Choose a plan that works for you
We offer two FEHB plans to meet your unique healthcare coverage needs.
Our Standard Option plan offers low-cost premiums and a low deductible. This plan also includes out-of-network benefits which gives members access to providers and facilities nationwide.
Asterisk (*) means the item is subject to the deductible.
Deductible
$250 Self Only, per year
$500 Self Plus One or Self Plus Family, per year
Out-of-Pocket Max
$6,500 Self Only, per year
$13,000 Self Plus One or Self Plus Family, per year
Hospital Services
Inpatient 15% per admission*
Outpatient 15% per admission*
Emergency Benefits
In-Area/Out-of-Area $200 copay*
Virtual Consultations
Urgent Care/Intermountain Connect Care Visits = $0 copay
All other covered virtual visits = $0 copay
High Deductible Health Plan
This High Deductible Health Plan (HDHP) gives you the freedom to choose how you spend your healthcare dollars. With a higher deductible, lower premium, and many preventive care services covered 100%, this HDHP option may pair with an HSA or HRA that puts you in control of your healthcare spend.
For each month you’re eligible, Select Health will deposit $75 for Self Only, or $150 for Self Plus One or Self and Family per month in your HSA.
Have questions or want to know more? Call 844-345-FEHB (3342).
Asterisk (*) means the item is subject to the deductible.
Deductible
$1,650 Self Only, per year
$3,300 Self Plus One or Self Plus Family, per year
Out-of-Pocket Max
$6,000 Self Only, per year
$12,000 Self Plus One or Self Plus Family, per year
Hospital Services
Inpatient $150 per day, up to $750 per admission*
Outpatient $150 per day*
Emergency Benefits
In-Area/Out-of-Area $200 copay*
Virtual Consultations
Urgent Care/Intermountain Connect Care Visits = $0 copay
All other covered virtual visits = $0 copay
Note: This is a summary of the features of Select Health, Inc. Before making a final decision, please read the Plan’s Federal brochure (73-865). All benefits are subject to the definitions, limitations, and exclusions set forth in the Federal brochure. These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made available to all Enrollees and family members who become Members of Select Health.
Pharmacy Coverage
To see the drugs covered by your plan, log in to your Select Health account or click the links below:
