Products Comparison Table

Compare CU Health Plans, 2024-25

Reset Filter

Type of plan
Provider
Coverage areas
MONTHLY COST BY
COVERAGE LEVEL
- Retirees
Total Yearly Cost
by coverage level
- Retirees
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.
- Retiree: $80.50
  
  Retiree + Spouse: $234.50
  
  Retiree + Child(ren): $148.50
  
  Family: $289.00
- Retiree: $966.00
  
  Retiree + Spouse: $2,814.00
  
  Retiree + 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
- Retiree: $0
  
  Retiree + Spouse: $27.00
  
  Retiree + Child(ren): $24.00
  
  Family: $39.00
- Retiree: $0
  
  Retiree + Spouse: $324.00
  
  Retiree + 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 - Kaiser
- Exclusive Provider
  Organization (EPO)
- Kaiser Permanente
- Colorado
  
  Out-of-state dependent coverage may be available.
- Retiree: $234.50
  
  Retiree + Spouse: $558.50
  
  Retiree + Child(ren): $421.50
  
  Family: $749.00
- Retiree: $2,814.00
  
  Retiree + Spouse: $6,702.00
  
  Retiree + 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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USING THE PLAN COMPARISON:

CU Health Plan - Exclusive

CU Health Plan - High Deductible

CU Health Plan - Kaiser