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Open Access Plus, OA Plus, Choice Fund OA Plus
- $1500 individual deductible - $3000 for family
- Cigna Network
- University of Utah, Mountain Star and Steward hospitals included
- Out of network provider option ( you may be balanced billed )
- Pharmacy: Navitus
- Health Joy app: online telemedicine, virtual benefits wallet and other features!
Links
- Allegiance Website
- Toll Free (855) 999-2279
Medical Plans
Medical Plans
2021 |
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 |
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| Lifetime Maximum | Unlimited | |||
Providers
is our national network, with providers located throughout the United States. This network is available if you have selected the Medical 750 Plan, Medical 1500 Plan and the HDHP.
Cigna Network
- Allegiance Website
- Toll Free (855) 999-2279
Medical Rates
Medical Rates
2021 |
Full Time 30+ Hours/Week |
Part Time 20-29 Hours/Week |
Surcharge for No PHP | Surcharge for Tobacco Use |
|---|---|---|---|---|
Medical 1500 Plan (Cost per month) |
||||
| Employee | $35 | $70 | +$50 | +$60 |
| Employee + 1 Child | $60 | $136 | +$50 | +$60 |
| Employee + Spouse | $60 | $136 | +$100 | +$60 |
| Employee + Children | $86 | $206 | +$50 | +$60 |
| Employee + Family | $86 | $206 | +$100 | +$60 |
COBRA Rates
COBRA Rates
2021 |
COBRA |
|---|---|
Medical 1500 Plan (Cost per month) |
|
| Employee | $406.98 |
| Employee + 1 Child | $871.08 |
| Employee + Spouse | $871.08 |
| Employee + Children | $1,258.68 |
| Employee + Family | $1,258.68 |
Employee Clinic |
|
| Employee | $150 |
| Employee + 1 Child | $300 |
| Employee + Spouse | $300 |
| Employee + Children | $450 |
| Employee + Family | $450 |
Resources
