Jeffrey Wade
The University of Utah Health Care accepts most major commercial health insurance plans, including traditional Medicare for all facility and professional services. It is important to note that Medicare Advantage plans differ from traditional Medicare and are provided through a third-party commercial insurance company. The University of Utah Health is also in-network with many other insurance providers, including Aetna Standard Network, Humana, and United HealthCare Options PPO. However, it is always recommended to contact your health plan's customer service department to confirm your specific coverage details and any potential out-of-pocket expenses. Additionally, the University of Utah strongly encourages students to have health insurance and offers a health insurance plan through United Healthcare Student Resources.
| Characteristics | Values |
|---|---|
| Insurance Carriers | Aetna Standard Network, Cigna ACA/Insurance Marketplace, Humana, United HealthCare Options PPO, Student Resources, United Health Medicare Advantage, OptumCare Medicare Advantage, AARP Medicare Advantage, GEHA, University of Utah Health PlanAdvantage U Medicare Advantage, Healthy Preferred, Healthy Premier, Grand Valley, Mountain Health CO-OP, Montana Health CO-OP, Healthy U Medicaid, DMBA Premier, Protect, Value, Student, Missionary, Health Choice UT Medicaid, Health Choice Generations Medicare Advantage |
| Transplant Networks | In-network for all facilities and physicians, including specialty and primary care services |
| Medicaid | University of Utah Health Care accepts Utah Medicaid for all facility and professional services |
| Medicare | Traditional Medicare accepted for all facility and professional services; Medicare Advantage plans differ from traditional Medicare and are provided through a third party commercial insurance company |
| No Insurance | Patients may pay a deposit of up to $150 for a clinic visit, with the remaining amount billed later; for scheduled services, the total estimated charges must be paid before the time of service |
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Aetna Standard Network
The University of Utah Health is in-network with the Aetna Standard Network for all facilities and physicians, including specialty and primary care services.
As an Aetna member, you can log in to find doctors, dentists, hospitals, and other providers that accept your plan. For non-members, you can choose the type of plan you are interested in and search for healthcare providers that accept it.
It is important to note that some plans do not offer any out-of-network benefits, meaning you are only covered for out-of-network care in an emergency. In such cases, you would need to pay the full cost of any care received outside of the Aetna network.
If you are involved in an auto accident, your auto insurance is the primary insurance, and your health insurance is secondary. If you are a passenger, pedestrian, or bicyclist involved in an accident, the driver's auto insurance is primary, and your health insurance is secondary.
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Humana
The University of Utah Health Care system accepts Humana insurance for all facilities and physicians, including specialty and primary care services. Humana is a major health insurance carrier, and the University of Utah Health Care is in-network for most major commercial health plans.
If you have Humana insurance, it is always a good idea to contact your health plan's customer service department to confirm that you have in-network access to specific healthcare providers, including the University of Utah Health Care system. This is because insurance plan details can vary, and it is important to understand your specific benefits and coverage. You can usually find the customer service phone number on the back of your insurance card.
Additionally, it is worth noting that the University of Utah encourages all students to have health insurance and offers a health insurance plan through United Healthcare Student Resources. If the student health plan does not meet your individual needs, there are additional plans available through healthcare exchanges, and you can explore these options on healthcare.gov.
The University of Utah Health Care system also accepts other major insurance plans, including Medicare and Medicaid, but it is important to verify the specific details of your insurance plan and the healthcare provider you are visiting to ensure coverage.
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Medicaid
The University of Utah Health contracts with most major health insurance carriers and transplant networks. While Medicaid plans are typically the coverage of last resort, they are accepted at University of Utah Hospitals & Clinics.
University of Utah Health has developed a tool that helps patients compare and calculate how much they will pay out of pocket for healthcare services and procedures. This tool can be used to get a cost estimate as a guest, or with insurance information through MyChart.
The University of Utah strongly encourages all students to have health insurance and offers a health insurance plan through United Healthcare Student Resources. If the student health plan does not meet a student's needs, they may qualify for Medicaid based on the recent expansion. However, it is important to note that the Student Health Center is not a Medicaid provider, and students with Medicaid coverage may need to pay out of pocket.
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Medicare
The University of Utah Health Care accepts traditional Medicare for all facility and professional services. Medicare is a government insurance program for people aged 65 and over, and one is eligible to sign up three months before turning 65.
The following Medicare Advantage plans are accepted by the University of Utah Health:
- United HealthCare Options PPO
- OptumCare Medicare Advantage
- AARP Medicare Advantage
- GEHA
- University of Utah Health PlanAdvantage U Medicare Advantage
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United HealthCare Options PPO
The University of Utah Health Care accepts most major commercial health insurance plans and transplant networks. It is always a good idea to check with your insurance provider to confirm that you have in-network access to a specific healthcare provider.
UnitedHealthcare Options PPO is a health plan that allows you to use any doctor, clinic, hospital, or healthcare facility within their national network. Staying within the network will save you money, and you will be responsible for submitting claims and obtaining approvals if you choose to seek care outside of the network.
With UnitedHealthcare Options PPO, you do not need to select a primary care provider (PCP) or obtain referrals to see a specialist. This plan provides well-rounded coverage for many services, and you can use the UnitedHealthcare app to access benefits information, manage your plan details, and find network providers.
To confirm if UnitedHealthcare Options PPO is accepted at University of Utah Health Care, contact your health plan's customer service department using the phone number on the back of your insurance card. You can also reach out to the University of Utah Health Care Payer Relations and Contracting department at 801-587-6705 for additional questions or clarification.
It is important to note that insurance information and provider networks can change over time. Therefore, it is always recommended to verify coverage and network participation directly with your insurance carrier and the healthcare provider before seeking treatment.
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Frequently asked questions
The University of Utah Health Care is in-network with most major commercial health plans and accepts traditional Medicare for all facility and professional services. It also accepts Utah Medicaid and most Medicaid HMOs.
Cigna ACA/Insurance Marketplace plans are not in-network with U of U Health facilities and physicians.
Aetna Standard Network, Humana, United HealthCare Options PPO, Student Resources, United Health Medicare Advantage, OptumCare Medicare Advantage, and AARP Medicare Advantage are some insurance plans accepted by the University of Utah Health.
The University of Utah offers an optional dental/vision insurance plan for students through EMI Health and a health insurance plan through United Healthcare Student Resources.
