Health Insurance Rates
The following health insurances rates are Effective September 1, 2022 – August 31, 2023.
UT Select Medical Insurance
Full-time Employees & All Retirees
|
Level |
Total Monthly Premium | Monthly Premium Sharing | Monthly Out-of Pocket Cost |
|---|---|---|---|
|
Subscriber Only |
$675.16 | $675.16 | 0.00 |
|
Subscriber and Spouse |
$1,319.76 | $1,029.06 | $290.70 |
|
Subscriber and Child(ren) |
$1,205.64 | $901.60 | $304.04 |
|
Subscriber and Family |
$1,830.08 | $1,257.62 | $572.46 |
Part-time Employees
|
Level |
Total Monthly Premium | Monthly Premium Sharing | Monthly Out-of Pocket Cost |
|---|---|---|---|
|
Subscriber Only |
$675.16 | $337.58 | $337.58 |
|
Subscriber and Spouse |
$1,319.76 | $514.54 | $805.22 |
|
Subscriber and Child(ren) |
$1,205.64 | $450.80 | $754.84 |
|
Subscriber and Family |
$1,830.08 | $628.82 | $1,201.26 |
Graduate Student Fellows & Research Affiliate Postdoctoral Fellows
|
UT Select |
Total Monthly Premium |
|---|---|
|
Subscriber Only |
$675.16 |
|
Subscriber and Spouse |
$1,319.76 |
|
Subscriber and Child)ren |
$1,205.64 |
|
Subscriber and Family |
$1,830.08 |
Delta Dental and Superior Vision Insurance
Employees, Retirees, and Fellows
|
Level |
Delta Dental | Delta Dental Plus | DeltaCare USA | Superior Vision | Superior Vision Plus |
|---|---|---|---|---|---|
|
Subscriber Only |
$28.52 | $61.40 | $8.80 | $5.02 | $7.64 |
|
Subscriber and Spouse |
$54.14 | $116.60 | $16.74 | $7.90 | $11.98 |
|
Subscriber and Child(ren) |
$59.66 | $128.66 | $18.50 | $8.10 | $12.82 |
|
Subscriber and Family |
$84.84 | $183.30 | $26.40 | $12.84 | $18.10 |
Insurance Premiums for Surviving Dependents
|
Coverage Type |
UT Select Medical | UT Connect (DFW Area Only) | Delta Dental | Delta Dental Plus | DeltaCare USA | Superior Vision | Superior Vision Plus |
|---|---|---|---|---|---|---|---|
|
Spouse Only |
$644.60 | $615.54 | $25.62 | $55.20 | $7.94 | $5.02 | $7.64 |
|
Child Only |
$530.48 | $500.08 | $31.14 | $67.26 | $9.70 | $5.02 | $7.64 |
|
Spouse & Children |
$1,154.92 | $1,097.68 | $56.32 | $121.90 | $17.60 | $8.10 | $12.82 |
COBRA Premiums
|
Plan |
Subscriber Only | Subscriber & Spouse | Subscriber & Child(ren) | Subscriber & Family |
|---|---|---|---|---|
|
UT Select PPO (BCBS) |
$683.84 | $1,341.33 | $1,224.93 | $1,861.86 |
|
UT CONNECT Medical (DFW area only) |
$683.84 | $1,311.69 | $1,193.92 | $1,803.47 |
|
Delta Dental |
$29.09 | $55.22 | $60.85 | $86.54 |
|
Delta Dental Plus |
$62.63 | $118.93 | $131.23 | $186.97 |
|
DeltaCare DHMO |
$8.98 | $17.07 | $18.87 | $26.93 |
|
Superior Vision |
$5.12 | $8.06 | $8.26 | $13.10 |
|
Superior Vision Plus |
$7.79 | $12.22 | $13.08 | $18.46 |
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