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Compare CU Health Plans, 2025-26














  • 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:

      $9,200


      Family:

      $18,400

    • $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:

      $1,650 in network
      $3,300 out of network

      Family:

      $3,300 in network 
      $6,600 out of network
    • Individual:

      $3,300 in-network
      $6,600 out of network

      Family:

      $6,600 in network
      $13,200 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 - Pathway

    • Exclusive Provider
      Organization (EPO)
    • Anthem Blue Cross Blue Shield
    • Colorado and nationwide




    • Employee: $177.50

      Employee + Spouse: $467.00

      Employee + Child(ren): $328.50

      Family: $598.00
    • Employee: $2,130.00

      Employee + Spouse: $5,604.00

      Employee + Child(ren): $3,942.00

      Family (3+): $7,176.00 
    • Individual: $500 




      Family: $1,000



    • Individual:

      $9,200


      Family:

      $18,400

    • $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
    • 10% coinsurance after deductible 


      Not covered:
      out-of-network care

    • $0, no cost 


      Not covered:
      out-of-network care

    • 10% coinsurance 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
    • 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

    • $20, no deductible


      Not covered:
      out-of-network care

    • 20% coinsurance for prosthetics, no deductible
      $0 after deductible for all other durable medical equipment

      Not covered:
      out-of-network care
    • $20, no deductible



      Not covered:
      out-of-network care
    • Pathway 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: $302.00

      Employee + Spouse: $702.00

      Employee + Child(ren): $547.00

      Family: $926.50
    • Employee: $3,624.00

      Employee + Spouse: $8,424.00

      Employee + Child(ren): $6,654.00

      Family: $11,118.00
    • $0, no deductible








    • Individual:

      $9,200


      Family:

      $18,400

    • $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.