Archive: Premier 1500 - 2023

Open Access Plus, OA Plus, Choice Fund OA Plus

  • $1500 individual deductible - $3000 for family
  • Cigna Network
  • University of Utah, MountainStar and Holy Cross hospitals included
  • Deductible waived for in-network mental health office visits
  • Accidental Injury - First $1,000 paid
  • Pharmacy: Navitus
  • HealthJoy app: online telemedicine, virtual benefits wallet, and other features!

Links

 
Medical Plans

Medical Plans

2024

Medical 1500

Type of Service

Network Providers

Non-Network Providers

Calendar Year Deductible $1500 Individual / $3000 Family
Coinsurance 85% Insurance /
15% Member
65% Insurance /
35% Member
Calendar Year Out of Pocket Maximum
(Includes Deductible, Coinsurance, Copayments, and Pharmacy)

$4,000 per Individual / $8,000 per Family
Lifetime Maximum Unlimited
Providers

Cigna Network is our national network, with providers located throughout the United States. This network is available if you have selected the Medical 750 Plan or Medical 1500 Plan.

Cigna Network

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Medical Rates

Medical Rates

2024

Full Time
30+ Hours/Week
Part Time
20-29 Hours/Week
Surcharge for Tobacco Use

Medical 1500 Plan (Cost per month)

Employee $42 $84 +$60
Employee + 1 Child $78 $177 +$60
Employee + Spouse $78 $177 +$60
Employee + Children $113 $270 +$60
Employee + Family $113 $270 +$60
COBRA Rates

COBRA Rates

2024

COBRA

Medical 1500 Plan (Cost per month)

Employee $501
Employee + 1 Child $1,066
Employee + Spouse $1,066
Employee + Children $1,537
Employee + Family $1,537

Employee Clinic

Employee $183
Employee + 1 Child $364
Employee + Spouse $364
Employee + Children $547
Employee + Family $547
Resources