SelectHealth Select Care Preference Gold 1000 UT

These are the details for a 2014 Obamacare Plan. To see the available 2015 plans take a look at our plan comparison for the state of Utah. Compare Plans

Plan Information
Company SelectHealth
State UT
Metal Tier Gold
Plan Type HMO

Cost Sharing Benefits

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $1,000 $0
Deductible (Family) $2,500 $0
Coinsurance 20% $0
Out of Pocket Maximum (Individual) $2,900 $0
Out of Pocket Maximum (Family) $5,800 $0
Services In Network Out of Network
Primary Care Visit $25 Copay after deductible $0
Specialist Visit $40 Copay after deductible $0
In Patient Hospital Services 20% Coinsurance after deductible $0
Emergency Room Services $250 Copay after deductible $250 copay
Mental / Behavioral Health 20% coinsurance $0
Imaging (CT/PET Scans, MRIs) 20% coinsurance $0
Rehabilitative Speech Therapy $40 copay $0
Rehabilitative Occupational & Physical Therapy $40 copay $0
Preventative Care Data Not Available $0
Laboratory Outpatient and Professional Services $0 $0
X-ray and Diagnostic Imaging $0 $0
Prescription Drugs In Network Out of Network
Generic Rx $10
Preferred Brand Rx 25% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans

Other plans that are available in the state.

Plan Name
Select Care HealthSave Bronze 3500 (HSA Qualified)
Select Care HealthSave Bronze 5500 (HSA Qualified and no coinsurance after deductible)
Select Care HealthSave Silver 1500 (HSA Qualified)
Select Care HealthSave Silver 2000 (HSA Qualified)
Select Care HealthSave Silver 3500 (HSA Qualified and no coinsurance after deductible)
Select Care Millennial 6350 (Catastrophic Plan)
Select Care Preference Benchmark Bronze 5000
Select Care Preference Benchmark Silver 1000
Select Care Preference Bronze 5000
Select Care Preference Bronze 5350 w/4 deductible-free office visits
Select Care Preference Gold 1000
Select Care Preference Gold 1000 w/no deductible for office visits
Select Care Preference Gold 250
Select Care Preference Gold 250 w/office deductible waiver
Select Care Preference Gold 500
Select Care Preference Gold 500 w/no deductible for office visits
Select Care Preference Silver 1000
Select Care Preference Silver 2500
Select Care Preference Silver 2500 w/4 deductible-free office visits
Select Care Preference Silver 3800 (Copay Plan)
Select Med HealthSave Bronze 3500 (HSA Qualified)
Select Med HealthSave Bronze 5500 (HSA Qualified and no coinsurance after deductible)
Select Med HealthSave Silver 1500 (HSA Qualified)
Select Med HealthSave Silver 2000 (HSA Qualified)
Select Med HealthSave Silver 3500 (HSA Qualified and no coinsurance after deductible)
Select Med Millennial 6350 (Catastrophic Plan)
Select Med Preference Benchmark Bronze 5000
Select Med Preference Benchmark Silver 1000
Select Med Preference Bronze 5000
Select Med Preference Gold 1000
Select Med Preference Gold 1000 w/no deductible for office visits
Select Med Preference Gold 250
Select Med Preference Gold 250 w/no deductible for office visits
Select Med Preference Gold 500
Select Med Preference Gold 500 w/no deductible for office visits
Select Med Preference Gold 5350 w/4 deductible-free office visits
Select Med Preference Silver 1000
Select Med Preference Silver 2500
Select Med Preference Silver 2500 w/4 deductible-free office visits
Select Med Preference Silver 3800 Copay Plan
Select Value HealthSave Bronze 3500 (HSA Qualified)
Select Value HealthSave Bronze 5500 (HSA Qualified and no coinsurance after deductible)
Select Value HealthSave Silver 1500 (HSA Qualified)
Select Value HealthSave Silver 2000 (HSA Qualified)
Select Value HealthSave Silver 3500 (HSA Qualified and no coinsurance after deductible)
Select Value Millennial 6350 (Catastrophic Plan)
Select Value Preference Benchmark Bronze 5000
Select Value Preference Benchmark Silver 1000
Select Value Preference Bronze 5000
Select Value Preference Bronze 5350 w/4 deductible-free office visits
Select Value Preference Gold 1000
Select Value Preference Gold 1000 w/no deductible for office visits
Select Value Preference Gold 250
Select Value Preference Gold 250 w/no deductible for office visits
Select Value Preference Gold 500
Select Value Preference Gold 500 w/no deductible for office visits
Select Value Preference Silver 1000
Select Value Preference Silver 2500
Select Value Preference Silver 2500 w/4 deductible-free office visits
Select Value Preference Silver 3800 Copay Plan
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