- First Health Network Payer Id 95397
- What Insurance Is First Health Network
- First Health Network Payer List
Two rewards you can earn:
- Free PCP visits:
- To earn free PCP visits, select a PCP, and
- Complete the RealAge® test (an online health assessment that helps you determine the physical age of your body compared to your calendar age.)
- $5 reduction to your specialist copay:
- To receive a $5 reduction in your specialist copay, complete one of the recommended screenings listed in the State of Maryland Wellness Plan Activities (PDF).
The $5 reduction to your specialist copay will be activated after CareFirst receives a verified paid claim. The claim must meet certain requirements including having gone through the CareFirst claims review process and have been paid. CareFirst will update the member's account to show the $5 copay reduction has been granted. The entire process may take up to 45 days.
Community Health Choice recently launched its new virtual-first, bronze health plan on the Affordable Care Act marketplace, called the Virtual Now Bronze 11 Plan. The primary aim for this health. As a U of U Health Plans member, you can call our Access Assistance line to help find a provider, transition to an in-network provider or schedule an appointment. Call 801-587-2851.
To access the above activities, simply log in to your Sharecare account, click Achieve, then Rewards. Next, click State of Maryland Wellness Program 2021. The sooner you complete your wellness plan activities, the sooner you start saving. If you require assistance with the wellness program or completing any activity, call Sharecare at 877-260-3253.
*Sharecare, Inc. is an independent company that provides health improvement management services to CareFirst members. Sharecare, Inc. does not provide CareFirst BlueCross BlueShield products or services and is solely responsible for the health improvement management services it provides.
When finding a health plan you should consider your budget, but more importantly your health care needs. Your health care needs over the next year must be considered.
As a U of U Health Plans member, you can call our Access Assistance line to help find a provider, transition to an in-network provider or schedule an appointment.
Call 801-587-2851.
Convenient care from providers offered from your phone, tablet or computer. Common conditions treated through telehealth include: allergies, cough, cold, flu, eye infections and skin conditions, such as rash.
U OF U HEALTH VIRTUAL VISITS
Available 9 am- 9 pm, 7 days a week
Call 801-213-UNOW
If you would like general information about health resources related to your insurance, our nurses are here to help 24 hours a day, 7 days a week.
Call 801-505-3198
We're here for you.
At University of Utah Health Plans we see health care from a different perspective – providing access to care that meets you right where you are. We understand the decisions of how, when and where you receive care is unique. That’s why we’ve created a network of behavioral health resources to make sure you receive care when you need it most.
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
| Silver Copay | Silver Copay (Off) | Silver Copay 73% CSR | Silver Copay 87% CSR | Silver Copay 94% CSR | |||||
| Healthy Premier | Healthy Preferred | Healthy Premier | Healthy Preferred | Healthy Premier | Healthy Preferred | Healthy Premier | Healthy Preferred | Healthy Premier | Healthy Preferred |
| SBC | SBC | SBC | SBC | SBC | SBC | SBC | SBC | SBC | SBC |
| OOC | OOC | OOC | OOC | OOC | OOC | OOC | OOC | OOC | OOC |
| Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider | Find a Provider |
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
First Health Network Payer Id 95397
| Healthy Premier | Healthy Preferred |
|---|---|
| Summary of Benefits | Summary of Benefits |
| Plan Brochure | Plan Brochure |
| Search for a Provider | Search for a Provider |
2020 Plan Categories and Benefits
Key Benefits:
- Primary Care Office Visits-
$25 copay/visit DW - Specialist Office Visits-
$40 copay/visit DW - Urgent Care-
$25 copay/visit DW
Prescription Drug Deductible:
$500/$1,000
Key Benefits:
- Primary Care Office Visits-
$30 copay/visit DW - Specialist Office Visits-
$70 copay/visit DW - Urgent Care-
$30 copay/visit DW
Prescription Drug Deductible:
$2,000/$4,000
Key Benefits:
- Primary Care Office Visits-
$30 copay/visit DW - Specialist Office Visits-
$75 copay/visit DW - Urgent Care-
$30 copay/visit DW
Prescription Drug Deductible:
Included with MD
Key Benefits:
- Primary Care Office Visits-
$45 copay/ first 3 visits then 40% AD - Specialist Office Visits-
40% coinsurance AD - Urgent Care-
$45 /copay first 3 visits then 40% coinsurance AD
Prescription Drug Deductible:
Included with MD
Key Benefits:
- Primary Care Office Visits-
0% coinsurance AD - Specialist Office Visits-
0% coinsurance AD - Urgent Care-
0% coinsurance AD
Prescription Drug Deductible:
Included with MD
Key Benefits:
- Primary Care Office Visits- $25 copay AD
- Specialist Office Visits- $40 copay AD
- Urgent Care- $25 copay AD
Prescription Drug Deductible:
Included with MD
Key Benefits:
- Primary Care Office Visits-
$45 copay/visit DW - Specialist Office Visits-
$75 copay AD - Urgent Care-
$45 copay/visit DW
Prescription Drug Deductible:
$1,650/$3,300
MD = Medical Deductible|AD = After Deductible|Co AD = Coinsurance After Deductible|DW = Deductible Waived2019 Plan Categories and Benefits
Short Summary
Gold level plan offers the lowest deductible and out of pocket expenses with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $25 copay/visit ded waived
- Specialist Office Visits- $40 copay/visit ded waived
- Urgent Care- $65 copay/visit ded waived
What Insurance Is First Health Network
Out-of-Pocket Maximum
$7,000/$14,000
Short Summary
Silver level plan offers a mid level deductible and out of pocket maximum with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $30 copay/visit ded waived
- Specialist Office Visits- $70 copay/visit ded waived
- Urgent Care- $75 copay/visit ded waived
Out-of-Pocket Maximum
$7,350/$14,700
Short Summary
Silver level plan offers a mid level deductible and out of pocket maximum with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $30 copay/visit ded waived
- Specialist Office Visits- $75 copay/visit ded waived
- Urgent Care- $75 copay/visit ded waived
Out-of-Pocket Maximum
$7,900/$15,800
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. All benefits are subject to the deductible being met first other than preventive. This plan is a qualified high deductible health plan.
Key Benefits
- Primary Care Office Visits- 0% coinsurance after ded
- Specialist Office Visits- 0% coinsurance after ded
- Urgent Care- 0% coinsurance after ded
Out-of-Pocket Maximum
$6,750/$13,500
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. Many benefits are subject to the deductible being met first. This plan does have 3 office visits before meeting the deductible.
Key Benefits
- Primary Care Office Visits- $45 copay/ first 3 visits then 50% after ded
- Specialist Office Visits- 50% coinsurance after ded
- Urgent Care- 50% coinsurance after ded
Out-of-Pocket Maximum
$7,350/$14,700
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. All benefits are subject to the deductible being met first other than preventive. This plan is a qualified high deductible health plan.
Key Benefits
- Primary Care Office Visits- $45 copay
- Specialist Office Visits- $75 copay after ded
- Urgent Care- 50% coinsurance after ded
Out-of-Pocket Maximum
$7,900/$15,800
2018 Plan Categories and Benefits
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. Many benefits are subject to the deductible being met first.
Key Benefits
- Primary Care Office Visits- 50% coinsurance after ded
- Specialist Office Visits- 50% coinsurance after ded
- Urgent Care- 50% coinsurance after ded
Out-of-Pocket Maximum
$7,350/$14,700
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. All benefits are subject to the deductible being met first other than preventive. This plan is a qualified high deductible health plan.
Key Benefits
- Primary Care Office Visits- 0% coinsurance after ded
- Specialist Office Visits- 0% coinsurance after ded
- Urgent Care- 0% coinsurance after ded
Out-of-Pocket Maximum
$6,500/$13,100
Short Summary
Bronze level plan offers a high deductible and out of pocket maximum, but low premium. Many benefits are subject to the deductible being met first. This plan does have 3 office visits before meeting the deductible.
Key Benefits
- Primary Care Office Visits- $45 copay first three visits, then ded applies
- Specialist Office Visits- 60% coinsurance after ded
- Urgent Care- 60% coinsurance after ded
Deductible
$45 copay first three visits, then ded applies
Short Summary
ilver level plan offers a mid level deductible and out of pocket maximum with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $30 copay/visit ded waived
- Specialist Office Visits- $75 copay/visit ded waived
- Urgent Care- $75 copay/visit ded waived
Out-of-Pocket Maximum
$7,150/$14,300
Short Summary
Gold level plan offers the lowest deductible and out of pocket expenses with first dollar copays for many benefits.
Key Benefits
- Primary Care Office Visits- $25 copay/visit
- Specialist Office Visits- $40 copay/visit
- Urgent Care- $65 copay/visit
Out-of-Pocket Maximum
$7,000/$14,000
Enroll for Standalone Dental Benefits
Notice – This Plan does not include pediatric dental services as required under the Federal Patient Protection and Affordable Care Act. Coverage for pediatric dental services is available for purchase on a standalone basis or through the Health Insurance Marketplace. Please contact the Health Insurance Marketplace to purchase the required pediatric dental services.
First Health Network Payer List
- Trips to the emergency room
- Treatment in the hospital for inpatient care
- Outpatient Care - care without being admitted to a hospital
- Care before and after your baby is born
- Mental health and substance use disorder services: behavioral health treatment, counseling, and psychotherapy
- Your prescription drugs
- Services and devices to help recover if you are injured, or have a disability or chronic condition: physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
- Your lab tests
- Preventative services: counseling, screening, vaccines, chronic disease - no charge
- Pediatric services
- Call a nurse at anytime if you have any health concerns or general information questions
- Instant care online available 7 days a week