Today is Saturday, Aug. 29, 2015

Department of

UC Student Health Insurance

Policy Quick Reference for Single Student Coverage, 2015-16

Policy Description

  • Major medical
  • Underwritten by United Healthcare Student Resources
  • In-network & out-of-network worldwide coverage
  • Highest metal-tier—platinum (90% in-network)
  • Affordable Care Act-compliant
  • Huge nationwide provider network 
  • Effective through breaks; spring coverage includes summer even for students who graduate

 

Costs

  • Premium
    $193.50/month when purchased both fall & spring semesters but billed $1161 each for fall & spring semesters (summer included with spring; no credit hour requirement or premium due)

  • Deductible
    $400 in-network, met one (1) time per plan year; $800 out-of-network

  • Prescription Benefit
    $15, $30, $60 when filled at (in-house) UHS Pharmacy
    20% co-insurance* when filled at outside pharmacy

  • ER
    $150 copay reduced to $50 if UHS physician called for approval prior to ER
    arrival & reduced to $0 if admitted to hospital, then 10%* co-insurance with
    90% coverage in-network

  • Out-of-Pocket Max.
    $3,750 in-network, $12,700 out-of-network

  • Lifetime Max.
    unlimited

  • Mental Health
    $14 - $17 (excluding ADHD evaluation) for PsyD, MD, LPCC-S

  • Non-UHS Services
    90% coverage in-network, 10% co-insurance *, **
    60% coverage out-of-network, 40% co-insurance***

* after $400 deductible has been met
** in-network & with UHS referral (referral not required when 50(+) miles from main campus)
*** after $800 deductible or without referral even when insured visits with in-network provider (referral not required when 50(+) miles from main campus)

 

Key

UHS-University Health Services
Max.-maximum

Health Information

UC Student Health Insurance

Lindner Center, Suite 334
studins@ucmail.uc.edu

Phone (513) 556-6868
Fax (513) 556-6655

Office hours: 8:30 a.m. - 4:30 p.m.