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2025 Plan Options
Medical 750
| Medical 1500
| Spousal Plan
| |
| Cigna Open Access Plus, OA Plus, Choice Fund OA Plus | Cigna Open Access Plus, OA Plus, Choice Fund OA Plus | Other Insurance | |
| Deductible | $750 per individual / $1,500 per family | $1,500 per individual / $3,000 per family | $0 |
| Out-of-Pocket Maximum | $5,000 per individual / $10,000 per family | $5,000 per individual / $10,000 per family | $0 |
| Out-of-Pocket Maximum (Out-of-Network) | $5,000 per individual / $10,000 per family | $5,000 per individual / $10,000 per family | $0 |
| Preventive Care | 100% coverage | 100% coverage | $0 |
| Emergency Room Copayment | $250 | $250 | $0 |
| Coinsurance In-Network | 25% University of Utah, MountainStar, CommonSpirit | 25% University of Utah, MountainStar, CommonSpirit | $0 |
| Coinsurance Out-of-Network | 45% Intermountain Healthcare | 45% Intermountain Healthcare | $0 |
Employee Employee + 1 Employee + Family | $173 $367 $530 | $56 $119 $172 | $0 $0 $0 |
A surcharge will be added to the regular monthly premiums for those that use tobacco.
Tobacco Premium Surcharge
- Those using tobacco will pay a higher premium for medical insurance.
- Smoking cessation supplies are available at no cost through the Family Health Clinic or at your local pharmacy.
- Be sure to respond "yes" for tobacco use when enrolling.
- By selecting non-tobacco, you are committing to not using tobacco for the full year.
