Emergency Room visits defined as a Medical Emergency
- Preferred Provider: Applies towards $500 Preferred Provider deductible and then covered at 80% co-insurance
- Out-of-Network: Applies towards $1,000 Out-of-Network deductible and then covered at 50% co-insurance
Medical Emergency is defined as an occurrence of a sudden, serious, and unexpected sickness or injury. In the absence of immediate medical attention, a reasonable person could believe the condition would result in:
- Placement of the Insured's health in jeopardy;
- Serious impairment of bodily functions;
- Serious dysfunction of any body organ or part; or
- In the case of a pregnant woman, serious jeopardy to the health of the fetus
Information below is for the 2017-18 plan year
If your condition does not fall under the definition of a medical emergency, it is best to try to locate an urgent care facility for care when possible.
The master policy on file at the university contains all the provisions, limitations, exclusions, and qualifications of the plans, which may not be included on the web pages. The master policy is the contract and will govern and control the payment of benefits.
The information on this website is intended to provide guidance to the benefits of the insurance and how to utilize its services. It in no way constitutes a guarantee of payment for claims submitted to the insurance company.