Banner Health offers three medical plan options through Banner|Aetna. All of Banner’s medical plan options offer three levels of coverage* based on the network you choose, plus pharmacy benefits. The chart below reflects Banner Network (max savings tier) level of coverage.
Banner Health Network coverage highlights are shown here. Please review the chart below to understand the coverage offered under each Banner medical plan.
*Out-of-area Premier Plan has two levels of coverage, see below to learn more.
**The coinsurance is after deductible on both Value and Premier for all services except preventive care.
Banner Health Network coverage highlights are shown here. For complete plan details, click the buttons below.
Value Plan SBC
Premier Plan SBC
Choice Plan SBC
Out-of-area Premier Plan option
To support our team members who live outside AZ, WY, NE and CO, we provide an out-of-area medical plan option to ensure all team members receive the Banner Health Network benefits for more savings. This plan option mirrors the Premier Plan, with Aetna network providers covered at the same levels as Banner Health Network providers, as shown below. Out-of-network coverage is also available.
Understanding network tiers
You work for a health care organization, so it makes sense you’d get a discount on health care. Choosing Banner Health physicians, pharmacies and other facilities provides quality care for you and your family and supports the organization that supports you. Plus, you save money through lower copays or coinsurance. Here’s a look at the three levels of coverage available through the different network tiers.
» Banner Health Network (max savings): You will receive the most coverage at the lowest cost under the plan using the Banner Health Network with Banner Health providers.
» Aetna national network (standard savings): You can get care from Aetna network providers at a higher cost share than you would pay in the Banner Health Network. Wherever you are in the country, you’ll be able to find many excellent in-network options.
» Out of network: You are free to go to any provider you choose, but if you choose a provider that is not contracted under the Banner Health or Aetna networks, your deductible and coinsurance will be higher, as these are out of network. Out-of-network claims are paid on a Medicare-based fee schedule.
» Non-Banner Area: If you live outside a city/state where a Banner facility is located, you will (most likely) be utilizing the Aetna national network, or Tier 2 coverage. Reach out to the Banner Concierge if you have questions about the best network tier for you.
Choosing the right health plan
When choosing a plan, first think about your health care usage and needs. Then use our decision tool, Ask ALEX, to review the plans and make the best choice for you and your family.
SCENARIO 1: Chloe
Saving money is priority one
Chloe is 25 years old and single. She’s healthy and has few medical needs aside from the occasional cold, so she wants to spend as little on health care as possible. She likes the idea of using a Health Savings Account (HSA) to build a health care nest egg for future expenses.
What is Chloe’s choice?
After using ALEX, Chloe chooses the Banner Health Value Plan. Since preventive care is covered at 100% and she doesn’t anticipate any major health care expenses, Chloe opts for the lowest premiums to keep her out-of-pocket costs down. To save even more and pay nothing for premiums in 2025 for her team member-only coverage, Chloe participated in the 2024 MyWell-Being Program (Nov. 1, 2023 – Oct. 31, 2024) and met the program’s requirements.
SCENARIO 2: Mark & Jane
Thinking about the future
Mark and his wife Jane just turned 60 and are starting to think about retirement. They’re both healthy now, but they’ll likely need more health care services in the coming years.
What is Mark and Jane’s choice?
Mark and Jane decide that the Banner Health Premier Plan can best help them prepare for the future. They plan to fund their HSA with the premium savings, using the $900 Banner Health HSA contribution as a head start. The funds in their HSA will accumulate over time to help them save for the medical expenses they will face during retirement.
SCENARIO 3: Leslie & Mario
Looking for extra security
Leslie covers her husband Mario and their two kids on her medical plan. Between the kids’ mishaps and another baby on the way, they use health care services often and anticipate hitting their annual deductible early in the year.
What is Leslie and Mario’s choice?
Leslie and Mario select the Banner Health Choice Plus Plan. Although this option has a higher premium, Leslie prefers the security of the lower deductible and knows that since they will meet their deductible this year, they will get the greatest benefit. Plus, Leslie can contribute to a Health Care Flexible Spending Account (FSA) and purchase eligible medical expenses tax-free for the remainder of the year.
Use these resources to help with your benefits questions:
- Ask ALEX: myalex.com/bannerhealth
- MyHR|Workday: Use the search box or make a selection in the Benefits application
- MyBenefits Resource Center: 7 a.m. – 7 p.m. (MST), Monday – Friday at 833-849-9825
- Banner|Aetna Concierge Team: 855-788-5803