student health insurance fall 2014
DESCRIPTION
Student Health Insurance FALL 2014. Underwritten by: Blue Cross and Blue Shield of Illinois and Academic Health Plans. ACA (Affordable Care Act). All students taking an On-Campus, Blended or Hybrid course must provide proof of insurance that meets the standards of the ACA. - PowerPoint PPT PresentationTRANSCRIPT
Student Health Insurance FALL 2014
Underwritten by: Blue Cross and Blue Shield of Illinois andAcademic Health Plans
ACA (Affordable Care Act) All students taking an On-Campus, Blended
or Hybrid course must provide proof of insurance that meets the standards of the ACA.
For International students it is typically necessary to purchase the University sponsored Student Insurance Plan since the guidelines of the ACA now mandate an ‘UNLIMITED’ dollar amount of domestic medical coverage.
Cost
$410 for UIS Student Insurance is automatically charged to Student Accounts!
There is no paperwork to complete in order to enroll.
Dependents/Spouses are eligible for enrollment via a separate form and fee, payable directly to Blue Cross using the Dependent Enrollment Form, available at www.myahpcare.com/uis
Coverage Dates*August 16, 2014-January 09, 2015
for Fall
January 10, 2015-May 31, 2015 for Spring
June 1-August 15, 2015 for Summer (you must take an On-Campus course to be automatically enrolled)
Correct Address is Important! Please update your mailing address
via Student Self-Service in Enterprise as soon as your housing becomes available! Blue Cross Blue Shield will mail an insurance card directly to you!
If your mailing address is not correct in UIS Enterprise, Blue Cross will mail your insurance card to Human Resources. You will be contacted by email to pick up.
Plan Benefits Injury and sickness maximum benefit
’UNLIMITED’ per person per academic year Hospital Expenses Doctor’s Visits (including Vaccinations
required by the Affordable Care Act) X-rays Ambulance Emergency Room
DEDUCTIBLE
Deductible-What you must pay out of pocket before the insurance company begins to pay at 80%.
Benefits will be paid by the insurance company at 80% after deductible of $400 annually has been paid by student out of pocket.
For example: Student A has X-rays totaling $800 Hospital bills the insurance company Insurance company applies $400 of $800
bill to student’s deductible. Deductible is now satisfied.
Student pays $400 deductible amount to hospital.
Remaining $400 paid by insurance at 80% ($320 paid by insurance company).
Remaining 20% ($80 owed by student).
X-rays Hospital bills sent to Insurance Company
Insurance company applies $400 of $800 bill to student’s Deductible. Deductible is now satisfied.
Blue Cross Blue Shield
Student now owes first $400 Deductible amount to hospital
Pays 80%
Pays remaining 20%
Limited Dental & Vision Coverage
Excluded- cavity fillings, dental exams, cleanings, dental X-rays
Excluded but Discounted- eye exams, contacts, glasses through Davis Vision- https://www.blue365deals.com/daily_deals/112991
Only an injury/sickness of the eye is included. Partially bony, impacted wisdom teeth is included.
Medical Facilities Campus Health Services-does not directly
bill insurance. Obtain a Walk-Out statement and send along with copy of your student account bill to Blue Cross.
St. John’s Hospital or any of its prompt care facilities-directly bills insurance
Memorial Hospital or any of its prompt care facilities-directly bills insurance
Prescriptions Must use participating pharmacy such
as Wal-Mart, Walgreens $10 Co-payment for generic drug $20 Co-payment for preferred brand Locate a participating pharmacy by
calling 800-423-1973 or online at uis.myahpcare.com
QUESTIONS ARE
WELCOMED