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Compare CU Health Plans, 2024-25
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Filter
Type of plan
Provider
Coverage areas
MONTHLY COST BY
COVERAGE LEVEL
Total Yearly Cost
by coverage level
Deductible(s)
Out-of-pocket
limits
Preventative care
Office visits
Specialty Care
Referrals
Urgent care
Mail order (up to
a 90-day supply)
Retail pharmacy
(30-day supply)
pregnancy
Office visits
Delivery Facility
Services
Delivery
Professional
Services
Behavioral Health -
Inpatient
Behavioral
Health - Outpatient
Emergency Room
Hospital facility
fees
Physician
or surgeon fees
Outpatient surgery
facility Fees
Outpatient surgery
physician &
surgeon fees
Ambulance
Diagnostics
(Bloodwork,
x-rays, etc.)
Durable medical
equipment
imaging (mri, ct, pet)
plan summary
Provider Lookup
CU Health Plan - Exclusive
Health Maintenance Organization (HMO)
Anthem Blue Cross Blue Shield
Colorado
Out-of-state dependent coverage may be available.
Employee: $80.50
Employee + Spouse: $234.50
Employee + Child(ren): $148.50
Family: $289.00
Employee: $966.00
Employee + Spouse: $2,814.00
Employee + Child(ren): $1,782.00
Family (3+): $3,468.00
Individual: $350
Family: $750
Individual:
$9,100
Family:
$18,200
$0, in-network, no deductible
Not covered:
out-of-network care
$30 primary care, no deductible
$40 specialist, no deductible
Not covered:
out-of-network care
No referral required
$30, no deductible
Tier 1 - $20
Tier 2 - $100
Tier 3 - $150
Tier 4 - $75 (30-day supply)
Tier 1 - $10
Tier 2 - $50
Tier 3 - $75
Tier 4 - $100
$15 copayment
for first prenatal office visit,
no deductible
Not covered:
out-of-network care
$200 per visit,
after deductible
Not covered:
out-of-network care
$0, no cost
Not covered:
out-of-network care
$200 per visit, after deductible
Not covered:
out-of-network care
$30 per visit,
no deductible
Not covered:
out-of-network care
$250, waived if admitted,
no deductible
$200 per visit, after deductible
Not covered:
out-of-network care
$0, no cost
Not covered:
out-of-network care
$100 per procedure,
after deductible
Not covered:
out-of-network care
$0, no cost
Not covered:
out-of-network care
$0, after deductible
$0, after deductible
Not covered:
out-of-network care
20% coinsurance for prosthetics
$0 after deductible for all other durable medical equipment
Not covered:
out-of-network care
$0, after deductible
Not covered:
out-of-network care
Exclusive Plan Summary
Visit
Anthem's microsite
or call 1-800-735-6072.
CU Health Plan - High Deductible
Preferred Provider
Organization (PPO)
Anthem Blue Cross Blue Shield
Colorado and nationwide
Employee: $0
Employee + Spouse: $27.00
Employee + Child(ren): $24.00
Family: $39.00
Employee: $0
Employee + Spouse: $324.00
Employee + Child(ren):
$288.00
Family (3+): $468.00
Individual:
$1,600 in network
$3,200 out of network
Family:
$3,200 in network
$6,400 out of network
Individual:
$3,200 in-network
$6,400 out of network
Family:
$6,400 in network
$12,800 out of network
$0, in-network
35% coinsurance
after deductible for
out-of-network care
15% coinsurance after deductible is met for primary care or specialist
35% coinsurance after deductible
for out-of-network care
No referral required
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
Tier 1 - 5% coinsurance
Tier 2 - 15% coinsurance
Tier 3 - 15% coinsurance
Tier 4 - 15% coinsurance (30-day supply)
Tier 1 - 10% coinsurance
Tier 2 - 20% coinsurance
Tier 3 - 20% coinsurance
Tier 4 - 20% coinsurance
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance after deductible
35% coinsurance after deductible for out-of network care
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance
after deductible
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance after deductible
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
15% coinsurance after deductible
Not covered:
out-of-network care
15% coinsurance after deductible
35% coinsurance after deductible for out-of-network care
High Deductible Plan Summary
Visit
Anthem's microsite
,
or call 1-800-735-6072.
CU Health Plan - Extended
Preferred Provider
Organization (PPO)
Anthem Blue Cross Blue Shield
Colorado and nationwide
Employee: $194.50
Employee + Spouse: $499.50
Employee + Child(ren): $363.00
Family: $650.00
Employee: $2,334.00
Employee + Spouse: $5,994.00
Employee + Child(ren): $4,356.00
Family (3+): $7,800.00
Individual: $1,000
Family: $2,000
Individual:
$9,100
Family:
$18,200
$0, in-network, no deductible
Not covered:
out-of-network care
$40 primary care, no deductible
$50 specialist, no deductible
Not covered:
out-of-network care
No referral required
$40, no deductible
Tier 1 - $20
Tier 2 - $100
Tier 3 - $150
Tier 4 - $75 (30-day supply)
Tier 1 - $10
Tier 2 - $50
Tier 3 - $75
Tier 4 - $100
$25 copayment for first prenatal office visit, no deductible
Not covered:
out-of-network care
10% coinsurance after deductible
Not covered:
out-of-network care
10% coinsurance after deductible
Not covered:
out-of-network care
10% coinsurance after deductible
Not covered:
out-of-network care
$40 per visit, no deductible
Not covered:
out-of-network care
$250, waived if admitted,
no deductible
10% coinsurance after deductible
Not covered:
out-of-network care
10% coinsurance after deductible
Not covered:
out-of-network care
10% coinsurance after deductible
Not covered:
out-of-network care
10% coinsurance after deductible
Not covered:
out-of-network care
10% coinsurance after deductible
10% coinsurance after deductible
Not covered:
out-of-network care
10% coinsurance after deductible
Not covered:
out-of-network care
10% coinsurance after deductible
Not covered:
out-of-network care
Extended Plan Summary
Visit
Anthem's website
or call 1-800-735-6072.
Must use Anthem providers.
CU Health Plan - Kaiser
Exclusive Provider
Organization (EPO)
Kaiser Permanente
Colorado
Out-of-state dependent coverage may be available.
Employee: $234.50
Employee + Spouse: $558.50
Employee + Child(ren): $421.50
Family: $749.00
Employee: $2,814.00
Employee + Spouse: $6,702.00
Employee + Child(ren): $5,058.00
Family: $8,988.00
$0, no deductible
Individual:
$9,100
Family:
$18,200
$0, in-network, no deductible
Not covered:
out-of-network care
$30 primary care
$40 specialist
Not covered:
out-of-network care
Referral required, but you can self-refer to certain specialists
$30
Tier 1 - $20
Tier 2 - $100
Tier 3 - not covered
Tier 4 - 20% cost up to $100 for a 30-day supply
Tier 1 - $10
Tier 2 - $50
Tier 3 - not covered
Tier 4 - 20% of cost up to $100
$0, no cost
Not covered:
out-of-network care
$250 copay per day,
$1,000 maximum
Not covered:
out-of-network care
$0, included in facility fee
Not covered:
out-of-network care
$250 copay per day,
$1,000 maximum
Not covered:
out-of-network care
$30 per visit, no deductible
Not covered:
out-of-network care
$250, waived if admitted
$250 copay per day,
$1,000 maximum
Not covered:
out-of-network care
$0, included in facility fee
Not covered:
out-of-network care
$250 per procedure
Not covered:
out-of-network care
$0, included in facility fee
Not covered:
out-of-network care
$0, no cost
$0, no cost
Not covered:
out-of-network care
$0, no cost
Not covered:
out-of-network care
$100 per scan
Not covered:
out-of-network care
Kaiser Plan Summary
Visit
Kaiser's microsite
, or call 1-866-213-3062.
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