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Open Access Plus, OA Plus, Choice Fund OA Plus
- $1500 individual deductible - $3000 for family
- Cigna Network
- University of Utah, Mountain Star and Steward hospitals included
- Deductible waived for in network mental health office visits
- Accidental Injury - First $1,000 paid
- Pharmacy: Navitus
- Health Joy app: online telemedicine, virtual benefits wallet and other features!
Links
- Allegiance Website
- Toll Free (855) 999-2279
- Transparency in coverage (Provider use only)
Medical Plans
Medical Plans
2023 |
Medical 1500 |
|||
|---|---|---|---|---|
Type of Service |
Network Providers |
Non-Network Providers |
||
| Calendar Year Deductible | $1500 Individual / $3000 Family | |||
| Coinsurance | 85% Insurance /
15% Member |
65% Insurance /
35% Member |
||
| Calendar Year Out of Pocket Maximum
(Includes Deductible, Coinsurance, Copayments, and Pharmacy) |
$4,000 per Individual / $8,000 per Family |
|||
| Lifetime Maximum | Unlimited | |||
Providers
is our national network, with providers located throughout the United States. This network is available if you have selected the Medical 750 Plan or Medical 1500 Plan.
Cigna Network
- Allegiance Website
- Toll Free (855) 999-2279
Medical Rates
Medical Rates
2023 |
Full Time
30+ Hours/Week |
Part Time
20-29 Hours/Week |
Surcharge for Tobacco Use |
|---|---|---|---|
Medical 1500 Plan (Cost per month) |
|||
| Employee | $37 | $74 | +$60 |
| Employee + 1 Child | $70 | $159 | +$60 |
| Employee + Spouse | $70 | $159 | +$60 |
| Employee + Children | $100 | $239 | +$60 |
| Employee + Family | $100 | $239 | +$60 |
COBRA Rates
COBRA Rates
2023 |
COBRA |
|---|---|
Medical 1500 Plan (Cost per month) |
|
| Employee | $477 |
| Employee + 1 Child | $1,016 |
| Employee + Spouse | $1,016 |
| Employee + Children | $1,465 |
| Employee + Family | $1,465 |
Employee Clinic |
|
| Employee | $174 |
| Employee + 1 Child | $347 |
| Employee + Spouse | $347 |
| Employee + Children | $521 |
| Employee + Family | $521 |
Resources
