Individual NetCare plans are an alternative lower premium option for individuals and families. These plans feature copays for office visits and 30 percent coinsurance for most major services. Coverage is available for prescriptions, preventive care, office visits, and inpatient and outpatient care. A supplemental accident benefit is also included.
NetCare Plan Options
|
Select Value NetCare |
Select Med
NetCare |
| Participating Hospitals |
10 |
34 |
| Participating Physicians |
1,200+ |
3,700+ |
Nonparticipating
(Out-of-Network) |
No |
No |
| Preventive Care |
Covered 100% |
Covered 100% |
| Primary Care Office Visits |
$25 after deductible |
$25 after deductible |
| Secondary Care Office Visits |
$50 after deductible |
$50 after deductible |
|
Deductible and out-of-pocket maximum options
|
Medical Deductible
Single/Family
$1,500/$4,500
$3,500/$10,500 |
Medical Deductible
Single/Family
$1,500/$4,500
$3,500/$10,500 |
Rx Out-of Pocket
Per Person |
$4,000 |
$4,000 |
| Coinsurance |
30% after deductible |
30% after deductible |
| Annual Maximum Plan Payment |
$750,000 |
$750,000 |
| Prescription Drugs |
Tier 1: $15
Tier 2: 25%
Tier 3: 50%
Tier 4: 30%
|
Tier 1: $15
Tier 2: 25%
Tier 3: 50%
Tier 4: 30% |
| Emergency Room |
$200 after deductible |
$200 after deductible |
| Intermountain InstaCare/Urgent Care |
$50 after deductible |
$50 after deductible |
| Intermountain KidsCare |
$25 after deductible |
$25 after deductible |
| Counties Serviced |
Davis, Salt Lake, Weber, and parts of Utah county |
Beaver, Cache, Davis, Duchesne, Iron, Juab, Millard, Morgan, Salt Lake, Sanpete, Sevier, Summit, Utah, Wasatch, Washington, Weber, and parts of Box Elder, Garfield, Piute, Tooele, Uintah, and Wayne |