Compare Plans

Plans
  • Eligibility





  • Type of plan



  • Monthly cost






  • Coverage areas




  • Deductible(s)








  • Out-of-pocket
    limit

    (In most instances,
    coinsurances and
    copays become $0
    Once plan maximum
    is met.)


  • Covered
    Providers

  • Referrals for
    specialty care
  • Medical office
    visit costs








  • Diagnostic and
    imaging tests





















  • Prescription
    drug coverage



































































































  • Outpatient
    surgery






  • Emergency and
    urgent care























  • Hospital stays















  • Mental or
    behavioral
    health, and
    substance
    abuse coverage











  • Pregnancy















  • Recovery





























  • Child dental and
    eye care























  • Uncovered
    services




















  • CU Health Plan - Exclusive

    • Faculty
      University Staff
      Classified Staff
      Non-Medicare-eligible retirees
      Non-Medicare-eligible
      surviving spouses
    • Health Maintenance Organization (HMO) administered by Anthem Blue Cross Blue Shield
    • Employee: $39.50

      Employee + Spouse: $165.00

      Employee + Child(ren): $99.50

      Family: $215.50
    • Colorado

      Out-of-state dependent child coverage may be available. See plan details.
    • Individual: $250

      Family: $750






    • Individual:
      $7,350




      Family:
      $14,700


    • Visit Anthem's microsite, or call 1-800-735-6072.

    • Referral required

    • In network:
      $30
      ($40 for specialists)



      Out of network:
      Not covered


    • Scans (CT and PET) and MRIs:

      In network:
      No coinsurance after you've met your deductible

      Out of network:
      Not covered




      Blood work and
      X-rays:

      In network:
      No coinsurance after deductible is met

      Out of network:
      Not covered


    • Generic Drugs (Tier 1)

      In network:

      UCHealth Retail:
      $13 for a 30-day supply

      $26 for a 90-day supply

      Anthem Retail:
      $15 for a 30-day supply

      $26 for a 90-day supply







      Out of network:
      Not covered




      Preferred-brand drugs
      (Tier 2)

      In network:

      UCHealth Retail:
      $30 for a 30-day supply

      $60 for a 90-day supply

      Anthem Retail:
      $35 for a 30-day supply

      UCH Mail Order:
      $60 for a 90-day supply






      Out of network:
      Not covered




      Non-preferred-brand drugs
      (Tier 3)

      In network:

      UCHealth Retail:
      $50 for a 30-day supply

      $100 for a 90-day supply

      Anthem Retail:
      $50 for a 30-day supply

      UCH Mail Order:
      $100 for a 90-day supply






      Out of network:
      Not covered




      Specialty oral and injectable drugs
      (Tier 4)

      In network:

      Anthem Retail, UCHealth Retail and UCH Mail Order:
      $75 for a 30-day supply




      Out of network:
      Not covered






    • In network:
      No coinsurance after deductible is met (100% covered)


      Out of network:
      Not covered

    • In network:

      Emergency services:
      $250 (waived if admitted)

      Transportation:
      No coinsurance after you've met your deductible

      Urgent care:
      $30 per visit



      Out of network:

      Emergency services:
      $250 (waived if admitted)

      Transportation:
      No coinsurance after deductible is met

      Urgent care:
      $30 per visit
    • In network:

      Facility fee:
      No coinsurance after deductible is met

      Physician and surgeon fee:
      Fully covered


      Out of network:

      Facility,
      physician and surgeon fees:
      Not covered

    • In network:

      Outpatient:
      $30 per office visit and no coinsurance after deductible is met for the outpatient facility

      Inpatient:
      No coinsurance after  deductible is met



      Out of network:
      Not covered

    • In network:

      Prenatal and postnatal care:
      $15 coinsurance for first prenatal care office visit

      Delivery and
      all inpatient services:
      No coinsurance after deductible is met



      Out of network:
      Not covered

    • In network:

      Home Health Care, Skilled Nursing Care & Hospice Care:
      No coinsurance after deductible is met


      Rehabilitation & Habilitation:

      Inpatient:
      No coinsurance after after deductible is met


      Outpatient:
      $30

      Durable Medical Equipment:
      20 percent coinsurance (not subject to deductible for prosthetic appliances, and no copayment after deductible is met for all other durable medical equipment

      Out of network:
      Not covered


    • In network:

      Eye Exam:
      $30 per visit (exam only)

      Glasses:
      Not covered

      Dental checkup:
      Not covered




      Out of network:

      Eye exam:
      Up to a $35 maximum reimbursement

      Glasses:
      Not covered

      Dental checkup:
      Not covered
    • Abortion (except in cases of rape, incest, or when the life of the mother is endangered)

      Adult dental care

      Cosmetic surgery

      Infertility treatment

      Long-term care

      Non-emergency care outside the United States

      Private-duty nursing

      Routine foot care

      Weight-loss programs


  • CU Health Plan - Extended

    • Faculty
      University Staff
      Classified Staff



    • Preferred Provider
      Organization (PPO) administered by Anthem Blue Cross Blue Shield
    • Employee: $73.00

      Employee + Spouse: $221.50

      Employee + Child(ren): $145.00

      Family: $291.50
    • Colorado and nationwide.




    • Individual: $750

      Family: $1,500






    • Individual:
      $7,350




      Family:
      $14,700


    • Visit Anthem's microsite, or call 1-800-735-6072. Must use Anthem providers.
    • No referral required

    • In network:
      $40
      ($50 for specialists)



      Out of network:
      Not covered


    • Scans (CT and PET) and MRIs:

      In network:
      10% coinsurance after you've met your deductible

      Out of network:
      10% coinsurance after you've met your deductible



      Blood work and
      X-rays:

      In network:
      10% coinsurance after deductible is met

      Out of network:
      10% coinsurance after deductible is met

    • Generic Drugs (Tier 1)

      In network:

      Anthem & UCHealth Retail:
      $15 for a 30-day supply

      UCH Mail Order:
      $30 for a 90-day supply











      Out of network:
      Not covered




      Preferred-brand drugs
      (Tier 2)

      In network:

      Anthem & UCHealth Retail:
      $35 for a 30-day supply

      UCH Mail Order:
      $70 for a 90-day supply











      Out of network:
      Not covered




      Non-preferred-brand drugs
      (Tier 3)

      In network:

      Anthem & UCHealth Retail:
      $50 for a 30-day supply

      UCH Mail Order:
      $100 for a 90-day supply











      Out of network:
      Not covered




      Specialty oral and injectable drugs
      (Tier 4)

      In network:

      Anthem & UCHealth Retail & Mail Order:
      $75 for a 30-day supply



      Out of network:
      Not covered







    • In network:
      10% coinsurance after deductible is met


      Out of network:
      Not covered

    • In network:

      Emergency services:
      $250 (waived if admitted)

      Transportation:
      10% coinsurance after you've met your deductible

      Urgent care:
      $40 per visit



      Out of network:

      Emergency services:
      $250 (waived if admitted)

      Transportation:
      10% coinsurance after deductible is met

      Urgent care:
      $40 per visit
    • In network:

      Facility and physician surgeon fee:
      10% coinsurance after deductible is met




      Out of network:

      Facility,
      physician and surgeon fees:
      Not covered

    • In network:

      Outpatient:
      $40 per office visit

      Inpatient:
      10% coinsurance after deductible is met





      Out of network:
      Not covered

    • In network:

      Prenatal and postnatal care:
      $25 copayment for first prenatal care office visit

      Delivery and
      all inpatient services:
      10% coinsurance after deductible is met



      Out of network:
      Not covered

    • In network:

      Home Health Care, Skilled Nursing Care & Hospice Care:
      10% coinsurance after deductible is met


      Rehabilitation & Habilitation:

      Inpatient:
      10% coinsurance after deductible is met


      Outpatient: $40


      Durable Medical Equipment:
      10 percent coinsurance after deductible is met





      Out of network:
      Not covered


    • In network:

      Eye Exam, glasses and dental checkup:
      Not covered









      Out of network:

      Eye exam, glasses and dental checkup:
      Not covered






    • Abortion (except in cases of rape, incest, or when the life of the mother is endangered)

      Adult dental care

      Cosmetic surgery

      Infertility treatment

      Long-term care

      Non-emergency care outside the United States

      Private-duty nursing

      Routine foot care

      Weight-loss programs


  • CU Health Plan - High Deductible

    • Faculty
      University Staff
      Classified Staff
      Non-Medicare-eligible retirees
      Non-Medicare-eligible
      surviving spouses
    • Preferred Provider
      Organization (PPO) administered by Anthem Blue Cross Blue Shield
    • Employee: $0

      Employee + Spouse: $15.00

      Employee + Child(ren): $14.00

      Family: $19.00
    • Colorado and nationwide.




    • Individual:
      In network: $1,500

      Out of network: $3,000

      Family:
      In network: $3,000

      Out of network: $6,000
    • Individual:
      In network: $3,000

      Out of network: $6,000


      Family:
      In network: $6,000

      Out of network: $12,000
    • Visit Anthem's microsite, or call 1-800-735-6072.

    • No referral required

    • In network:
      15% coinsurance after deductible is met



      Out of network:
      35% coinsurance after deductible is met (includes out-of-network preventative care)
    • Scans (CT and PET) and MRIs:

      In network:
      15% coinsurance after you've met your deductible

      Out of network:
      35% coinsurance after you've met your deductible



      Blood work and
      X-rays:

      In network:
      15% coinsurance after deductible is met

      Out of network:
      35% coinsurance after deductible is met

    • Generic Drugs (Tier 1)

      In network:

      Anthem Retail:
      20% coinsurance after deductible for a 30-day supply

      UCH Mail Order:
      20% coinsurance after deductible for a 30-day supply

      UCHealth Retail or UCH Mail Order:
      20% coinsurance after deductible a 30-day supply

      UCH Mail Order:
      20% coinsurance after deductible a 90-day supply


      Out of network:
      20% coinsurance after deductible for a 30-day supply



      Preferred-brand drugs
      (Tier 2)

      In network:

      Anthem Retail:
      20% coinsurance after deductible for a 30-day supply

      UCH Mail Order:
      20% coinsurance after deductible for a 30-day supply

      UCHealth Retail or UCH Mail Order:
      20% coinsurance after deductible for a 30-day supply

      UCH Mail Order:
      20% coinsurance after deductible for a 90-day supply


      Out of network:
      20% coinsurance after deductible for a 30-day supply



      Non-preferred-brand drugs
      (Tier 3)

      In network:

      Anthem Retail:
      20% coinsurance after deductible for a 30-day supply

      UCH Mail Order:
      20% coinsurance after deductible for a 30-day supply

      UCHealth Retail or UCH Mail Order:
      20% coinsurance after deductible for a 30-day supply

      UCH Mail Order:
      20% coinsurance after deductible for a 90-day supply


      Out of network:
      20% coinsurance after deductible for a 30-day supply



      Specialty oral and injectable drugs
      (Tier 4)

      In network:

      Anthem Retail, UCHealth Retail & Mail Order:
      20% coinsurance after deductible for a 30-day supply


      Out of network:
      20% coinsurance after deductible for a 30-day supply
    • In network:
      15% coinsurance after deductible is met


      Out of network:
      35% coinsurance after deductible is met
    • In network:

      Emergency services, transportation and urgent care
      15% coinsurance after deductible is met








      Out of network:

      Emergency services, transportation and urgent care
      35% coinsurance after deductible is met





    • In network:

      Facility and physician surgeon fee:
      15% coinsurance after deductible is met




      Out of network:

      Facility,
      physician, and surgeon fees:
      35% coinsurance after you've met your deductible
    • In network:

      Inpatient and Outpatient:
      15% coinsurance after deductible is met








      Out of network:
      35% coinsurance after you've met your deductible
    • In network:

      Prenatal and postnatal care, and delivery and
      all inpatient services:
      15% coinsurance after deductible is met






      Out of network:
      35% coinsurance after deductible is met
    • In network:

      All Services:
      15% coinsurance after deductible is met





















      Out of network:
      All services:
      35% coinsurance after deductible is met
    • In network:

      Eye Exam, glasses and dental checkup:
      Not covered









      Out of network:

      Eye exam, glasses and dental checkup:
      Not covered






    • Abortion (except in cases of rape, incest, or when the life of the mother is endangered)

      Adult dental care

      Cosmetic surgery

      Infertility treatment

      Long-term care

      Private-duty nursing

      Routine eye care

      Routine foot care

      Weight-loss programs



  • CU Health Plan - Kaiser

    • Faculty
      University Staff
      Classified Staff
      Non-Medicare-eligible retirees
      Non-Medicare-eligible
      surviving spouses
    • Exclusive Provider
      Organization (EPO) administered by Kaiser Permanente
    • Employee: $101.00

      Employee + Spouse: $276.50

      Employee + Child(ren): $175.00

      Family: $363.50
    • Colorado

      Out-of-state dependent child coverage may be available. See plan details.
    • None








    • Individual:
      $7,350




      Family:
      $14,700


    • Visit Kaiser's microsite or call 1-866-213-3062.

    • Referral required, but you can self-refer to certain specialists
    • In network:
      $30
      ($40 for specialists)



      Out of network:
      Not covered


    • Scans (CT and PET) and MRIs:

      In network:
      Fully covered


      Out of network:
      Fully covered




      Blood work and
      X-rays:

      In network:
      $100 per procedure


      Out of network:
      $100 per procedure


    • Generic Drugs (Tier 1)

      In network:

      Retail:
      $15 for a 30-day supply

      Mail Order:
      $30 for a 90-day supply











      Out of network:
      20% co-insurance after deductible for a 30-day supply



      Preferred-brand drugs
      (Tier 2)

      In network:

      Retail:
      $35 for a 30-day supply

      Mail Order:
      $70 for a 90-day supply











      Out of network:
      20% coinsurance after deductible for a 30-day supply



      Non-preferred-brand drugs
      (Tier 3)

      In network:

      Not covered















      Out of network:
      Not covered




      Specialty oral and injectable drugs
      (Tier 4)

      In network:

      20% coinsurance after deductible for a 30-day supply




      Out of network:
      Not covered







    • In network:
      $250 copayment



      Out of network:
      Not covered

    • In network:

      Emergency services
      $250 copayment (waived if admitted)

      Transportation:
      Fully covered

      Urgent care:
      $30 copayment



      Out of network:

      Emergency services
      $250 copayment

      Transportation
      Fullly covered

      Urgent care:
      $30 copayment

    • In network:

      Facility and physician surgeon fee:
      $250 copay per day ($1,000 maximum per admission)




      Out of network:

      Facility,
      physician, and surgeon fees:
      Not covered

    • In network:

      Outpatient:
      $30 copayment

      Inpatient:
      $250 copayment per day ($1,000 maximum per admission)




      Out of network:
      Not covered

    • In network:

      Prenatal and postnatal care:
      Fully covered

      Delivery and all
      inpatient services:
      $250 copayment per day






      Out of network:
      Not covered
    • In network:

      Home Health Care, Skilled Nursing Care & Hospice Care:
      Fully covered



      Rehabilitation & Habilitation:
      $30 copayment
















      Out of network:
      All services:
      Not covered

    • In network:

      Eye Exam:
      $30 for an optometrist
      $40 for an opthalmologist

      Glasses:
      Not covered

      Dental checkup:
      Not covered



      Out of network:

      All services:
      Not covered







    • Adult hearing aids

      Children's glasses

      Cosmetic surgery

      Infertility treatment

      Dental care

      Long-term care

      Non-emergency care outside the United States

      Non-preferred brand drugs

      Private-duty nursing

      Weight-loss programs (unless in conjunction with approved bariatric surgery plan)