
Open Access Plus, OA Plus, Choice Fund OA Plus
- $750 individual deductible - $1500 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
- Allegiance Website
- Toll Free (855) 999-2279
| 2024 | 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
| 2024 | Full Time 30+ Hours/Week | Part Time 20-29 Hours/Week | Surcharge for Tobacco Use |
|---|---|---|---|
| Medical 750 Plan (Cost per month) | |||
| Employee | $118 | $179 | +$60 |
| Employee + 1 Child | $250 | $390 | +$60 |
| Employee + Spouse | $250 | $390 | +$60 |
| Employee + Children | $362 | $582 | +$60 |
| Employee + Family | $362 | $582 | +$60 |
| 2024 | |
|---|---|
| Medical 750 Plan (Cost per month) | |
| Employee | $573 |
| Employee + 1 Child | $1,216 |
| Employee + Spouse | $1,216 |
| Employee + Children | $1,756 |
| Employee + Family | $1,756 |
| Employee Clinic | |
| Employee | $183 |
| Employee + 1 Child | $364 |
| Employee + Spouse | $364 |
| Employee + Children | $547 |
| Employee + Family | $547 |
















