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.