulary document Download formulary
Variant ID 68781UT0200035-01
Available variants

Standard Off Exchange Plan · 68781UT0200035-00

Standard On Exchange Plan · 68781UT0200035-01

Open to Indians below 300% FPL · 68781UT0200035-02

Open to Indians above 300% FPL · 68781UT0200035-03
Last plan update Wed, 15 Oct 2025 00:00 GMT
Last HealthPorta import Tue, 02 Dec 2025 06:13 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).

All providers in Utah 16289
PCPs in Utah 1956
Telehealth support Data pending
Nationwide providers 21366
16,289 doctors statewide 1,956 PCPs 77 OB/GYN

Provider network(s)

Providers Utah All US states
All 16289 21366
PCP 1956 2543
Allergy 7 12
OB/GYN 77 100
Dentists 1054 1209

Drug coverage overview

3,856 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
NON-PREFERRED-GENERIC 2,238
NON-PREFERRED-BRAND 658
SPECIALTY-DRUGS 501
ZERO-COST-SHARE-PREVENTIVE-DRUGS 459
Prior authorization Drugs
Required 528
Not Required 3,328
Step therapy Drugs
Required 211
Not Required 3,645
Quantity limits Drugs
Has Limit 423
No Limit 3,433

Customer highlights

What stands out for members

  • Issuer: Select Health · Plan ID 68781UT0200035 · 2026 filing.
  • Disease management programs available: Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs.
  • Download the latest formulary directly from the issuer here.
  • Variant 68781UT0200035-01 (Standard On Exchange Plan) currently displayed.
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Benefits

Covered services & limitations

Everyday care

Office visits, preventive care, labs, imaging, and home health.

Chiropractic Care

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Diabetes Education

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Home Health Care Services

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Limit: 30.0 Visit(s) per Year

Laboratory Outpatient and Professional Services

No Charge, No Charge
Tier 1 in-network No Charge, No Charge
Out-of-network 100.00%

Other Practitioner Office Visit (Nurse, Physician Assistant)

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Preventive Care/Screening/Immunization

No Charge, No Charge
Tier 1 in-network No Charge, No Charge
Out-of-network 100.00%

Primary Care Visit to Treat an Injury or Illness

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Rehabilitative Occupational and Rehabilitative Physical Therapy

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

Limit: 30.0 Days per Year

Outpatient physical, speech, and occupational therapies have a combined limit of 20 visits. Inpatient physical, speech, and occupational rehabilitation services have a combined limit of 30 days.

Rehabilitative Speech Therapy

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

Limit: 30.0 Days per Year

Outpatient physical, speech, and occupational therapies have a combined limit of 20 visits. Inpatient physical, speech, and occupational rehabilitation services have a combined limit of 30 days.

Specialist Visit

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Urgent Care Centers or Facilities

$25.00
Tier 1 in-network $25.00
Out-of-network 100.00%

X-rays and Diagnostic Imaging

No Charge, No Charge
Tier 1 in-network No Charge, No Charge
Out-of-network 100.00%

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Chemotherapy

50.00%
Tier 1 in-network 50.00%
Out-of-network 100.00%

Delivery and All Inpatient Services for Maternity Care

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Dialysis

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Durable Medical Equipment

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Exclusions: Certain limitations and exclusions exist. Refer to the plan materials for more information.

Emergency Room Services

$250.00
Tier 1 in-network $250.00
Out-of-network $250.00

Emergency Transportation/Ambulance

10.00%
Tier 1 in-network 10.00%
Out-of-network 10.00%

Hospice Services

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Limit: 6.0 Months per 3 Years

Inpatient Hospital Services (e.g., Hospital Stay)

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Inpatient Physician and Surgical Services

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Mental/Behavioral Health Inpatient Services

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Exclusions: Certain limitations and exclusions exist. Refer to the plan materials for more information.

Mental/Behavioral Health Outpatient Services

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Office visits for Mental/Behavioral Health Outpatient Services: please refer to the Primary Care Visit for cost sharing information. All other outpatient services (e.g., partial hospitalization, day treatment, intensive outpatient) may be subject to additional cost sharing. Please refer to the plan policy documents for detailed information.

Exclusions: Certain limitations and exclusions exist. Refer to the plan materials for more information.

Outpatient Facility Fee (e.g., Ambulatory Surgery Center)

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

A procedure in a Freestanding Ambulatory Surgery Center, will cost the member less than the amount shown for other outpatient facilities.

Outpatient Rehabilitation Services

$25.00
Tier 1 in-network $25.00
Out-of-network 100.00%

Limit: 20.0 Visit(s) per Year

Outpatient physical, speech, and occupational therapies have a combined limit of 20 visits. Inpatient physical, speech, and occupational rehabilitation services have a combined limit of 30 days.

Outpatient Surgery Physician/Surgical Services

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Radiation

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Skilled Nursing Facility

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Limit: 30.0 Days per Year

Substance Abuse Disorder Inpatient Services

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Exclusions: Certain limitations and exclusions exist. Refer to the plan materials for more information.

Substance Abuse Disorder Outpatient Services

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Office visits for Mental/Behavioral Health Outpatient Services: please refer to the Primary Care Visit for cost sharing information

Exclusions: Certain limitations and exclusions exist. Refer to the plan materials for more information.

Transplant

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Exclusions: Covered only in limited circumstances

Mental health & substance use

Behavioral health visits and substance use treatment.

Autism Spectrum Disorders

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Covered as required by state law.

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Hearing Aids

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Major Dental Care - Child

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Prenatal and Postnatal Care

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Routine Eye Exam for Children

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Limit: 1.0 Visit(s) per Year

Well Baby Visits and Care

No Charge, No Charge
Tier 1 in-network No Charge, No Charge
Out-of-network 100.00%

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

$10.00
Tier 1 in-network $10.00
Out-of-network 100.00%

Certain generic and brand name drugs have lower cost sharing than the generic tier

Non-Preferred Brand Drugs

50.00%
Tier 1 in-network 50.00%
Out-of-network 100.00%

The Hepatitis C Virus (HCV) drugs covered on non-preferred brand tier are eligible to receive a rebate from the drug manufacturer. The member out-of-pocket costs will be applied to the deductible and the maximum out-of-pocket.

Preferred Brand Drugs

$45.00
Tier 1 in-network $45.00
Out-of-network 100.00%

Specialty Drugs

50.00%
Tier 1 in-network 50.00%
Out-of-network 100.00%

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Basic Dental Care - Adult

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Dental Check-Up for Children

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Infusion Therapy

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Major Dental Care - Adult

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Nutritional Counseling

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Orthodontia - Adult

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Orthodontia - Child

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Prosthetic Devices

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Routine Dental Services (Adult)

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Weight Loss Programs

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Acupuncture

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Allergy Testing

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Bariatric Surgery

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Cosmetic Surgery

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Eye Glasses for Children

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Limit: 1.0 Item(s) per Year

Exclusions: Frames are not covered

Gender Affirming Care

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Habilitation Services

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

Limit: 20.0 Visit(s) per Year

Outpatient physical, speech, and occupational therapies have a combined limit of 20 visits.

Imaging (CT/PET Scans, MRIs)

$150.00
Tier 1 in-network $150.00
Out-of-network 100.00%

Infertility Treatment

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Inherited Metabolic Disorder - PKU

$0.00
Tier 1 in-network $0.00
Out-of-network 100.00%

Long-Term/Custodial Nursing Home Care

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Private-Duty Nursing

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Reconstructive Surgery

10.00%
Tier 1 in-network 10.00%
Out-of-network 100.00%

Exclusions: Covered only in limited circumstances

Routine Eye Exam (Adult)

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Routine Foot Care

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Treatment for Temporomandibular Joint Disorders

Coverage details pending

Issuer did not share extra notes for this benefit beyond the summary above.

Variant attributes

Med Benchmark Platinum · Variant 68781UT0200035-01

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2026

CSR Variation Type

Standard Platinum On Exchange Plan

HIOS Product ID

68781UT020

Metal Level

Platinum

Plan ID (Standard Component ID with Variant)

68781UT0200035-01

Plan Marketing Name

Med Benchmark Platinum

Plan Variant Marketing Name

Med Benchmark Platinum

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

68781

Issuer Marketplace Marketing Name

Select Health

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

No

Network ID

UTN001

Out of Country Coverage

No

Out of Country Coverage Description

Urgent or emergency care only

Out of Service Area Coverage

No

Out of Service Area Coverage Description

Urgent or emergency care only

Service Area ID

UTS001

State Code

UT

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

0.8998373961099599

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

10.00%

Inpatient Copayment Maximum Days

0

Medical Drug Deductibles Integrated

No

Medical Drug Maximum Out of Pocket Integrated

Yes

Medical EHB Deductible, In Network (Tier 1), Default Coinsurance

10.00%

SBC Scenario, Having a Baby, Coinsurance

$1,100

SBC Scenario, Having a Baby, Copayment

$300

SBC Scenario, Having a Baby, Deductible

$0

SBC Scenario, Having Diabetes, Coinsurance

$80

SBC Scenario, Having Diabetes, Copayment

$0

SBC Scenario, Having Diabetes, Deductible

$0

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$100

SBC Scenario, Treatment of a Simple Fracture, Copayment

$700

SBC Scenario, Treatment of a Simple Fracture, Deductible

$0

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

Not Applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group

$17900 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person

$8950 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$8,950

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

UTF016

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$20

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

URL for Enrollment Payment

Open link

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

0

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Drug EHB Deductible, Combined In/Out of Network, Family Per Group

$0 per group

Drug EHB Deductible, Combined In/Out of Network, Family Per Person

$0 per person

Drug EHB Deductible, Combined In/Out of Network, Individual

$0

Drug EHB Deductible, In Network (Tier 1), Family Per Group

per group not applicable

Drug EHB Deductible, In Network (Tier 1), Family Per Person

per person not applicable

Drug EHB Deductible, In Network (Tier 1), Individual

Not Applicable

Drug EHB Deductible, Out of Network, Family Per Group

per group not applicable

Drug EHB Deductible, Out of Network, Family Per Person

per person not applicable

Drug EHB Deductible, Out of Network, Individual

Not Applicable

Dental Only Plan

No

Design Type

Not Applicable

Disease Management Programs Offered

Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs

EHB Percent of Total Premium

1

First Tier Utilization

100%

Import Date

10/15/2025

Limited Cost Sharing Plan Variation - Estimated Advanced Payment

$0.00

HSA Eligible

No

New/Existing Plan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

No

Medical EHB Deductible, Combined In/Out of Network, Family Per Group

per group not applicable

Medical EHB Deductible, Combined In/Out of Network, Family Per Person

per person not applicable

Medical EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Medical EHB Deductible, In Network (Tier 1), Family Per Group

$0 per group

Medical EHB Deductible, In Network (Tier 1), Family Per Person

$0 per person

Medical EHB Deductible, In Network (Tier 1), Individual

$0

Medical EHB Deductible, Out of Network, Family Per Group

per group not applicable

Medical EHB Deductible, Out of Network, Family Per Person

per person not applicable

Medical EHB Deductible, Out of Network, Individual

Not Applicable

Plan Effective Date

1/1/2026

Plan Expiration Date

12/31/2026

Plan Level Exclusions

Abortions/Termination of Pregnancy (except to save the life of the mother or when caused by rape/incest); Acupuncture/Acupressure; Administrative Services/Charges; Certain Allergy Tests; Bariatric Surgery; Biofeedback/Neurofeedback; Certain Cancer Therapies; Certain Illegal Activities; Claims After One Year; Complementary/Alternative Medicine; Complications of a Non-Covered Service; Custodial Care; Debarred Providers; Dental Anesthesia where criteria is not met; Duplication of Coverage; Exercise Equipment/Fitness Training; Experimental/Investigational Services (except for approved clinical trials); Refractive Eye Surgery; Food Supplements; Gene Therapy; Hearing Aids; Home Health Aides; Certain Immunizations; Certain Pain Management Services; Certain Prescription/Injectable Drugs and Specialty Medications; Reconstructive, Corrective, and Cosmetic Services; Respite Care; Robot-Assisted Surgery; Sexual Dysfunction; Certain Specialty Services; Travel-Related Expenses; computer-assisted interpretation of X-rays; Computer-assisted navigation for orthopedic procedures; Home A1C testing; Magnetic Source Imaging (MSI); Manipulation under anesthesia; Oncofertility; Radiofrequency ablation for lateral epicondylitis; Virtual colonoscopy screening; and certain DME items.

Plan Type

HMO

QHP/Non QHP

Both

Source Name

SERFF

Plan ID

68781UT0200035

Unique Plan Design

No

Wellness Program Offered

No

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Utah?

Med Benchmark Platinum (68781UT0200035) is a Platinum HMO from Select Health in Utah for the 2026 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Med Benchmark Platinum support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Med Benchmark Platinum HSA-eligible and does it include dental or vision coverage?

It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.

Dental coverage is not listed for this plan.

Vision add-ons: Child.

Does Med Benchmark Platinum support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Which disease management programs come with Med Benchmark Platinum?

The issuer lists disease management resources for: Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs.

Is there out-of-country coverage for Med Benchmark Platinum?

No, out-of-country services are not covered for this plan. Details: Urgent or emergency care only

Does Med Benchmark Platinum cover care outside the service area?

No, the issuer indicates out-of-service-area care is not covered except for emergencies. Details: Urgent or emergency care only

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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