Under this Anthem-administered plan, you can choose any healthcare provider within one single statewide network, giving you access to a great number of doctors and specialists across the Front Range. You will receive care at UCHealth facilities by physicians from the CU School of Medicine, UCHealth Medical Group and others. Your Primary Care Provider manages your care, so you'll need to get referrals to see specialists with the exception of OB/GYN, ophthalmologist, chiropractor or acupuncturist, within the Exclusive Plan network. The tradeoff is that you'll save money by doing so.
There is no out-of-network coverage except for urgent and/or emergency care.
- CU Health Plan - Exclusive Benefits Coverage Summary (13 pages)
- CU Health Plan - Exclusive Benefits Booklet (93 pages)
- Anthem Preventative Care Guidelines (14 pages)
Covered providers and medications
CU Health Plan - Exclusive Guest Membership
If you have dependents covered by this plan who will be living out-of-state during the 2019-20 plan year, you may enroll them in CU Health Plan - Exclusive Guest Membership for additional, temporary coverage in participating states. Guest Membership coverage ends with the health plan year. You must apply for and enroll in this program during each Open Enrollment to receive and maintain this benefit. To get started, see Anthem's instructions for applying, or call Anthem Blue Cross Blue Shield at 1-800-735-6072.
|Features and Considerations|
|Plan Type||HMO - CU network|
$250 per Individual (Each member must meet their individual $250)
$750 Family Maximum (3+ members)
|Out-of-Pocket Limit||$7,900/Individual; $15,800/Family|
|Office Visit||PCP - $30/visit
Specialist - $40/visit
Urgent Care - $30/visit
Office visit copays do not apply toward the deductible.
|Emergency Care||$250 copay (waived if admitted)|
|Prescription Drug Coverage (Rx)
Tier 1 $13-15
Tier 3 $50
Tier 2 $35
Tier 4 $75
|*Maintenance and specialty medications may be purchased at retail pharmacy. After three fills, UCHealth Retail Pharmacies or Mail Order must be used.|
|Mail Order Rx
|Must be used for 90-day supply for maintenance medications.
Cost Savings: 90-day supply for the price of a 60-day supply.