Select Health SAHA Silver 5500 HSA Qualified · 26002ID0030066
Select Health offers this marketplace health insurance plan (Plan ID 26002ID0030066) 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: SilverPlan type: POSCSR: Standard Silver On Exchange PlanIssuer: Select Health
Telehealth
Data pending
HSA eligible
Yes
Dental
Not listed
Vision
Not listed
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 Silver 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.
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 IdahoN/A
PCPs in IdahoN/A
Telehealth supportData pending
Nationwide providersN/A
N/A doctors statewideN/A PCPsN/A OB/GYN
Provider network(s)
['PREFERRED']
Providers
Idaho
All US states
All
N/A
N/A
PCP
N/A
N/A
Allergy
N/A
N/A
OB/GYN
N/A
N/A
Dentists
N/A
N/A
Drug coverage overview
3,860 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
2,299
NON-PREFERRED-BRAND
691
SPECIALTY-DRUGS
501
ZERO-COST-SHARE-PREVENTIVE-DRUGS
369
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
Customer highlights
What stands out for members
Issuer: Select Health · Plan ID 26002ID0030066 · 2025 filing.
Disease management programs available: Pregnancy, High Blood Pressure & High Cholesterol, Pain Management, Depression, Low Back Pain, Diabetes, Heart Disease, Asthma.
Variant 26002ID0030066-01 (Standard On Exchange Plan) currently displayed.
Advertisement
Variant attributes
Select Health SAHA Silver 5500 HSA Qualified · Variant 26002ID0030066-01
Plan identifiers & tier
Issuer-provided metadata for this variant.
Business Year
2025
CSR Variation Type
Standard Silver On Exchange Plan
HIOS Product ID
26002ID003
Metal Level
Silver
Plan ID (Standard Component ID with Variant)
26002ID0030066-01
Plan Marketing Name
Select Health SAHA Silver 5500 HSA Qualified
Plan Variant Marketing Name
Select Health SAHA Silver 5500 HSA Qualified
Issuer & service area
Issuer-provided metadata for this variant.
Issuer ID
26002
Market Coverage
SHOP (Small Group)
Multiple In Network Tiers
No
National Network
Yes
Network ID
IDN007
Out of Country Coverage
No
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
Yes
Out of Service Area Coverage Description
Except for urgent and emergency care, out-of-network benefits apply to providers not in the network listed in your plan materials
Service Area ID
IDS007
State Code
ID
Cost sharing & actuarial values
Issuer-provided metadata for this variant.
AV Calculator Output Number
0.701750139
Medical Drug Deductibles Integrated
Yes
Medical Drug Maximum Out of Pocket Integrated
Yes
SBC Scenario, Having a Baby, Coinsurance
$0
SBC Scenario, Having a Baby, Copayment
$0
SBC Scenario, Having a Baby, Deductible
$5,500
SBC Scenario, Having Diabetes, Coinsurance
$0
SBC Scenario, Having Diabetes, Copayment
$0
SBC Scenario, Having Diabetes, Deductible
$5,400
SBC Scenario, Treatment of a Simple Fracture, Coinsurance
$0
SBC Scenario, Treatment of a Simple Fracture, Copayment
$0
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
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance
0.00%
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family
$5500 per person | $11000 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual
$5,500
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family
$20000 per person | $40000 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual
$20,000
Enrollment & documents
Issuer-provided metadata for this variant.
Formulary ID
IDF005
SBC Scenario, Having a Baby, Limit
$60
SBC Scenario, Having Diabetes, Limit
$20
SBC Scenario, Treatment of a Simple Fracture, Limit
$0
Additional attributes
Issuer-provided metadata for this variant.
Child-Only Offering
Allows Adult and Child-Only
Composite Rating Offered
Yes
Dental Only Plan
No
Disease Management Programs Offered
Pregnancy, High Blood Pressure & High Cholesterol, Pain Management, Depression, Low Back Pain, Diabetes, Heart Disease, Asthma
First Tier Utilization
100%
HSA/HRA Employer Contribution
No
Import Date
1/13/2025
HSA Eligible
Yes
IsItANewPlan
New
Notice Required for Pregnancy
No
Is a Referral Required for Specialist?
No
Plan Effective Date
1/1/2025
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
POS
QHP/Non QHP
Both
Source Name
SERFF
Plan ID
26002ID0030066
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family
per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual
Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family
$5500 per person | $11000 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual
$5,500
TEHBDedOutofNetFamily
$16500 per person | $33000 per group
Combined Medical and Drug EHB Deductible, Out of Network, Individual
$16,500
Unique Plan Design
No
Version Number
1
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 Idaho?
Select Health SAHA Silver 5500 HSA Qualified (26002ID0030066) is a Silver POS 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 SAHA Silver 5500 HSA Qualified 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 SAHA Silver 5500 HSA Qualified HSA-eligible and does it include dental or vision coverage?
It is HSA-eligible, so you can pair it with a Health Savings Account to lower taxes.
Dental coverage is not listed for this plan.
Vision coverage is not listed for this plan.
Does Select Health SAHA Silver 5500 HSA Qualified 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 SAHA Silver 5500 HSA Qualified?
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 SAHA Silver 5500 HSA Qualified?
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 SAHA Silver 5500 HSA Qualified cover care outside the service area?
Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Except for urgent and emergency care, out-of-network benefits apply to providers not in the network listed in your plan materials
How do I enroll in or manage payments for Select Health SAHA Silver 5500 HSA Qualified?
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.
