Utah Health Insurance - Utah Maternity Insurance

Utah Health Insurance Utah Maternity Insurance

Age Group	$500 Medical Deductible
	$0 RX Deductible			$500 RX Deductible			$1000 RX Deductible
	Single	2 Pty	Family	Single	2 Pty	Family	Single	2 Pty	Family
0 - 19	86	171	276	80	160	258	78	155	250
20 - 24	108	215	323	101	201	302	98	195	292
25 - 29	116	232	336	108	217	314	105	210	304
30 - 34	147	301	452	137	281	423	133	272	409
35 - 39	162	324	519	151	303	485	147	293	470
40 - 44	193	394	630	180	368	589	175	357	570
45 - 49	218	445	734	204	416	686	197	403	664
50 - 54	257	521	782	240	487	731	233	472	708
55 - 59	290	579	724	271	541	677	262	524	655
60 - 64	336	672	772	314	628	722	304	608	699
65+	463	926	1,065	433	866	996	419	838	964

REMEMBER! Add $25/mo for Self Employed! See Full Rate Sheet

* Premier Network is the same network as Blue Cross Blue Shield (ie Jordan Valley, Pioneer, Primary Children's, St Marks, University of Utah, Davis, Tooele Regional, Timpanogos, Mountain View, Utah Valley, Ogden Regional, Dixie, Castleview, Logan Regional, Brigham Community, Bear River)

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Male Name	DOBAge Smoker?
Female Name	DOBAge Smoker?
# Kids	Ages
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City/Zip:	, Utah
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Apply by the 20th to start on the 1st of the next month, OR Apply by the 6th for the 16th. Above info is used in the application process. Download Application Here

Click on the links below to view details of the Altius plans

	Peak Advantage (POS Point of Service Plan) - Individual Family Plan
	Like the I-Plan below, but Less expensive. You can go to any provider, but will pay more for going out of network Choose a $20 Copay 80/20 plan with a $250 deductible (Copays and Deductibles rise with non-network providers. You can even select the $500 Family Rx Deductible to cost even less! see full rate sheet
	Peak "The I Plan" Highlights - Individual Family Plan
	Over 2700 Doctors to choose from $15 Office Visit Copay - $25 Specialist (No Deductible needs to be met) Don't need a Primary Care Physician Annual Physicals $15 Copay Chiropractic coverage Minor Lab/ X-Ray 100% Covered, No Deductible You can choose a $5 Rx Card, or save money with a $500 Rx Deductible/family Eye Exams at Optometrist - $15 Copay $75 Emergency Room Copay, No Deductible Hospital/Major Medical Deductible options (Zero, $250 & $500) Maternity 100% after $5000 deductible Out of Pocket Maximums $2000/person, $4000/family You get an answer about your application in about a week! see full rate sheet
	Peak Traditional (Major Medical Option) - Individual Family Plan
	Like plan above, but you must meet your deductible (500, 1000 or 2000 deductible options) before any benefits are paid However, you get the same Rx benefit as above without meeting your deductible, or choose a $500 hospital deductible. Great for those who want to keep the premiums down. see full rate sheet

** The information generated on this page must be considered an estimate only. Actual rates will be the rates in effect on the date the application is signed. All quotes are subject to verification by insurer. Contact us for details. Page layout design copyright © 2000 Utah Health and Life Insurance Benefit Plans (www.446save.com).

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email inquiries to: 446save@gmail.com