- 50% / $1,000 lifetime maximum / 12 month wait / child only - for groups enrolling 25 on PPO & Indemnity Plans. DENTAL PLAN BENEFIT GUIDE.
- Secure Care Advantage DE 1000 The Advantage DE 1000 is two systems in one. It acts as a smart lock system, that will allow foot traffic to use a door, but will automatically lock when a monitored patient tries to exit. It also acts as a perimeter alarm and provides access control functions.
- In order to help realize and address your particular challenges in achieving value-based care, we offer a wide range of services and solutions. With 130 years of experience in healthcare across three sectors – medical devices, pharmaceuticals, and consumers – we are confident that we will be able to find one that is just right for you.
- Microsoft Secure Score is a numerical summary of your security posture based on system configurations, user behavior, and other security-related measurements. It isn't an absolute measurement of how likely your system or data will be breached.
When finding a health plan you should consider your budget, but more importantly your health care needs. Your health care needs over the next year must be considered.
As a U of U Health Plans member, you can call our Access Assistance line to help find a provider, transition to an in-network provider or schedule an appointment.
Call 801-587-2851.
Follow our simple, three-step registration process and log in to our secure system to see your eligibility information and benefits details. You can also print an ID card, find the average fees in your area for common dental procedures and check the status of your claims.
Convenient care from providers offered from your phone, tablet or computer. Common conditions treated through telehealth include: allergies, cough, cold, flu, eye infections and skin conditions, such as rash.
U OF U HEALTH VIRTUAL VISITS
Available 9 am- 9 pm, 7 days a week
Call 801-213-UNOW
If you would like general information about health resources related to your insurance, our nurses are here to help 24 hours a day, 7 days a week.
Call 801-505-3198
We're here for you.
At University of Utah Health Plans we see health care from a different perspective – providing access to care that meets you right where you are. We understand the decisions of how, when and where you receive care is unique. That's why we've created a network of behavioral health resources to make sure you receive care when you need it most.
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
| Silver Copay | Silver Copay (Off) | Silver Copay 73% CSR | Silver Copay 87% CSR | Silver Copay 94% CSR | |||||
| Healthy Premier | Healthy Preferred | Healthy Premier | Healthy Preferred | Healthy Premier | Healthy Preferred | Healthy Premier | Healthy Preferred | Healthy Premier | Healthy Preferred |
| SBC | SBC | SBC | SBC | SBC | SBC | SBC | SBC | SBC | SBC |
| OOC | OOC | OOC | OOC | OOC | OOC | OOC | OOC | OOC | OOC |
| Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider |
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
2020 Plan Categories and Benefits
Key Benefits:
- Primary Care Office Visits-
$25 copay/visit DW - Specialist Office Visits-
$40 copay/visit DW - Urgent Care-
$25 copay/visit DW
Prescription Drug Deductible:
$500/$1,000
Key Benefits:
- Primary Care Office Visits-
$30 copay/visit DW - Specialist Office Visits-
$70 copay/visit DW - Urgent Care-
$30 copay/visit DW
Prescription Drug Deductible:
$2,000/$4,000
Key Benefits:
- Primary Care Office Visits-
$30 copay/visit DW - Specialist Office Visits-
$75 copay/visit DW - Urgent Care-
$30 copay/visit DW
Prescription Drug Deductible:
Included with MD
Key Benefits:
- Primary Care Office Visits-
$45 copay/ first 3 visits then 40% AD - Specialist Office Visits-
40% coinsurance AD - Urgent Care-
$45 /copay first 3 visits then 40% coinsurance AD
Prescription Drug Deductible:
Included with MD
Key Benefits:
- Primary Care Office Visits-
0% coinsurance AD - Specialist Office Visits-
0% coinsurance AD - Urgent Care-
0% coinsurance AD
Prescription Drug Deductible:
Included with MD
Key Benefits:
- Primary Care Office Visits- $25 copay AD
- Specialist Office Visits- $40 copay AD
- Urgent Care- $25 copay AD
Prescription Drug Deductible:
Included with MD
Key Benefits:
- Primary Care Office Visits-
$45 copay/visit DW - Specialist Office Visits-
$75 copay AD - Urgent Care-
$45 copay/visit DW
Prescription Drug Deductible:
$1,650/$3,300
MD = Medical Deductible|AD = After Deductible|Co AD = Coinsurance After Deductible|DW = Deductible Waived2019 Plan Categories and Benefits
Short Summary
Gold level plan offers the lowest deductible and out of pocket expenses with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $25 copay/visit ded waived
- Specialist Office Visits- $40 copay/visit ded waived
- Urgent Care- $65 copay/visit ded waived
Out-of-Pocket Maximum
$7,000/$14,000
Short Summary
Silver level plan offers a mid level deductible and out of pocket maximum with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $30 copay/visit ded waived
- Specialist Office Visits- $70 copay/visit ded waived
- Urgent Care- $75 copay/visit ded waived
Out-of-Pocket Maximum
$7,350/$14,700
Short Summary
Silver level plan offers a mid level deductible and out of pocket maximum with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $30 copay/visit ded waived
- Specialist Office Visits- $75 copay/visit ded waived
- Urgent Care- $75 copay/visit ded waived
Out-of-Pocket Maximum
$7,900/$15,800
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. All benefits are subject to the deductible being met first other than preventive. This plan is a qualified high deductible health plan.
Key Benefits
- Primary Care Office Visits- 0% coinsurance after ded
- Specialist Office Visits- 0% coinsurance after ded
- Urgent Care- 0% coinsurance after ded
Out-of-Pocket Maximum
$6,750/$13,500
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. Many benefits are subject to the deductible being met first. This plan does have 3 office visits before meeting the deductible.
Key Benefits
- Primary Care Office Visits- $45 copay/ first 3 visits then 50% after ded
- Specialist Office Visits- 50% coinsurance after ded
- Urgent Care- 50% coinsurance after ded
Out-of-Pocket Maximum
$7,350/$14,700
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. All benefits are subject to the deductible being met first other than preventive. This plan is a qualified high deductible health plan.
Secure Care Advantage 1000 Troubleshooting
Key Benefits
- Primary Care Office Visits- $45 copay
- Specialist Office Visits- $75 copay after ded
- Urgent Care- 50% coinsurance after ded
Out-of-Pocket Maximum
$7,900/$15,800
2018 Plan Categories and Benefits
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. Many benefits are subject to the deductible being met first.
Key Benefits
- Primary Care Office Visits- 50% coinsurance after ded
- Specialist Office Visits- 50% coinsurance after ded
- Urgent Care- 50% coinsurance after ded
Out-of-Pocket Maximum
$7,350/$14,700
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. All benefits are subject to the deductible being met first other than preventive. This plan is a qualified high deductible health plan.
Key Benefits
- Primary Care Office Visits- 0% coinsurance after ded
- Specialist Office Visits- 0% coinsurance after ded
- Urgent Care- 0% coinsurance after ded
Out-of-Pocket Maximum
$6,500/$13,100
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. Many benefits are subject to the deductible being met first. This plan does have 3 office visits before meeting the deductible.
Key Benefits
- Primary Care Office Visits- $45 copay first three visits, then ded applies
- Specialist Office Visits- 60% coinsurance after ded
- Urgent Care- 60% coinsurance after ded
Deductible
$45 copay first three visits, then ded applies
Short Summary
ilver level plan offers a mid level deductible and out of pocket maximum with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $30 copay/visit ded waived
- Specialist Office Visits- $75 copay/visit ded waived
- Urgent Care- $75 copay/visit ded waived
Out-of-Pocket Maximum
$7,150/$14,300
Short Summary
Gold level plan offers the lowest deductible and out of pocket expenses with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $25 copay/visit
- Specialist Office Visits- $40 copay/visit
- Urgent Care- $65 copay/visit
Out-of-Pocket Maximum
Secure Care Advantage 1000 De Manual Pdf
$7,000/$14,000
Enroll for Standalone Dental Benefits
Notice – This Plan does not include pediatric dental services as required under the Federal Patient Protection and Affordable Care Act. Coverage for pediatric dental services is available for purchase on a standalone basis or through the Health Insurance Marketplace. Please contact the Health Insurance Marketplace to purchase the required pediatric dental services.
- Trips to the emergency room
- Treatment in the hospital for inpatient care
- Outpatient Care - care without being admitted to a hospital
- Care before and after your baby is born
- Mental health and substance use disorder services: behavioral health treatment, counseling, and psychotherapy
- Your prescription drugs
- Services and devices to help recover if you are injured, or have a disability or chronic condition: physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
- Your lab tests
- Preventative services: counseling, screening, vaccines, chronic disease - no charge
- Pediatric services
- Call a nurse at anytime if you have any health concerns or general information questions
- Instant care online available 7 days a week
SecureCare is an Independent Physicians Association (IPA) that has been in business for over 25 years and is able to deliver results at a fraction of the cost of competitors due to our focus on targeted technology. Our proprietary clinical review model is managed by providers licensed within the same musculoskeletal specialty and is based on a data-driven, best-practices approach. SecureCare's unique solutions include data analytics, clinical review, contract management, and a clinical assistance program.
SecureCare is URAC accredited as a CVO in provider credentialing. SecureCare is able to fully credential providers on behalf of payers with no added cost to the providers.
PayersOur technologically driven, state-of-the-art platform makes SecureCare a leader in clinical review, credentialing, and being a valued partner to insurance companies.
Insurance companies benefit from our internal clinical review system that reduces fraud, waste and abuse. SecureCare's network of providers is held to a practitioner performance standard that is continually monitored and managed.
There are no fees for insurance companies to participate. The SecureCare business model has a proven track record of effectively managing costs, while ensuring payer and provider satisfaction.
ProvidersSecureCare delivers ongoing monitoring and feedback to all participating providers. Under our care-management model, members of SecureCare are held to a practitioner performance standard. Variable levels of oversight are applied, depending upon how far a provider's utilization patterns deviate from normative targets and standards of care.
If a provider fails to meet the appropriate standard of care, the clinical support team may implement one, or a combination of intervention strategies. These would help identify and educate providers regarding required performance improvements.
