This page provides a summary side-by-side comparison of health plan options for benefits-eligible university employees. Use it to inform your health insurance selections and compare each health plan’s network coverage, deductibles, copays, coinsurance, out-of-pocket maximums, and more.

For a high-level health plan comparison to print, visit the 2025 Health Benefits Comparison (pdf).  

Description of Plans

Description and highlights
UISelect (Blue HMO)UIChoice (blue POS)

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.

Active Employee Premium Rates

*2025 monthly premium rates
coverage Option

uiselect

uichoice

Employee Only

$0

$90

Employee + Spouse

$320

$431

Employee + Child(ren)

$261

$352

Employee + Family

$343

$462

Double Spouse Family

$0

$231

*The rates listed above are for active employees. Premium rates are effective from January 1, 2025, to December 31, 2025. Please visit the Retiree Health Insurance Rates page to review retirees' rates. 

Providers
 UISelect (Blue HMO)UIChoice (Blue POS)
 Level 1:Level 2:Level 3:Level 1:Level 2:Level 3:
ProvidersUniversity of Iowa Hospital and affiliated clinics, UI Health Care Medical Center Downtown*, UI Urgent Care, UI QuickCare, Washington County Hospital and Clinics, and The Iowa Clinic, Des Moines, IAProviders in the Wellmark Blue HMO networkNot covered, except in emergencies.

(Dependent children attending college, long-term travelers, and families living apart may be covered through guest membership)
University of Iowa Hospital and affiliated clinics, UI Health Care Medical Center Downtown*, UI Urgent Care, UI QuickCare, Washington County Hospital and Clinics, and The Iowa Clinic, Des Moines, IAProviders from the Wellmark Blue POS networkParticipating providers from the BlueCard network.

Non-participating providers outside of the network (subject to balance billing)
Attention:

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

Employees are encouraged to verify their health care providers" participation status with Wellmark Blue Cross & 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.

Plan Provisions

Plan provisions
 UISelectUIChoice
 Level 1:Level 2:Level 1:Level 2:Level 3:
Annual Deductible

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.

Annual Inpatient Care DeductibleSee Annual Deductible above.See Annual Deductible above.$500 deductible, followed by 10% coinsurance$750 deductible, followed by 10% coinsurance$1,000 deductible, followed by 10% coinsurance
Coinsurance15%25%10%20%Varies based on location and service.
Copayment

Primary Care: 
$15 copay

Specialists: 
$25 copay

Primary Care: 
$40 copay

Specialists: 
$55 copay

$15 copay$30 copayNo copay. Subject to coinsurance depending on service.
Annual Out-of-Pocket Maximum (OPM)

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

Level 3 Blue Card Participating and Non-participating providers:

Single: $2,500

Family: $5,000

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

Preventive Care

$0 copay

not subject to deductible

$0 copay

not subject to deductible

$0 copay$0 copay

Participating Providers: 
$0 copay

Non-participating Providers:
0% coinsurance
(Balance billing may apply to non-participating providers)

Doc on Demand$0 copay$0 copay$0 copay$0 copay$0 copay
UI QuickCare$10 copayN/A$10 copayN/AN/A
Urgent Care$15 copay$40 copay$15 copay$30 copay50% coinsurance

Office Visits

primary copay will apply to chiropractic care, physical, speech, and occupational therapies.

Primary Care:
$15 copay

Specialists Care:
$25 copay

Primary Care:
$40 copay

Specialists Care:
$55 copay

$15 copay$30 copay50% coinsurance
Routine Eye & Hearing Exams$40 copay$55 copay$15 copay$30 copay50% coinsurance
Mental Health Care Visits$0 copay$0 copay$0 copay$0 copay$0 copay
Emergency Room Visits

$150 copay followed by 10% coinsurance

(copay waived if admitted and Level 1 deductible applied followed by Level 1 coinsurance)

$150 copay followed by 10% coinsurance

(copay waived if admitted and Level 2 deductible applied followed by Level 2 coinsurance)

$125 copay followed by 10% coinsurance

(copay waived if admitted and Level 1 deductible applied followed by Level 1 coinsurance)

$125 copay followed by 10% coinsurance

(copay waived if admitted and Level 2 deductible applied followed by Level 2 coinsurance)

$125 copay followed by 10% coinsurance

(copay waived if admitted and Level 3 deductible applied followed by Level 3 coinsurance)

Prescriptions Drugs

Plan Formulary Name:  

  • Blue Rx Value Plus (UISelect)
  • Blue Rx Complete (UIChoice)

To review each specific Wellmark formulary drug list, please visit the Wellmark Prescription and Drug Lists webpage. Then, scroll down and choose the specific drug plan link you wish to access and enter the name of the drug in the top left-hand corner to begin your search. 

Note: Formulary Drug Lists are best viewed in Chrome.

Pharmacy Program Plan2025 UISelect
Blue Rx Value Plus
2025 UIChoice
Blue Rx Complete
Tier 1
Generic Drugs
$0 copay$0 copay
Tier 2
Name-brand drugs
30% coinsurance30% coinsurance
Tier 3
Name-brand, non-formulary drugs
50% coinsurance50% coinsurance
Tier 4
Name-brand, non-formulary drugs
N/A50% coinsurance
Pharmacy Out-of-Pocket Maximum

Employee: $2,450

Family:  $4,900

Employee:  $1,850

Family:  $3,700

ABOUT OUR SITE: 
The information presented on our website describes only the highlights of the plans and does not constitute official plan documents. Additional terms and conditions may apply. If there are any discrepancies between the information contained herein and the official plan documents, the plan documents will govern. For more detailed information, contact Wellmark Blue Cross/Blue Shield at the toll-free number 800-524-9242 (TTY: 888-781-4262), Monday through Friday, from 7:30 a.m. to 5:00 p.m. (Central Time). For more efficient service, please have your member ID number handy - it can be found on the front of your card.