Summary of Benefits & Coverage (SBC)

Individual & Family

2020 SBCs & OOCs

2020 Plan Document

Healthy Premier

Healthy Preferred

SBCs

OOCs

SBCs

OOCs

Gold Copay Gold Copay Gold Copay Gold Copay
Silver Copay Silver Copay Silver Copay Silver Copay

Silver Copay
(Off)

Silver Copay
(Off)
Silver Copay
(Off)
Silver Copay
(Off)
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Bronze 3 Copay Bronze 3 Copay Bronze 3 Copay Bronze 3 Copay
Bronze HSA Bronze HSA Bronze HSA Bronze HSA
Expanded Bronze Expanded Bronze Expanded Bronze Expanded Bronze
Expanded Bronze HSA Expanded Bronze HSA Expanded Bronze HSA Expanded Bronze HSA

2019 SBCs & OOCs

2019 Plan Document

Healthy Premier

Healthy Preferred

SBCs

OOCs

SBCs

OOCs

Gold Copay Gold Copay Gold Copay Gold Copay
Silver Copay Silver Copay Silver Copay Silver Copay

Silver Copay
(Off)

Silver Copay
(Off)
Silver Copay
(Off)
Silver Copay
(Off)
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Bronze 3 Copay Bronze 3 Copay Bronze 3 Copay Bronze 3 Copay
Bronze HSA Bronze HSA Bronze HSA Bronze HSA
Expanded Bronze Expanded Bronze Expanded Bronze Expanded Bronze

2018 SBCs & OOCs

2018 Plan Document

Healthy Premier

Healthy Preferred

SBCs

OOCs

SBCs

OOCs

Gold Copay Gold Copay Gold Copay Gold Copay
Silver Copay Silver Copay Silver Copay Silver Copay

Silver Copay
(Off)

Silver Copay
(Off)
Silver Copay
(Off)
Silver Copay
(Off)
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
73% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
87% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Silver Copay
94% CSR
Bronze 3 Copay Bronze 3 Copay Bronze 3 Copay Bronze 3 Copay
Bronze HSA Bronze HSA Bronze HSA Bronze HSA


2017 SBCs

About Provider and Facility Search

Definitions & Terminology Used in Search

University of Utah Contracting Criteria

Provider information in this directory is collected from information that we receive from our provider network and updated 5 days per week, excluding weekends, holidays, or interruptions due to upgrades, system maintenance, or unplanned outages. This information is subject to change at any time.