UISelect is designed for employees who value high-quality coverage and want more say over their spending to meet financial needs. Members would pay lower monthly premiums than UIChoice, and if they use their coverage, they will pay a higher out-of-pocket cost for medical services.

**Employees MUST live in Iowa to enroll in this plan.

Highlights:

• Lower premiums and higher out-of-pocket costs.
• Covers level 1 and 2 providers, meaning it only covers medical providers in Iowa.
• Coverage outside of Iowa is not covered except in emergencies or with Doc on Demand.
  _{(Dependent children attending college, long-term travelers, and families living apart may be covered through guest membership)}

UIChoice is a high-quality plan with extensive coverage inside and outside Iowa. Premiums for UIChoice are higher than UISelect, and the out-of-pocket costs for medical services are lower. 

Highlights:

• Higher premiums lower out-of-pocket costs.
• Covers providers nationwide; how much you pay depends on the benefit level of the provider you choose.
• Medical services are covered outside of Iowa, and costs are lower in-network.

$0

$90

$320

$431

$261

$352

$343

$462

$0

$231

Not covered, except in emergencies.

_{(Dependent children attending college, long-term travelers,
and families living apart may be covered through guest membership)}

*Please be advised that some providers at UI Health Care Medical Center Downtown are independent providers. This means they are not employed by University of Iowa Health Care and, therefore, not considered a Level 1 provider. 

Employees are encouraged to verify their healthcare providers’ participation status with Wellmark Blue Cross and Blue Shield before scheduling appointments or receiving services. To review the UI Health Care provider list, please visit the Iowa Health Care’s Find a Provider webpage. 

Single: $500

Family: $1,000

Single: $950

Family: $1,900

None.

Deductible for inpatient care only for levels 1, 2, and 3. See Inpatient Care Deductible below.

Primary care
$15 copay

Specialists:
$25 copay

Primary Care
$40 copay

Specialists:
$55 copay

Single: $2,300

Family $4,000

Single: $3,500

Family: $7,000

Levels 1 and 2:
Blue Card Participating

Single: $2,000

Family: $4,000

Non-participating Providers:

N/A

Level 3:
Blue Card Participating and Non-participating providers:

Single: $2,500

Family: $5,000

All level 3 providers participating and non-participating are now under the Level 3 OPM effective Jan. 1, 2025

Level 1: 

$0 copay

Not subject to deductible

Level 2: 

$0 copay

Not subject to deductible

Level 1: 

$0 copay

Level 2:

$0 copay

Level 3: 

Participating Providers:
$0 copay

Non-participating Providers:
0% coinsurance

Level 1: 

$0 copay

Level 2:

$0 copay

Level 1:

$0 copay

Level 2: 

$0 copay

Level 3:

$0 copay

Level 1:

$10 copay

Level 2:

N/A

Level 1:

$10 copay

Level 2:

N/A

Level 1:

$15 copay

Level 2:

$40 copay

Level 1:

$15 copay

Level 2:

$30 copay

Level 3:

50% coinsurance

Level 1:

Primary Care
$15 copay
_{Primary care copay will apply to chiropractic care, physical, speech & occupational therapies.}

Level 1:

Specialists Care
$25 copay

Level 2:

Primary Care
$40 copay
_{Primary care copay will apply to chiropractic care, physical, speech & occupational therapies.}

Level 2:

Specialists Care
$55 copay

Level 1: 

$15 copay

Level 2: 

$30 copay

Level 3: 

50% coinsurance

Level 1:

$40 copay

Level 2:

$55 copay

Level 1:

$15 copay

Level 2:

$30 copay

Level 3:

50% coinsurance

Level 1:

$0 copay

Level 2:

$0 copay

Level 1: 

$0 copay

Level 2: 

$0 copay

Level 3: 

50% coinsurance

Level 1:

$150 copay followed by 10% coinsurance
_{(Copay waived if admitted and Level 1 deductible applied followed by Level 1 coinsurance.)}

Level 2:

$150 copay followed by 10% coinsurance
_{(Copay waived if admitted and Level 2 deductible applied followed by Level 2 coinsurance.)}

Level 1:

$125 copay followed by 10% coinsurance
_{(Copay waived if admitted and Level 1 inpatient deductible applied followed by Level 1 coinsurance.)}

Level 2:

$125 copay followed by 10% coinsurance
_{(Copay waived if admitted and Level 2 inpatient deductible applied followed by Level 2 coinsurance.)}

Level 3:

$125 copay followed by 10% coinsurance
_{(Copay waived if admitted and Level 3 inpatient deductible applied followed by Level 3 coinsurance.)}

Employee: $2,450

Family:  $4,900

Employee:  $1,850

Family:  $3,700