The CU System Administration offices and Employee Services will be closed from Monday, Dec. 23 through Wednesday, Jan. 1.
We will reopen at 8 a.m. Thursday, Jan. 2. Happy holidays to all CU employees and their families!
The High Deductible plan pairs with Medicare for an over/under option for situations when at least one member is eligible for Medicare and at least one other member is not.
Over/Under Basics
- The member(s) eligible for Medicare must enroll in the CU Medicare (must be enrolled in Medicare Part A and Part B) and the member(s) not Medicare-eligible must enroll in the High Deductible Plan.
- Although the CU Medicare and High Deductible are two different plans, the premiums are bundled. See your rate sheet for pricing details.
- Over/Under plans have different enrollment periods and plan years:
- October enrollment for Medicare with the plan year running from Jan. 1 to Dec. 31.
- April/May enrollment for High Deductible with the plan year running from July 1 to June 30.
- You cannot contribute to a Health Savings Account (HSA) once enrolled in Medicare.
- If you are a considering this option, please review details of the both Medicare and High Deductible Plans.
About the High Deductible plan
CU Health Plan — High Deductible is an Anthem-administered plan gives you broad access to health care services inside and outside your network — but requires that you first meet your deductible.
Once you've satisfied the deductible, you'll be responsible for paying coinsuranceCoinsuranceThe portion of expenses that you have to pay for certain covered services, calculated as a percentage. For example, if the coinsurance rate is 20%, then you are responsible for paying 20% of the bill, and the insurance company will pay 80%. for care until you reach your out-of-pocket maximumOut-of-Pocket MaximumThe most you pay during a policy period (usually a year) before your health insurance or plan begins to pay 100 percent of the allowed amount This limit never includes your premium, balance-billed charges, or health care your plan doesn’t cover. Some plans don't count all of your copayments, deductibles, coinsurance payments, out-of-network payments or other expenses toward this limit. for the plan year. This plan offers Anthem's nationwide networkNetworkThe facilities, providers and suppliers with whom your health insurer or plan has contracted to provide health care services of providers and facilities. You'll also have the flexibility to schedule your own appointments with specialistsSpecialistA physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent, or treat certain types of symptoms and conditions. A non-physician specialist is a provider who has more training in a specific area of health care. — no primary care providerPrimary Care Provider (PCP)A physician (medical doctor or doctor of osteopathic medicine), nurse practitioner, clinical nurse specialist or physician assistant, as allowed under state law, who provides, coordinates or helps a patient access a range of health care services or referralsReferralA written order from your primary care provider for you to see a specialist or receive certain health care services for any covered service that cannot be performed by your primary care provider. This applies to our Anthem Exclusive and Kaiser plans. needed.
Plan details
- CU Health Plan - High Deductible Benefits Coverage Summary (7 pages)
- CU Health Plan - High Deductible Benefits Booklet (90 pages)
- Anthem Preventative Care Guidelines
Find a doctor or a pharmacy
- Find a doctor
- Call 1-800-735-6072.
- Pharmacy coverage
- CVS Caremark Formulary
- For pharmacy questions, call 1-888-964-0121.
- WINFertility