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    INDIVIDUAL & FAMILY PLANS

    Our plans are designed to cover essential health benefits including inpatient, outpatient, emergent, maternal, mental, behavioral, prescription drugs, lab tests, preventive, pediatric care services and much more.

    Take control of your healthcare experience with our member benefits package. We can help you find the right doctor, access mental health services, find your secure medical information online, connect for a virtual visit, talk with a registered nurse or take advantage of your member discounts.

    Individual Marketplace 2020 Flu Shot Incentive – A flu shot is an important part of maintaining your health. Receive a $100 Gift Card for each University of Utah Health Plans member who receives their flu shot between August 1 and December 31, 2020. Learn More >

    Member Benefits

    Access Assistance

    ACCESS ASSISTANCE

    Help finding & scheduling providers

    CALL: 801-587-2851
    Telehealth

    TELEHEALTH

    Care when and where
    you need it most

    LEARN MORE
    Nurse Line

    NURSE LINE

    24 Hours a day,
    7 Days a Week

    CALL: 801-505-3198
    Member Perks and Discounts

    MEMBER PERKS

    Additional benefits
    & discounts

    SEE THE SAVINGS
    Access Assistance

    BEHAVIORAL HEALTH & CRISIS PREVENTION

    You are not alone.

    CALL: 801-213-0816

    2021 On & Off Marketplace Benefit Highlights

    DESCRIPTION GOLD COPAY SILVER 2300 SILVER COPAY SILVER COPAY (OFF) BRONZE 3 COPAY BRONZE HSA EXPANDED BRONZE EXPANDED BRONZE HSA
    FEATURES
    Annual Deductible (individual/family) $1,500/$3,000 $2,300/$4,600 $3,500/$7,000 $4,500/$9,000 $7,800/$15,600 $7,000/$14,000 $5,650/$11,300 $5,750/$11,500
    Prescription Drug Deductible (individual/family) $500/$1,000 $1,000/$2,000 $2,000/$4,000 Included with MD Included with MD Included with MD $1,650/$3,300 Included with MD
    Annual Out-of-Pocket Maximum (individual/family) $7,000/$14,000 $8,300/$16,600 $8,000/$16,000 $8,150/$16,300 $8,550/$17,100 $7,000/$14,000 $8,550/$17,100 $7,000/$14,000
    BENEFITS
    Emergency and Urgent Care
    Emergency Room $200 copay AD $600 copay AD $500 copay AD $500 copay AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Urgent Care $25 copay DW $35 copay DW $30 copay DW $30 copay DW $45 copay/ first 3 visits then 40% AD 0% Co AD $50 copay DW $30 copay AD
    Office Visits
    Preventive Care/Screening/
    Immunizations/Well-Child Visits/ Family Planning
    No Charge
    Primary Care $25 copay DW $35 copay DW $30 copay DW $30 copay DW $45 copay/ first 3 visits then 40% AD 0% Co AD $50 copay DW $30 copay AD
    Mental Health/Substance Abuse Services $25 copay DW $35 copay DW $30 copay DW $30 copay DW $45 copay/ first 3 visits then 40% AD 0% Co AD $50 copay DW $30 copay AD
    Specialty Care $40 copay DW $60 copay DW $75 copay DW $75 copay DW 40% Co AD 0% Co AD $80 copay AD $50 copay AD
    Other Practitioner Care $40 copay DW $60 copay DW $75 copay DW $75 copay DW 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Habilitative Care 20% Co AD $60 copay AD 40% Co AD 40% Co AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Rehabilitative Care 20% Co AD $60 copay AD 40% Co AD 40% Co AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Vision Services
    Adult Annual Routine Vision Exam No Charge
    Pediatric Vision Exam No Charge
    Corrective Lenses No Charge 0% Co AD No Charge 0% Co AD
    Prescription Drugs
    Formulary Generic Drugs $15 copay DW $15 copay DW $15 copay DW $15 copay DW $30 copay DW 0% Co AD $30 copay DW 35% Co AD
    Formulary Preferred Brand Drugs $30 copay DW $30 copay DW $30 copay DW $30 copay DW $45 copay DW 0% Co AD $50 copay DW 35% Co AD
    Formulary Non Preferred Brand Drugs 50% Co AD 25% Co AD 50% Co AD 50% Co AD 50% Co AD 0% Co AD 50% Co AD 35% Co AD
    Specialty Drugs 25% Co AD 50% Co AD 25% Co AD 25% Co AD 40% Co AD 0% Co AD 25% Co AD 35% Co AD
    Outpatient Hospital/Facility Services
    Laboratory Services 20% Co AD 50% Co AD 40% Co AD 40% Co AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Radiology Services 20% Co AD 50% Co AD 40% Co AD 40% Co AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Specialized Scanning Services (CT, MRI, PET Scans) 20% Co AD 50% Co AD 40% Co AD 40% Co AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Medical / Surgical Services 20% Co AD 50% Co AD 40% Co AD 40% Co AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Inpatient Hospital Services
    Medical/Surgical, Maternity Care, Mental Health, Substance Abuse, Skilled Nursing Care 20% Co AD 50% Co AD 40% Co AD 40% Co AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Hospice Care 20% Co AD 50% Co AD 40% Co AD 40% Co AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Transportation Assistance
    Emergency Transportation - Ambulance $250 copay/ trip AD 50% Co AD $250 copay/ trip AD $250 copay/ trip AD 40% Co AD 0% Co AD 50% Co AD 35% Co AD
    Non-Emergency Medical and Non-Emergency Non-Medical Transportation to & from Medical Appointments Not Covered
    SUPPLEMENTAL BENEFITS
    MD Live 24/7 Telehealth No Charge 0% Co AD No Charge 0% Co AD
    Virtual Visits - Instant Online Care No Charge 0% Co AD No Charge 0% Co AD
    24-Hour Nurse Line No Charge
    U Baby Care - Prenatal & Postnatal Care No Charge
    Tobacco Counseling, Smoking Cessation Program No Charge

    2021 Cost Sharing Reduction (CSR) Plans

    CSR Plans available through Marketplace Only.

    Plans available through Marketplace Only SILVER COPAY 73% CSR SILVER COPAY 87% CSR SILVER COPAY 94% CSR SILVER 2300 73% CSR SILVER 2300 87% CSR SILVER 2300 94% CSR
    FEATURES
    Annual Deductible (individual/family) $3,000/$6,000 $400/$800 $0/$0 $2,300/$4,600 $400/$800 $0/$0
    Prescription Drug Deductible (individual/family) $500/$1,000 $150/$300 $0/$0 $500/$1,000 $200/$400 $0/$0
    Annual Out-of-Pocket Maximum (individual/family) $6,550/$13,100 $2,850/$5,700 $1,600/$3,200 $6,500/$13,000 $2,850/$5,700 $1,500/$3,000
    BENEFITS
    Emergency and Urgent Care
    Emergency Room $250 copay AD $250 copay AD $100 copay AD $500 copay AD $250 copay AD $100 copay AD
    Urgent Care $30 copay DW $10 copay DW $10 copay DW $30 copay DW $20 copay DW $10 copay DW
    Office Visits
    Preventive Care/Screening/
    Immunizations/Well-Child Visits/ Family Planning
    No Charge
    Primary Care $30 copay DW $10 copay DW $10 copay DW $30 copay DW $20 copay DW $10 copay DW
    Mental Health/Substance Abuse Services $30 copay DW $10 copay DW $10 copay DW $30 copay DW $20 copay DW $10 copay DW
    Specialty Care $60 copay DW $30 copay DW $20 copay DW $60 copay DW $35 copay DW $15 copay DW
    Other Practitioner Care $60 copay DW $30 copay DW $20 copay DW $60 copay DW $35 copay DW $15 copay DW
    Habilitative Care 30% Co AD 25% Co AD 10% Co AD $60 copay AD $35 copay AD $15 copay AD
    Rehabilitative Care 30% Co AD 25% Co AD 10% Co AD $60 copay AD $35 copay AD $15 copay AD
    Vision Services
    Adult Annual Routine Vision Exam No Charge
    Pediatric Vision Exam No Charge
    Corrective Lenses No Charge
    Prescription Drugs
    Formulary Generic Drugs $15 copay DW $15 copay DW $10 copay DW $15 copay DW $15 copay DW $10 copay DW
    Formulary Preferred Brand Drugs $30 copay DW $30 copay DW $25 copay DW $30 copay DW $30 copay DW $25 copay DW
    Formulary Non Preferred Brand Drugs 50% Co AD 50% Co AD 50% Co AD 25% Co AD 15% Co AD 5% Co AD
    Specialty Drugs 25% Co AD 20% Co AD 20% Co AD 50% Co AD 25% Co AD 15% Co AD
    Outpatient Hospital/Facility Services
    Laboratory Services 30% Co AD 25% Co AD 10% Co AD 50% Co AD 20% Co AD 10% Co AD
    Radiology Services 30% Co AD 25% Co AD 10% Co AD 50% Co AD 20% Co AD 10% Co AD
    Specialized Scanning Services (CT, MRI, PET Scans) 30% Co AD 25% Co AD 10% Co AD 50% Co AD 20% Co AD 10% Co AD
    Medical / Surgical Services 30% Co AD 25% Co AD 10% Co AD 50% Co AD 20% Co AD 10% Co AD
    Inpatient Hospital Services
    Medical/Surgical, Maternity Care, Mental Health, Substance Abuse, Skilled Nursing Care 30% Co AD 25% Co AD 10% Co AD 50% Co AD 20% Co AD 10% Co AD
    Hospice Care 30% Co AD 25% Co AD 10% Co AD 50% Co AD 20% Co AD 10% Co AD
    Transportation Assistance
    Emergency Transportation - Ambulance $250 copay/trip AD $250 copay/trip AD $250 copay/trip AD 50% Co AD 50% Co AD 50% Co AD
    Non-Emergency Medical and Non-Emergency Non-Medical Transportation to & from Medical Appointments Not Covered
    SUPPLEMENTAL BENEFITS
    MD Live 24/7 Telehealth No Charge
    Virtual Visits - Instant Online Care No Charge
    24-Hour Nurse Line No Charge
    U Baby Care - Prenatal & Postnatal Care No Charge
    Tobacco Counseling, Smoking Cessation Program No Charge

    Questions about Plans?