Banner medical plans provide benefits for you and your eligible dependents in the event you have covered expenses for illness, injuries, and many types of wellness and preventive care. Enrollment is required before coverage can begin. You and Banner Health share the cost of this coverage. Your monthly cost for any coverage you elect is divided in half and deducted from your paycheck twice per a month. Banner Health Medical Plans are self-funded. This means claims are paid by contributions you and Banner Health make.
To find participating providers for the Banner Medical Plans, visit http://www.bannerhealthplans.com/ or call Banner Plan Administration at 1-800-827-2464
Banner Medical Plan Choices
Who is eligible
You are eligible for medical coverage if you are scheduled to work 32 hours or more per pay period and are classified as a regular full-time or part-time employee.
Eligible dependents include your:
Proof of dependent eligibility may be required during enrollment.
If you would like to cover a domestic partner, you must call Banner Plan Administration at 1-800-827-2464 or in the Phoenix Metro area 480-827-7070.
What are the choices for coverage?
To view a highlight chart of the Medical Plans choices available to you, click on the links below.
These following three summary charts show your out-of pocket expenses like deductibles, co-payments or co-insurance:
Choice Plus Summary Chart
Select 500 Summary Chart
Select 250 Summary Chart (Combined Medical and Pharmacy Plan)
Detailed information on this benefit such as eligibility, plan coverage, limitations and contact information can be found in the Summary Plan Description (SPD) by clicking on the links below.
Choice Plus SPD
Select 500 SPD
Select 250 SPD
When enrolling for a Banner Medical Plan, you are required to choose a pharmacy option. If you enroll for the Select 250 plan however, you will be automatically enrolled in the Select 250 Pharmacy Plan. Please refer to the Pharmacy section of this website and the Pharmacy Plan Choices in your Annual Enrollment Guide.
If you feel you do not need any medical coverage because you have coverage elsewhere, you can choose no coverage under the medical plan options. If you want to receive the $30 per month credit ($15 per month for Part-time employees), you must show proof of other medical coverage by completing the Medical Waiver Form which is listed under the "Forms" button to the left. This credit will be paid to you as an addition to your regular paycheck. This will be considered taxable income to you for the calendar year in which it is paid.
What is your cost for coverage?
You and Banner Health share the cost of coverage for medical plan benefits. Your cost for coverage depends on the type of medical plan you select and the eligible dependents you choose to cover. The price sheet included in your enrollment packet will show your cost for coverage and the amount of contribution you receive from Banner Health.
The Medical Plans rates include a non-tobacco user discount that you may select if neither you nor ANY of your covered family members use tobacco products.
Your coverage cost is collected over the calendar year through 24 regular deductions from your paycheck. Benefit deductions are taken on a pre-tax basis unless coverage is elected for a domestic partner.
In the event you leave Banner Health, coverage for you and your qualified covered dependents may be extended through COBRA. For COBRA information, call COBRA Provider Customer Service at 1-800-224-1346.
Important to note
This page contains highlights of your medical plan choices and benefit comparisons. The details of how the medical plan choices work are included in the legal documents and contracts that govern how the plan operates. In the event of a difference between this page and the legal documents and contracts, the legal documents and contracts will apply. This page does not imply a contract of employment or guarantee of benefits. Banner Health reserves the right to change or discontinue all or part of the medical plan benefits at any time for any reason.
