Insurance Plans Accepted
Do You Accept My Insurance?
Ï㽶ÊÓƵ of Utah Health contracts with most major health insurance carriers and transplant networks. Please call your insurance company and ask if you have access to health care services at Ï㽶ÊÓƵ of Utah Health locations, and what (if any) co-payments, co-insurances, and deductibles will be your responsibility.
This list covers insurance plans accepted by Ï㽶ÊÓƵ of Utah Health this year. It is not all-inclusive, is updated periodically, and may be subject to change. This list is not a guarantee of network participation with any payer.
U of U Health is contracted and in-network with the following plans:
Aetna
If you have Aetna Standard Network, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
- Aetna Medicare Advantage & Mail Handlers
American Health Plans
U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
Blue Cross Blue Shield
If you have one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
Blue Cross Blue Shield (out of state)
U of U Health facilities and physicians are in-network with out of state Blue Cross Blue Shield plans as long as the plan uses the BlueCard network. You can usually by looking at your insurance ID card and locating a suitcase logo.
If you see a blank suitcase or a suitcase with PPO inside and the plan is NOT through the ACA/Insurance Marketplace, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
If you cannot see a suitcase logo or if you receive your coverage through the ACA/Insurance Marketplace, U of U Health facilities and physicians are NOT in-network. Please check with your benefits department or call BlueCard Access at 800-810-BLUE (2583) to verify that your plan covers services at U of U Health before scheduling your visit.
Cigna
If you have one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
Cigna ACA/Insurance Marketplace plans are NOT in-network with U of U Health facilities and physicians. Please check with your benefits department or call the customer service number on the back of your insurance card to find an in-network provider.
Deseret Mutual Benefit Administration (DMBA)
If you have one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
Health Choice
If you have one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
- Health Choice UT Medicaid
- Health Choice Generations Medicare Advantage
Humana
: U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
Medicare
: Health insurance for people 65 or older, you are eligible to sign up three months before you turn 65.
Molina
If you have any one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
- Molina Core Care
- Molina Constant Care
- Molina Confident Care
- Molina Medicare Choice Care (HMO)
- Molina Medicare Complete Care (HMO SNP)
- Molina Medicaid
- Molina CHIP
PEHP
If you have one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
Tricare
If you have one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
- Tricare West
- Tricare For Life
United HealthCare
If you have one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
- United HealthCare Options PPO
- Student Resources
- United Health Medicare Advantage
- OptumCare Medicare Advantage
- AARP Medicare Advantage
Ï㽶ÊÓƵ of Utah Health Plan
If you have one of these plans, U of U Health is in-network for all facilities and physicians. This includes specialty and primary care services.
- Healthy Preferred
- Healthy Premier
- Grand Valley
- Healthy U Medicaid
Utah Medicaid
: A medical program for people who have low-income and limited resources
Understanding Your Health Insurance Card
You receive an updated health insurance card regularly depending on your insurance type. This card has important information that will:
- help your health care providers bill your insurance,
- charge you the right copay, and
- make sure your health insurance information is up to date.
Learn more about how to read your insurance card.
Insurance Provider Not Listed
My Insurance Provider Is Not on This List. Does That Mean You Do Not Accept My Insurance?
Not necessarily. This list is not all-inclusive and is subject to change. To check your in-network status with Ï㽶ÊÓƵ of Utah Health, contact your insurance company to determine your plan benefits.
Coordination of Benefits: More Than One Insurance Coverage
As a patient it is important to understand how your insurance plans work together when you are covered by more than one insurance. The process of determining which insurance is the first to be billed (primary) is called Coordination of Benefits (COB). Understanding COB processes and rules helps make sure your claims are paid timely and appropriately.
Patients are responsible for notifying their insurance of any changes to their coverage that may affect their COB. If you do not provide these changes to your insurance, insurance payments may be denied until you update your COB information.
Common Coordination of Benefits Circumstances
The following are the most common types of combined insurance coverage or COB circumstances:
One Person Has Two Health Insurance Plans
If you have two health insurance plans, the health insurance where the patient is the subscriber (the carrier) is the primary payer. The secondary payer is the health insurance plan that covers the patient as a dependent, meaning you are covered under another plan as the spouse, child, or other dependent.
If the patient is a child and carries two health insurance plans, then the birthday rule will be applied. The birthday rule states that the parent who’s whose birthday falls first will be the parent whose insurance is billed first.
The birthday rule only looks to the month and day and does not take birth year into consideration.
Health Insurance and Auto Insurance
If you are involved in an auto accident, your auto insurance is the primary insurance. The patient’s health insurance is secondary.
If you are involved in an auto accident as a passenger, pedestrian, or bicyclist, the driver’s auto insurance is primary and the patient’s health insurance is secondary.
If you are involved in an accident on a recreation vehicle, your health insurance is primary.
Workers Compensation Fund
If you are involved in an accident while on the job, workers compensation insurance is typically the primary payer; however, if the claim is denied, we will bill your health insurance.
Government Insurance Processes
Medicare will be the primary insurance unless one of the following scenarios applies:
- If you are covered through either your own current employment or the current employment of a family member, Medicare will be the secondary payer (depending on the employer size).
- If you have end stage renal disease (ESRD) and qualify for Medicare.Our staff will help you determine the order of your benefits by using the Medicare questionnaire
- Medicare supplemental plans will be billed secondary to Medicare.
Medicare will not be billed:
- When a liability insurance (such as auto, home, and the like) is responsible for payment.
- Veterans Affairs has authorized payment for services.
- When a patient is being seen for a work-related accident.
- If you are enrolled in a Medicare Advantage Plan.
Medicaid plans are typically the coverage of last resort. We will bill any available insurance before Medicaid.
What If I Do Not Have Insurance or My Insurance Is Not Accepted
No Insurance?
If you do not have insurance, you may pay a deposit of up to $150 for a clinic visit. This is subject to change depending on the service. We will then bill you for the remaining amount.
In you are having a scheduled service/procedure, such as surgery, testing, or imaging, you pay the total estimated charges before the time of service.
If you are unable to pay the full estimated charges, you must deposit half of the cost before or at the time of the service before you receive it.
Please contact one of our Patient Financial Advocates at 801-581-2957 if you have questions about the estimated charges or are unable to meet these requirements. You may also estimate your cost by using our easy to use estimate tool.
Can I Still Go to Ï㽶ÊÓƵ Of Utah Health If My Insurance Plan Is Not Covered?
In cases of emergency, go to the nearest emergency room. Your insurance may cover the ER costs or will transfer you to an in-network hospital once you are stable.
For other services, you may be required to pay a larger out of pocket portion on your bill. To be sure, contact your insurance company directly to discuss.
Check Your Medicaid Eligibility
See if You Are Eligible
Medicaid Eligibility Español
Estimate Your Out-Of-Pocket Costs
Ï㽶ÊÓƵ of Utah Health has developed a tool that helps you compare and calculate how much you'll pay out-of-pocket for health care services and procedures.
Don't Have a MyChart Account?
Use our online tool to get an estimate.
Have a MyChart Account?
MyChart can help you estimate costs using your insurance information.
Need Assistance?
Call a financial advocate at 801-581-2957
Get a Price Estimate
In accordance with the CMS 2019 IPPS final rule, Ï㽶ÊÓƵ of Utah Health has published its list of standard charges and negotiated rates.
Schedule an Online Billing Consult
Need assistance in reviewing your hospital bill? Call us at 801-587-6303 or 800-862-4937 OR schedule an online billing consult.