Medical Insurance

OU offers two options for medical plans through Blue Cross Blue Shield of Oklahoma to meet your needs and provide flexibility to you and your family, the PPO and the HDHP.

What to Expect in 2026

Medical and Pharmacy Vendor Changes

Medical: The university’s medical carrier will change to Blue Cross Blue Shield effective January 1, 2026. 

Pharmacy: The university will also utilize a separate pharmacy benefit manager, Rightway Healthcare effective January 1, 2026. Employees can expect changes to the formulary, which is customary with any vendor change or new plan year.

HSA Blackout Period

If you participate in the university’s High Deductible Health Plan (HDHP), your Health Savings Account (HSA) will have a blackout period. The HSA is moving from HSA Bank with Cigna to HSA Bank with BCBS. This blackout period will occur November 12-21; you will be unable to use your HSA card during this time. If you incur qualified expenses during this blackout period, you will be able to submit a reimbursement request to HSA Bank following the blackout period.

Premiums

Medical: In 2026, OU medical premiums will increase by 6.4%.
  • Employees enrolled in the PPO plan will see their monthly contributions rise, ranging from $4.30 per month (employee only, Tier 1) to $54.02 (employee + family, Tier 3).
  • Participants in the HDHP will see monthly contribution increases ranging from $1.68 (employee only, Tier 1) to $35.32 (employee + family, Tier 3).
Dental: Employee rates will increase by 9.72%, with monthly increases ranging from $3.04 to $8.70 on the basic plan, and $5.02 to $14.38 on the alternate plan.

Deductibles

No change in deductibles for 2026:

BCBS PPO Plan
PPO In-Network Deductible
: $2,000 individual / $4,000 family

BCBS High Deductible Health Plan
HDHP In-Network Deductible: $4,300 individual / $8,600 family  

Out of Pocket Maximums

No Change to Out-of-Pocket Maximums in 2026:

BCBS PPO Plan
PPO In-Network Out-of-Pocket Maximums:
$6,000 individual / $12,000 family
PPO In-Network Pharmacy Out-of-Pocket Maximums: $3,200 individual / $6,400 family
 

BCBS High Deductible Health Plan
HDHP In-Network Out-of-Pocket Maximums: $7,750 individual / $15,500 family

HSA Contribution Maximum

Maximum annual HSA contribution is: $4,400 individual / $8,750 family.
Also, there is a $1,000 catch-up contribution for individuals 55 and older. 

Co-Insurance & Co-Pays

No changes to co-pays or co-insurance in 2026:

BCBS PPO Plan
PPO In-Network Co-Pay
: $25 Primary Care/ $35 Specialist/ $50 Urgent Care
PPO In-Network Co-Insurance: 85/15

BCBS High Deductible Health Plan
HDHP In-Network Co-Insurance: 85/15
Employees on the HDHP plan will continue to pay towards the deductible for urgent care visits.

Health Navigation

The university will continue to offer navigation services through Garner and ZERO Health in 2026.

Garner Health: The University of Oklahoma has partnered with Garner to help you and your dependents find top doctors in your area and receive reimbursement* for eligible costs when you visit them. These doctors follow best practices to keep you healthier. Find out more on our Garner Health webpage

*For those on the HDHP, the IRS minimum deductible for 2026 ($1,700 for individual coverage and $3,400 for family coverage) must be met before qualifying for reimbursement. Please note, expenses paid toward the IRS minimum deductible are not reimbursable.

 

ZERO Health: OU has partnered with ZERO to help alleviate the financial burdens of healthcare. Members on the University's medical plan can receive scheduled healthcare for $0* out of pocket. No copays. No deductibles. No coinsurance. Find out more on our ZERO Health webpage.

*Employees on the High Deductible Health Plan (HDHP) must meet the IRS minimum deductible for 2026 ($1,700 for individual coverage and $3,400 for family coverage) before becoming eligible to use ZERO. 

Dental Insurance

BCBS Dental will continue to serve as your dental insurance for 2026. BlueCare Dental PPO offers you and your family access to one of the largest national dental PPO networks of providers.

As a reminder, impacted teeth will only be covered under the dental plan with Blue Cross Blue Shield. For employees who have OU health care coverage, the medical provider will cover impacted teeth only in the case of an emergency.

Finding a dentist is easy, for a list of in-network general and specialty dentists, go to bcbsok.com and use the Provider Finder® tool by clicking on “Find a Doctor or Hospital” and then on “Find a Dentist” on the left side of the page. Select your plan’s BlueCare Dental PPO network (Traditional National PPO). You can search for a dentist near your home, school, or office. 

 

Virtual Care

There is no change to virtual care plan design in 2026. Virtual care is offered through MDLive.

BCBS PPO Plan
PPO In-Network Virtual Care Co-Pay
: Primary $25 / Specialist $35

BCBS High Deductible Health Plan
HDHP In-Network Virtual Care Cost: Deducible, then 85/15
Cost for visits under the HDHP are subject to the deductible and vary based on provider and type of visit.


Includes charges for the delivery of medical and health-related services and consultations by dedicated virtual providers as medically appropriate through audio, video, and secure internet-based technologies.

 

Medical Plan Overview

PPO Plan

The BCBS Preferred PPO plan features an extensive network of physicians and health care providers. Participants have access to any provider that is part of the networks without the need to select a primary care physician when enrolling. Any specialist within the plan networks can be seen without getting a referral from a primary care physician. The out-of-network benefit offers even more flexibility when selecting a provider. The PPO plan has a deductible and co-insurance amounts.

There are no pre-existing condition limitations in this plan.

 

HDHP Plan

The HDHP plan is a high deductible PPO-network plan with a health savings account (HSA) to which employees can contribute. The funds in the HSA can be used to pay for eligible medical expenses and gives members control over how their medical care dollars are spent. Reimbursement for eligible medical expenses are tax-free and unused funds roll over from year to year.

At the start of the year, the university allocates a fund to help the participant pay for medical expenses covered by the plan. The employee can also contribute to this fund through payroll deduction. NOTE: The Health Savings Account is not fully funded at the beginning of the year. These contributions are made on a prorated basis per pay period. 

The fund is used to pay for eligible medical care expenses up to the health savings account fund amount. Preventive care, such as routine physicals and immunizations, is covered at 100% and is not counted against the member’s fund. Fund money left at the end of the year is added to the next year’s fund balance. This allows members to plan for future expenses as long as they remain in the plan. Although this plan has a lower monthly premium, it does have a higher deductible and higher out-of-pocket expenses and may be best suited for individuals without a large amount of medical expense. 

The HDHP plan features an extensive national network of physicians and health care providers. A primary care physician does not have to be selected. Any specialist within the plan network can be seen without a referral. 

There are no pre-existing condition limitations in this plan.

Participants can manage their HSA account online through hsabank.com

BCBS ID CARDS - KEEP YOUR ADDRESS UPDATED!

Please help us keep you informed by ensuring your physical mailing address is correct in Self Service..

Blue Cross Blue Shield will mail new medical insurance cards to your mailing address listed in Self-Service. If you make changes to your dental coverage, new dental cards will also be sent to your mailing address.

Contact

Blue Cross Blue Shield Medical Insurance
1-888-775-6819

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BCBSOK App

Protect Your SSN with Health ID

Because keeping your personal identity safe is a top priority at the university, you will use your Health ID instead of your Social Security number for all medical and dental transactions at the doctor's office and with insurance providers. Click here to learn more about your Health ID Number.

Spouses Working at OU

When both spouses are employed by OU, both employees must carry insurance as the primary insured. Neither employee can be enrolled as a dependent on the other spouse's OU insurance. In future years, that could change depending on the university’s contribution to dependent coverage.

Medical yearly deductibles and out-of-pocket maximums can be linked on the PPO plan for families that have children and two spouses who both work at OU. Employees can do this after the plan year begins.

Flexible Spending Accounts

Did you know that health care and dependent care reimbursement accounts can decrease the amount of taxes you pay on your income? OU and Optum Financial offer a debit card with the healthcare reimbursement Flexible Spending Account (FSA). Get more information on the

Flexible Spending Accounts page.