Open Access Plus, OA Plus, Choice Fund OA Plus
- $750 individual deductible - $1500 for family
- Cigna Network
- University of Utah, Mountain Star and Steward hospitals included
- Accidental Injury - First $1,000 paid
- Pharmacy: Navitus
- Health Joy app: online telemedicine, virtual benefits wallet and other features!
Links
- Allegiance Website
- Toll Free (855) 999-2279
- Transparency in coverage (Provider use only)
Medical Plans
2022 |
Medical 750 |
|||
---|---|---|---|---|
Type of Service |
Network Providers |
Non-Network Providers |
||
Calendar Year Deductible | $750 Individual / $1,500 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 |
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
- Allegiance Website
- Toll Free (855) 999-2279
Medical Rates
2022 |
Full Time 30+ Hours/Week |
Part Time 20-29 Hours/Week |
Surcharge for No PHP | Surcharge for Tobacco Use |
---|---|---|---|---|
Medical 750 Plan (Cost per month) |
||||
Employee | $100 | $140 | +$50 | +$60 |
Employee + 1 Child | $203 | $317 | +$50 | +$60 |
Employee + Spouse | $203 | $317 | +$100 | +$60 |
Employee + Children | $293 | $471 | +$50 | +$60 |
Employee + Family | $293 | $471 | +$100 | +$60 |
COBRA Rates
2022 |
COBRA |
---|---|
Medical 750 Plan (Cost per month) |
|
Employee | $487.56 |
Employee + 1 Child | $1,034.28 |
Employee + Spouse | $1,034.28 |
Employee + Children | $1,494.30 |
Employee + Family | $1,494.30 |
Employee Clinic |
|
Employee | $155 |
Employee + 1 Child | $310 |
Employee + Spouse | $310 |
Employee + Children | $465 |
Employee + Family | $465 |