The following health insurances rates are Effective September 1, 2023 – August 31, 2024.
UT Select Medical Insurance
Full-time Employees & All Retirees
Level | Total Monthly Premium | Monthly Premium Sharing | Monthly Out-of Pocket Cost |
---|---|---|---|
Level Subscriber Only | Total Monthly Premium $725.80 | Monthly Premium Sharing $725.80 | Monthly Out-of Pocket Cost 0.00 |
Level Subscriber and Spouse | Total Monthly Premium $1,418.74 | Monthly Premium Sharing $1,106.24 | Monthly Out-of Pocket Cost $312.50 |
Level Subscriber and Child(ren) | Total Monthly Premium $1,296.06 | Monthly Premium Sharing $969.22 | Monthly Out-of Pocket Cost $326.84 |
Level Subscriber and Family | Total Monthly Premium $1,967.34 | Monthly Premium Sharing $1,351.94 | Monthly Out-of Pocket Cost $615.40 |
Part-time Employees
Level | Total Monthly Premium | Monthly Premium Sharing | Monthly Out-of Pocket Cost |
---|---|---|---|
Level Subscriber Only | Total Monthly Premium $725.80 | Monthly Premium Sharing $362.90 | Monthly Out-of Pocket Cost $362.90 |
Level Subscriber and Spouse | Total Monthly Premium $1,418.74 | Monthly Premium Sharing $553.12 | Monthly Out-of Pocket Cost $865.62 |
Level Subscriber and Child(ren) | Total Monthly Premium $1,296.06 | Monthly Premium Sharing $484.62 | Monthly Out-of Pocket Cost $811.44 |
Level Subscriber and Family | Total Monthly Premium $1,967.34 | Monthly Premium Sharing $675.98 | Monthly Out-of Pocket Cost $1,291.36 |
Graduate Student Fellows & Research Affiliate Postdoctoral Fellows
UT Select | Total Monthly Premium |
---|---|
UT Select Subscriber Only | Total Monthly Premium $725.80 |
UT Select Subscriber and Spouse | Total Monthly Premium $1,418.74 |
UT Select Subscriber and Child)ren | Total Monthly Premium $1,296.06 |
UT Select Subscriber and Family | Total Monthly Premium $1,967.34 |
Delta Dental and Superior Vision Insurance
Employees, Retirees, and Fellows
Level | Delta Dental | Delta Dental Plus | DeltaCare USA | Superior Vision | Superior Vision Plus |
---|---|---|---|---|---|
Level Subscriber Only | Delta Dental $28.52 | Delta Dental Plus $61.40 | DeltaCare USA $8.80 | Superior Vision $5.02 | Superior Vision Plus $7.64 |
Level Subscriber and Spouse | Delta Dental $54.14 | Delta Dental Plus $116.60 | DeltaCare USA $16.74 | Superior Vision $7.90 | Superior Vision Plus $11.98 |
Level Subscriber and Child(ren) | Delta Dental $59.66 | Delta Dental Plus $128.66 | DeltaCare USA $18.50 | Superior Vision $8.10 | Superior Vision Plus $12.82 |
Level Subscriber and Family | Delta Dental $84.84 | Delta Dental Plus $183.30 | DeltaCare USA $26.40 | Superior Vision $12.84 | Superior Vision Plus $18.10 |
Insurance Premiums for Surviving Dependents
Coverage Type | UT Select Medical | Delta Dental | Delta Dental Plus | DeltaCare USA | Superior Vision | Superior Vision Plus | |
---|---|---|---|---|---|---|---|
Coverage Type Spouse Only | UT Select Medical $692.94 | Delta Dental $25.62 | Delta Dental Plus $55.20 | DeltaCare USA $7.94 | Superior Vision $5.02 | Superior Vision Plus $7.64 | |
Coverage Type Child Only | UT Select Medical $570.26 | Delta Dental $31.14 | Delta Dental Plus $67.26 | DeltaCare USA $9.70 | Superior Vision $5.02 | Superior Vision Plus $7.64 | |
Coverage Type Spouse & Children | UT Select Medical $1,241.54 | Delta Dental $56.32 | Delta Dental Plus $121.90 | DeltaCare USA $17.60 | Superior Vision $8.10 | Superior Vision Plus $12.82 |
COBRA Premiums
Plan | Subscriber Only | Subscriber & Spouse | Subscriber & Child(ren) | Subscriber & Family |
---|---|---|---|---|
Plan UT Select PPO (BCBS) | Subscriber Only $735.49 | Subscriber & Spouse $1,442.29 | Subscriber & Child(ren) $1,317.16 | Subscriber & Family $2,001.86 |
Plan Delta Dental | Subscriber Only $29.09 | Subscriber & Spouse $55.22 | Subscriber & Child(ren) $60.85 | Subscriber & Family $86.54 |
Plan Delta Dental Plus | Subscriber Only $62.63 | Subscriber & Spouse $118.93 | Subscriber & Child(ren) $131.23 | Subscriber & Family $186.97 |
Plan DeltaCare DHMO | Subscriber Only $8.98 | Subscriber & Spouse $17.07 | Subscriber & Child(ren) $18.87 | Subscriber & Family $26.93 |
Plan Superior Vision | Subscriber Only $5.12 | Subscriber & Spouse $8.06 | Subscriber & Child(ren) $8.26 | Subscriber & Family $13.10 |
Plan Superior Vision Plus | Subscriber Only $7.79 | Subscriber & Spouse $12.22 | Subscriber & Child(ren) $13.08 | Subscriber & Family $18.46 |
Quick Links
- Review My Insurance Benefits (EID Required)