26002ID0010063-01 Select Health Med Exp Bronze 6000 - no deductible for office visits 2025 Health Insurance Plan

Select Health offers this marketplace health insurance plan (Plan ID 26002ID0010063) 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: Expanded Bronze Plan type: PPO CSR: Standard Bronze On Exchange Plan Issuer: Select Health

Telehealth Data pending HSA eligible No Dental Not listed Vision Not listed

CMS AV Calculator output: 63.67% (36.33% member share on average). Learn about AV methodology.

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

See plan search for live pricing

Before subsidies

Estimate after subsidies

Deductible

N/A

See deductible details

Max out-of-pocket

$9,100

N/A

Review MOOP rules

Office visits

Primary care See benefits

Specialist See benefits

HSA Not eligible

Drug tiers

Generic See drug coverage

Preferred brand See drug coverage

View formulary tiers

Issuer profile See benefits

Open Enrollment window

Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Idaho). 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 Bronze 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.

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	26002ID0010063
Coverage year	2025
State	Idaho
Issuer	Select Health
Variant ID	26002ID0010063-01
Available variants	Standard On Exchange Plan · 26002ID0010063-01 Open to Indians below 300% FPL · 26002ID0010063-02 Open to Indians above 300% FPL · 26002ID0010063-03
Last plan update	Wed, 26 Nov 2025 00:00 GMT
Last HealthPorta import	Tue, 02 Dec 2025 06:13 GMT

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 Idaho 6

PCPs in Idaho 1

Telehealth support Data pending

Nationwide providers 9

6 doctors statewide 1 PCPs

Provider network(s)

PREFERRED

Providers	Idaho	All US states
All	6	9
PCP	1	2
Allergy	N/A	N/A
OB/GYN	N/A	N/A
Dentists	N/A	N/A

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

Tier	Covered drugs
NON-PREFERRED-GENERIC	2,237
NON-PREFERRED-BRAND	663
SPECIALTY-DRUGS	501
ZERO-COST-SHARE-PREVENTIVE-DRUGS	459

Prior authorization	Drugs
Required	525
Not Required	3,335

Step therapy	Drugs
Required	213
Not Required	3,647

Quantity limits	Drugs
Has Limit	423
No Limit	3,437

Issuer: Select Health · Plan ID 26002ID0010063 · 2025 filing.
Disease management programs available: Pregnancy, High Blood Pressure & High Cholesterol, Pain Management, Depression, Low Back Pain, Diabetes, Heart Disease, Asthma.
Variant 26002ID0010063-01 (Standard On Exchange Plan) currently displayed.

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2025

CSR Variation Type

Standard Bronze On Exchange Plan

HIOS Product ID

26002ID001

Metal Level

Expanded Bronze

Plan ID (Standard Component ID with Variant)

26002ID0010063-01

Plan Marketing Name

Select Health Med Exp Bronze 6000 - no deductible for office visits

Plan Variant Marketing Name

Select Health Med Exp Bronze 6000 - no deductible for office visits

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

26002

Market Coverage

Individual

Multiple In Network Tiers

National Network

Yes

Network ID

IDN004

Out of Country Coverage

Out of Country Coverage Description

All covered services obtained outside of the service area, except urgent, or emergency conditions, apply to nonparticipating benefits

Out of Service Area Coverage

Out of Service Area Coverage Description

All covered services obtained outside of the service area, except urgent, or emergency conditions, apply to nonparticipating benefits

Service Area ID

IDS004

State Code

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

0.636719018

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

50.00%

Medical Drug Deductibles Integrated

Medical Drug Maximum Out of Pocket Integrated

Yes

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

50.00%

SBC Scenario, Having a Baby, Coinsurance

$2,500

SBC Scenario, Having a Baby, Copayment

$600

SBC Scenario, Having a Baby, Deductible

$6,000

SBC Scenario, Having Diabetes, Coinsurance

SBC Scenario, Having Diabetes, Copayment

$800

SBC Scenario, Having Diabetes, Deductible

$1,100

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

SBC Scenario, Treatment of a Simple Fracture, Copayment

$10

SBC Scenario, Treatment of a Simple Fracture, Deductible

$2,800

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

per person not applicable | per group 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

$9100 per person | $18200 per group

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

$9,100

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

$91000 per person | $182000 per group

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

$91,000

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

IDF014

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$20

SBC Scenario, Treatment of a Simple Fracture, Limit

Additional attributes

Issuer-provided metadata for this variant.

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

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

$2000 per person | per group not applicable

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

$2,000

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

per person not applicable | per group not applicable

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

Not Applicable

Drug EHB Deductible, Out of Network, Family

per person not applicable | per group not applicable

Drug EHB Deductible, Out of Network, Individual

Not Applicable

Dental Only Plan

Design Type

Not Applicable

Disease Management Programs Offered

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

EHB Percent of Total Premium

100%

First Tier Utilization

100%

Import Date

1/13/2025

HSA Eligible

IsItANewPlan

New

Notice Required for Pregnancy

Is a Referral Required for Specialist?

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

per person not applicable | per group not applicable

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

Not Applicable

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

$6000 per person | $12000 per group

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

$6,000

Medical EHB Deductible, Out of Network, Family

$18200 per person | $36400 per group

Medical EHB Deductible, Out of Network, Individual

$18,200

Plan Effective Date

1/1/2025

Plan Expiration Date

12/31/2025

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 where criteria is not met; 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

PPO

QHP/Non QHP

Both

Source Name

SERFF

Plan ID

26002ID0010063

Unique Plan Design

Version Number

Wellness Program Offered

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

How do I choose the right ACA plan in Idaho?

Select Health Med Exp Bronze 6000 - no deductible for office visits (26002ID0010063) is a Expanded Bronze PPO from Select Health in Idaho for the 2025 coverage year.

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

Does Select Health Med Exp Bronze 6000 - no deductible for office visits 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 Select Health Med Exp Bronze 6000 - no deductible for office visits 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 coverage is not listed for this plan.

Does Select Health Med Exp Bronze 6000 - no deductible for office visits 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 Select Health Med Exp Bronze 6000 - no deductible for office visits?

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

Is there out-of-country coverage for Select Health Med Exp Bronze 6000 - no deductible for office visits?

No, out-of-country services are not covered for this plan. Details: All covered services obtained outside of the service area, except urgent, or emergency conditions, apply to nonparticipating benefits

Does Select Health Med Exp Bronze 6000 - no deductible for office visits cover care outside the service area?

No, the issuer indicates out-of-service-area care is not covered except for emergencies. Details: All covered services obtained outside of the service area, except urgent, or emergency conditions, apply to nonparticipating benefits

How do I enroll in or manage payments for Select Health Med Exp Bronze 6000 - no deductible for office visits?

Use HealthPorta to shortlist plans, then finish enrollment through Healthcare.gov or your state-based marketplace.

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.

Select Health Med Exp Bronze 6000 - no deductible for office visits · 26002ID0010063

Key premiums & cost sharing

Stay on top of 2025 ACA deadlines

Open Enrollment window

Special Enrollment Periods

CSR & subsidy reminders

Thinking about switching?

Plan identifiers & filings

Provider access snapshot

Provider network(s)

3,860 drugs tracked

What stands out for members

Select Health Med Exp Bronze 6000 - no deductible for office visits · Variant 26002ID0010063-01

Pharmacy cost sharing by tier

Frequently asked questions

How do I choose the right ACA plan in Idaho?

Does Select Health Med Exp Bronze 6000 - no deductible for office visits support telehealth or virtual urgent care?

Is Select Health Med Exp Bronze 6000 - no deductible for office visits HSA-eligible and does it include dental or vision coverage?

Does Select Health Med Exp Bronze 6000 - no deductible for office visits support mail-order prescriptions?

Which disease management programs come with Select Health Med Exp Bronze 6000 - no deductible for office visits?

Is there out-of-country coverage for Select Health Med Exp Bronze 6000 - no deductible for office visits?

Does Select Health Med Exp Bronze 6000 - no deductible for office visits cover care outside the service area?

How do I enroll in or manage payments for Select Health Med Exp Bronze 6000 - no deductible for office visits?

Select Health Med Exp Bronze 6000 - no deductible for office visits · 26002ID0010063

Key premiums & cost sharing

Stay on top of 2025 ACA deadlines

Open Enrollment window

Special Enrollment Periods

CSR & subsidy reminders

Thinking about switching?

Similar 2025 ACA plans

Select Health SLHP Silver 3000

Select Health SLHP Gold 1500 - no deductible for office visits

Select Health SLHP Silver 4000 - $0 copay for PCP visits

Plan identifiers & filings

Provider access snapshot

Provider network(s)

3,860 drugs tracked

What stands out for members

Select Health Med Exp Bronze 6000 - no deductible for office visits · Variant 26002ID0010063-01

Pharmacy cost sharing by tier

Frequently asked questions

How do I choose the right ACA plan in Idaho?

Does Select Health Med Exp Bronze 6000 - no deductible for office visits support telehealth or virtual urgent care?

Is Select Health Med Exp Bronze 6000 - no deductible for office visits HSA-eligible and does it include dental or vision coverage?

Does Select Health Med Exp Bronze 6000 - no deductible for office visits support mail-order prescriptions?

Which disease management programs come with Select Health Med Exp Bronze 6000 - no deductible for office visits?

Is there out-of-country coverage for Select Health Med Exp Bronze 6000 - no deductible for office visits?

Does Select Health Med Exp Bronze 6000 - no deductible for office visits cover care outside the service area?

How do I enroll in or manage payments for Select Health Med Exp Bronze 6000 - no deductible for office visits?