Utah Family Health Insurance - Utah Life Insurance - Utah Maternity Insurance - Utah Group Health Insurance Altius Health Insurance - Blue Cross Blue Shield Plans - Humana One Plans - SelectHealth (IHC) Utah Dental Insurance - Utah Medicare Supplement Plans   Regence Blue Cross Blue Shield of Utah BlueAdvantage Copay Plan with ValueCare Network Monthly Premium Rates Effective July 1, 2006 Summary of Benefits   Scroll Down to Get more Information     Rate Sheet for All Plans   $20 Office Visits — 80 / 20% Coinsurance (Copays before the deductible for office, clinic and urgent care center visits) Age $250 $500 $1,000   Male Female Male Female Male Female Under 20 $97.90 $97.90 $82.50 $82.50 $71.50 $71.50 20 - 24 $115.50 $123.20 $97.90 $104.50 $85.80 $91.30 25 - 29 $122.10 $141.90 $103.40 $119.90 $90.20 $104.50 30 - 34 $156.20 $184.80 $132.00 $156.20 $115.50 $136.40 35 - 39 $171.60 $199.10 $145.20 $168.30 $126.50 $147.40 40 - 44 $205.70 $223.30 $173.80 $189.20 $151.80 $165.00 45 - 49 $232.10 $243.10 $195.80 $205.70 $170.50 $179.30 50 - 54 $276.10 $283.80 $233.20 $239.80 $203.50 $209.00 55 - 59 $311.30 $320.10 $262.90 $270.60 $229.90 $236.50 60 - 64 $368.50 $368.50 $311.30 $311.30 $271.70 $271.70 Child $77.00* $64.90* $56.10* Add up rate for EACH spouse, then add   * Child rate for up to 3 children (rest covered no extra charge) * ValueCare Network uses  (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) Note:  The new Traditional Network uses (virtually - 98% of) ALL Doctors & ALL Hospitals in Utah How'd you find us?   Web Search Engine Billboard Sign TV Commercial Referred by Friend Your Agent told me to visit Mailed Advertisement How can we help?    Applying Online Now I want an Agent to call me I want an agent to email me Mail me the Application Just need Information Last Name:    (Required) Male Name:    BirthDate Female Name:    BirthDate Address:   City/Zip:  , Utah    Phone:    (Required) Child Ages:         Occupation:   Email:    (Required) Comments Complete Name, Address and Email fields   To Validate your submission, Type this number:      in this box here >>>   <<<     Note: if you don't type in this exact number, your comment will not be recorded!  Click SUBMIT below... Apply by the 20th for  effective dates of the 1st of the next month Scroll Down for Info! Click here to get Application > Get Application Now If you like what you see, submit form above or call Greg at (801) 446-SAVE (7283) or email inquiries to:  gwdavies@gmail.com NEW INDIVIDUAL BLUECHOICES! Regence BlueCross BlueShield of Utah offers Individual BlueChoices products for individuals and families. Individual BlueChoices is not only affordable, but also offers flexibility and freedom in selecting the right type of coverage for you and your family members. Individual BlueChoices offers a choice in copayment plans and coinsurance plans that you can pair with your choice of doctor and physician network. BlueAdvantage Copay Plan with Regence ValueCare OR Traditional Network Summary of Benefits    Apply for this Plan Now    Rate Sheet for All Plans Deductible Options $250, $500, $1000 Annual Out-of-Pocket Maximum (includes medical deductible) $2,500, $3,000, $3,500 (dependent on deductible) Coinsurance Level 80%/20% In-Network 60%/40% Out-of-Network Physician Network Regence ValueCare Network / Traditional is ALL Utah Providers & Facilities (Costs a little more) Maximum Benefit $2 Million Office/Clinic & Urgent Care $20 Copay Supplemental Accident $1000 per member per calendar year Prescriptions $5 for generic 25% for non-formulary 50% for formulary Maternity $5000 Copay Special Beginnings® Program Maternity monitoring program Worldwide Coverage Built-in benefit through the BlueCard Program On-the-Job Coverage for Self-Employed Built-in benefit Value-Added Programs Discounts on non-covered services   BlueBasic Copay Plan with Regence ValueCare OR Traditional Network Summary of Benefits    Apply for this Plan Now    Rate Sheet for All Plans Deductible Options $250, $500, $1,000 Annual Out-of-Pocket Maximum (includes medical deductible) $3,000, $4,000, $5,000 (dependent on deductible) Coinsurance Level 70%/30% In-Network 55%/45% Out-of-Network Physician Network Regence ValueCare Network / Traditional is ALL Utah Providers & Facilities (Costs a little more) Maximum Benefit $2 Million Office/Clinic & Urgent Care $30 Copay Supplemental Accident N/A Prescriptions $100, $200, $400 Deductibles (dependent on medical deductibles) $10 for generic 25% for non-formulary 50% for formulary Maternity $5000 Copay Special Beginnings® Program Maternity monitoring program Worldwide Coverage Built-in benefit through the BlueCard Program On-the-Job Coverage for Self-Employed Built-in benefit Value-Added Programs Discounts on non-covered services   BlueAdvantage Coinsurance Plan with ValueCare OR Traditional Network Summary of Benefits    Apply for this Plan Now     Rate Sheet for All Plans Deductible Options $2,500, $5,000, $7,500 Annual Out-of-Pocket Maximum (includes medical deductible) $4,000, $6,500, $9,000 (dependent on deductible) Coinsurance Level 80%/20% In-Network 60%/40% Out-of-Network Physician Network Regence ValueCare Network / Traditional is ALL Utah Providers & Facilities (Costs a little more) Maximum Benefit $2 Million Office/Clinic & Urgent Care 20% Coinsurance Copay Supplemental Accident $1000 per member per calendar year Prescriptions Discount Card Maternity $5000 Copay Special Beginnings® Program Maternity monitoring program Worldwide Coverage Built-in benefit through the BlueCard Program On-the-Job Coverage for Self-Employed Built-in benefit Value-Added Programs Discounts on non-covered services   BlueBasic Coinsurance Plan with ValueCare OR Traditional Network Summary of Benefits    Apply for this Plan Now    Rate Sheet for All Plans Deductible Options $2,500, $5,000, $7,500 Annual Out-of-Pocket Maximum (includes medical deductible) $6,000, $7,000, $10,000 (dependent on deductible) Coinsurance Level 70%/30% In-Network 55%/45% Out-of-Network Physician Network Regence ValueCare Network / Traditional is ALL Utah Providers & Facilities (Costs a little more) Maximum Benefit $2 Million Office/Clinic & Urgent Care 30% Coinsurance Copay Supplemental Accident N/A Prescriptions Discount Card Maternity $5000 Copay Special Beginnings® Program Maternity monitoring program Worldwide Coverage Built-in benefit through the BlueCard Program On-the-Job Coverage for Self-Employed Built-in benefit Value-Added Programs Discounts on non-covered services If you like what you see, submit form above or call Greg at (801) 446-SAVE (7283) or email inquiries to:  446save@gmail.com ** 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).