Scroll to a lower section

Health Plans For Employers

We believe in the power of integration which leads to greater value, healthier members, and high consumer satisfaction. This includes integration with our clients, members, and health care systems.

Vision

University of Utah Health Plans is committed to be a health care partner distinguished by collaboration, excellence, leadership and respect.

Mission

University of Utah Health Plans serves the people of Utah and beyond by improving health and quality of life, providing access to the highest quality of care, and delivering exceptional value to our members, clients, and the community. To enhance value and ensure excellence in patient care, education, and research, we are integrated with the University of Utah Health and the University of Utah Medical Group.

Services Focused On Your Needs

  • Dedicated Account Manager
  • Dual Customer Service/Claims Processing
  • Care Management
    • Medical: Disease Management, 24/7 Nurse Line, Hospital Review, U Baby Maternity Program
    • Pharmacy Collaboration and Interface
    • Behavioral Health/Substance Use Management
  • Provider Network and Management
  • Flexible Plan Design
  • Member Materials
  • Identification Cards
  • Summary Plan Document (SPD)/Summary of Benefit and Coverage (SBC)
  • Online Tools: Client Website, MyChart
  • Open Enrollment/Employee Education
  • Actuarial Services
  • Banking Account Management
  • Broad Reporting Package
  • Appeals and Grievances
  • Reinsurance Services
  • Claims Fiduciary
  • Claims Run-out
  • HIPAA Certificates
  • Subrogation
  • Fraud, Waste, and Abuse

Pharmacy Network Management

University of Utah Health Plans excels in providing pharmacy benefit management services. Our clinical pharmacy management team works hand in hand with the medical care management team, creating a unique integrated approach which provides members with the highest quality of care and optimal cost efficiency.

Out integrated pharmacy program includes:

  • Focus on overall health.
  • Advanced clinical resources to improve disease management and mange costs.
  • Experienced pharmacy management team dedicated to assist clients, members, and pharmacies.
  • Extensive national pharmacy network.
  • Access to mail order and specialty pharmacy services.
  • Customized benefit designs to meet specific needs of client.
  • 24/7 Customer Service.
  • On-line member tools providing detail to pharmacy claims information, alternative drug options, and the like.
Pill Bottle
Customer Service

Customer Service

We value and execute world class customer service. Our team is experienced in customer service and claims, allowing us to offer on-call resolution. We understand that the health insurance market is consumer driven, and as a result we foster and facilitate an environment that consistently exceeds expectations. We strongly believe in our Service Up philosophy as we create lifelong relationships with our members and providers through empathy, advocacy, and expertise.

Claim Turn-Around Time

Provider Network and Management

Providing access to the highest quality of care is very important to us. We value provider performance, qulaity, and consumer satisfaction. To ensure that our providers deliver the best care at a cost-effective price, we have a thorough credientialing and contracting process.

Network Map

Hospitals

University of Utah Hospital
Huntsman Cancer Institute
Beaver Valley Hospital
Blue Mountain Hospital
Lake View Hospital
Brigham City Community
Gunnison Hospital
Kane County Hospital
Davis Hospital and Medical Center
Cache Valley Specialty Hospital
Milford Valley Memorial Hospital
Moab Regional Hospital
Central Valley Hospital
Ogden Regional Medical Center


Timpanogos Regional Hospital
Garfield Memorial
Mountain View Hospital
Castleview Hospital
Uintah Basin Medical Center
Pioneer Valley Hospital
Primary Children's Hospital
Shriner's Hospital
Salt Lake Regional Hospital
St. Mark's Hospital
Mountain West Medical Center
Ashley Regional Medical Center
Jordan Valley Hospital

Urgent Care Centers

American Fork: After Hours Urgent Care Center
Bountiful: First Med North Urgent Care
Draper: After Hours Urgent Care
Holladay: After Hours Urgent Care
Layton: After Hours Urgent Care
Layton: Davis Urgent Care
Lehi: Utah Valley Urgent Care
Lindon: Tri City Medical Clinic
Logan: Mountain View Urgent Care
Magna: Magna Center for Family Medicine
Murray: First Med Urgent Clinic
Ogden: South Ogden Family Medicine
Ogden: Ogden Clinic Urgent Care - Canyon View
Ogden: Ogden Clinic Urgent Care - Skyline
Ogden: Ogden Clinic Urgent Care - Professional Center
Ogden: Now Care
Orem: Utah Valley Urgent Care
Park City: Redstone Health Center

Pleasant View: Ogden Clinic Urgent Care - Mountain View
Provo: Riverwoods Urgent Care Center
Roy: NowCare
Roy: Ogden - Ogden Clinic Urgent Care
SLC: First Med Industrial/Urgent Care Clinic
SLC: Redwood Health Center Urgent Care
SLC: Concentra Urgent Care
SLC: First Med East Urgent Care
Sandy: After Hours Urgent Care Center
Sandy: Concentra Urgent Care
South Jordan: South Jordan Health Center
South Jordan: Copperview Medical Center
South Jordan: After Hours Medical
Tooele: Tooele Valley Urgent Care
West Jordan: First Med Urgent Care
West Valley City: After Hours Urgent Care

Care Management

University of Utah Health Plans Care Management Team helps members navigate the health care system to improve their health care experience, resulting in the best outcomes while providing cost-effective care. Our nurse professionals work closely with the providers and health care partners to provide best-practice evidence based care. Our care management professionals improve care coordination between the providers and members and support the need for getting the right care at the right time from the right provider.

Our care management program is led by distinguished physicians, highly skilled nurses, and care coordinators. We support technology enhancements including telehealth, e-visits, social media, and various disease management applications, such as Symptom.ly for asthma tracking and Active Care for diabetic monitoring. We support the integrated approach of helping the whole person, including behavioral health and substance use disorders along with the medical conditions. Our goal is to improve the overall health of our members across the lifespan and continuum of health care needs.

Programs are built around population health, disease management, and quality improvement.

A few of our specialty programs include:

  • U Baby Care - Maternal Health
  • Preventive Health - Wellness Programs
  • Behavioral Health/Substance Use Management
  • Community Outreach Partners to Support Additional Needs
Nurse

"Integration leads to greater value, healthier members, and higher consumer satisfaction."

Power Of Integration

We believe in the power of integration which leads to greater value, healthier members, and higher consumer satisfaction. This includes integration with our clients, members, and health care systems.

At University of Utah Health Plans, we have a strong collaborative relationship with the University of Utah Health and the University of Utah Medical Group. We are all committed to delivering exceptional value, excellent service, and positive outcomes. Because we are integrated, we can securely share medical records as needed, facilitate physician engagement, and exercise open communication. Being a part of cutting-edge teaching research academic medical center, we can tap into resources that support innovation and creative thinking in order to achieve increased patient focus and cost-effective care.

Transforming The Future Of Health Care

At University of Utah Health Plans, we thrive on innovation and transformation. In the wake of health care reform, we responded to the need for greater collaboration, greater value, and higher quality in the health care industry with population health and value-based payment programs.

Being a payer that is part of an integrated delivery system, we are uniquely positioned to facilitate positive change and help move our community into the future of health care. Utilizing physician leadership and influence, we have strengthened our care management presence within the health plan as well as out in the community at various clinic locations.

Knowledge is power, and we recognize the need for data analysis, data sharing, and consumer transparency. Our goal is to empower our clients, partners, and members with the information they need to make informed choices so that they get the right care at the right time from the provider.