Plan Benefits

For full benefits and coverage information, please see the plan certificate. This coverage certificate provides details of the coverage, including cost, benefits, exclusions, reductions or limitations, and the terms under which the coverage may be continued in force. A plan summary is also available. If you have questions, please contact United Healthcare Student Resources Customer Service at 1-800-767-0700 or customerservice@uhcsr.com.

Here are some Preferred In-Network Provider costs for the 2020/21 plan year:

  • Plan Deductible = $250
  • Copay for a Physician’s Visit = $25
  • Copay for an Urgent Care Visit = $35
  • Copay for Emergency Room care = $200

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

FormDescriptionAction
Qualifying Life Event Dependent Form

Students that experience a Qualifying Life Event after the enrollment period may enroll their eligible family members as dependents.

Open Form

Global Travel PlusVisit Global Travel Plus for the American College Student Association to enroll and purchase the Medical Evacuation & Repatriation (MER) coverage.

Open Website