Today is Thursday, Jul. 18, 2019

Department of

UC Student Health Insurance

Coverage Rates: What am I going to pay for care?


University Health Services on campus is considered the primary care provider for students covered under Student Health Insurance. 

A referral is required for services received outside of UHS, unless it for care received more than 50 miles from campus, or for ob/gyn or maternity care.

Services rendered at UHS.    
Deductible $0
Co-Insurance 0% co-insurance
Preventative Care $0
Dermatology 20% co-insurance
Mental Health 20% co-insurance
DME (durable medical equipment)  Rates vary depending on cost of item.
Prescriptions $15/$30/$60 – tier 1/tier 2/tier 3
Maximum Out of Pocket $5,000

  

Services rendered at an In-Network provider – with a proper referral.  Please see Out of Network rates for services rendered without a proper referral.

When seeing a doctor outside of the University Health Services, your deductible is always due first.  After you have met your deductible, you will have co-insurance, in which the insurance company will pay a percentage, and you are responsible for the remainder amount, up to a maximum of $5,000.  For some services, in addition to your co-insurance you will also have a co-pay that would generally be due at the time of service.

Deductible $500
Co-Insurance 20% after $500 deductible is met
Preventative Care  $0
Mental Health $35 co-pay – no deductible requirement
Prescriptions 20% co-insurance, after $500 deductible is met
Physiotherapy $35 co-pay + 20% co-insurance
Urgent Care 20% co-insurance, after $ 500
ER $150 co-pay** + 20% co-insurance

**Co-pay can be reduced to $50, if a referral from UHS is received prior to being seen.
Maximum Out of Pocket        $5,000
      
                      

Services rendered at an Out of Network provider.

Deductible $800
Co-Insurance 40% after $800 deductible is met
Preventative Care    Not covered
Mental Health $35 co-pay – no deductible requirement
Prescriptions 20% co-insurance, after $500 deductible is met
Physiotherapy $35 co-pay + 20% co-insurance
Urgent Care 20% co-insurance, after $ 500
ER $150 co-pay** + 20% co-insurance 

 


**Co-pay can be reduced to $50, if a referral from UHS is received prior to being seen.
Maximum Out of Pocket        $5,000




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