Plan Benefits & Forms for International Student Health Insurance

Plan Benefits

For benefit and coverage information, please see this plan summary. To view the full details of your plan, refer to your Certificate of Coverage which contains costs, limitations, exclusions, and qualifications of your insurance benefits. If you have questions, please contact United Healthcare Student Resources Customer Service (UHCSR) at 1-800-767-0700 or customerservice@uhcsr.com.

Here are some Preferred In-Network Provider costs for the current plan year:

• Copay for a Physician’s Visit = $25, after deductible
• Copay for an Urgent Care Visit = $35, after deductible
• Copay for Lab Procedures = $25, after deductible
• Copay for Emergency Room care = $200, after deductible

Here is important information about the referral requirement for the on-campus Health Center at Auraria:
Health Center Referral Requirements

Disclaimer:

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 on insurance benefits and how to utilize services and is in no way a guarantee of payment for claims submitted to the insurance company.

Forms