Health Insurance Rates

The following health insurances rates are Effective September 1, 2017 – August 31, 2018

Full-Time Employees, Retiree, and Academic Graduate Student Employees

UT Select Total Monthly Premium Monthly Premium Sharing Monthly Out-of Pocket Cost
Subscriber Only $598.14 $598.14 0.00
Subscriber and Spouse $1,169.22 $911.69 $257.53
Subscriber and Child(ren) $1,068.10 $798.76 $269.34
Subscriber and Family $1,621.33 $1,114.18 $507.15

Part-Time Employees

UT Select Total Monthly Premium Monthly Premium Sharing Monthly Out-of Pocket Cost
Subscriber Only $598.14 $299.07 $299.07
Subscriber and Spouse $1,169.22 $455.85 $713.37
Subscriber and Child(ren) $1,068.10 $399.38 $668.72
Subscriber and Family $1,621.33 $557.09 $1,064.24

COBRA Premiums

Plan Subscriber Only Subscriber & Spouse Subscriber & Child(ren) Subscriber & Family
UT Select PPO (BCBS) $605.96 $1,188.46 $1,085.32 $1,649.62
UT Select Dental (Delta) $33.05 $62.74 $69.16 $98.33
UT Select Dental Plus (Delta) $60.21 $114.35 $126.17 $179.76
DeltaCare DHMO $9.07 $17.24 $19.05 $27.20
Superior Vision $6.02 $9.49 $9.71 $15.40
Superior Vision Plus $9.18 $14.36 $15.38 $21.73

Graduate Student Fellows & Research Affiliate Postdoctoral Fellows

Coverage Type UT Select Medical (BCBS) UT Select Dental (Delta) UT Select Dental Plus (Delta) DeltaCare USA Superior Vision Superior Vision Plus
Subscriber Only $598.14 $32.40 $59.03 $8.89 $5.90 $9.00
Subscriber and Spouse $1,169.22 $61.51 $112.11 $16.90 $9.30 $14.08
Subscriber and Child(ren) $1,068.10 $67.80 $123.70 $18.68 $9.52 $15.08
Subscriber and Family $1,621.33 $96.40 $176.24 $26.67 $15.10 $21.30

Surviving Dependents

Medical Insurance Spouse Only Children Only Family Only
UT Select PPO (BCBS) $571.08 $469.96 $1,023.19
Dental Insurance Spouse Only Children Only Family Only
UT Select Delta Dental $29.11 $35.40 $64.00
UT Select Delta Dental Plus $53.08 $64.67 $117.21
DeltaCare USA $8.01 $9.79 $17.78
Vision Insurance Spouse Only Children Only Family Only
Superior Vision $5.90 $5.90 $9.52
Superior Vision Plus $9.00 $9.00 $15.08