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2024 Plan Options | Medical 750 | Medical 1500 | Surest | Spousal Plan |
 | |  |  | |
| Cigna Open Access Plus, OA Plus, Choice Fund OA Plus | Cigna Open Access Plus, OA Plus, Choice Fund OA Plus | Options PPO Network, Choice Plus Network | Other Insurance | |
| Deductible | $750 / $1,500 | $1,500 / $3,000 | $0 | $0 |
| Out-of-Pocket Maximum | $4,000 / $8,000 | $4,000 / $8,000 | $5,500 / $11,000 | $0 |
| Out-of-Pocket Maximum (Out-of-Network) | $4,000 / $8,000 | $4,000 / $8,000 | $11,000 / $22,000 | $0 |
| Preventive Care | 100% Coverage | 100% Coverage | 100% Coverage | $0 |
| Copayment | Emergency Room Only | Emergency Room Only | Refer to Plan Details | $0 |
| Coinsurance In-Network | 85% /15% University of Utah, MountainStar, Holy Cross | 85% / 15% University of Utah, MountainStar, Holy Cross | $0 | $0 |
| Coinsurance Out-of-Network | 65% / 35% Intermountain Healthcare | 65% / 35% Intermountain Healthcare | Refer to Plan Details | $0 |
Employee Employee + 1 Family | $118 $250 $362 | $42 $78 $113 | $52 $110 $158 | $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.
- Be sure to select the tobacco or non-tobacco rates when enrolling.
- By selecting non-tobacco, you are committing to not using tobacco the full year.
