Archive: Benefits in Utah 2020

 
 
 
 
 

2021 Plan Options

Medical 750

Medical 1500

EPO 750

Spousal Plan

 
 

Cigna Open Access Plus, OA Plus, Choice Fund OA Plus

Cigna Open Access Plus, OA Plus, Choice Fund OA Plus

Healthy Preferred

Other Insurance

Deductible

$750 / $1,500

$1,500 / $3,000

$750 / $1,500

$0

Out-of-Pocket Maximum

$4,000 / $8,000

$4,000 / $8,000

$4,000 / $8,000

$0

Preventive Care

100% Coverage

100% Coverage

100% Coverage

$0

ER Co-payment

$250

$250

$250

$0

Co-insurance In-Network

85% /15%
University of Utah, MountainStar, Steward Health

85% / 15%
University of Utah, MountainStar, Steward Health

85% / 15%
University of Utah, MountainStar

$0

Co-insurance Out-of-Network

65% / 35%
Intermountain Health Care

65% / 35%
Intermountain Health Care

No out-of-network benefits

$0

Out-of-State Coverage

Emergency and urgent care only

Employee

Employee + 1

Family

$100

$187

$270

$35

$60

$86

$55

$112

$161

$104

$187

$260

A surcharge will be added to the regular monthly premiums for those that choose to not participate with the PHP annually and/or for those that use tobacco.

Personal Health Profile (PHP)

  • Will be required for employee and spouse (if enrolled on ARUP insurance) to avoid surcharge
  • If spouse does not complete their PHP and the employee does, they are still subject to the surcharge

Tobacco Premium Surcharge

  • Those using tobacco will pay a higher premium for medical insurance
  • Smoking cessation supplies are available at no cost through the Family Health Clinic
  • Be sure to select the tobacco or non-tobacco rates when enrolling
  • By selecting non-tobacco, you are committing to not using tobacco the full year