Student Health Insurance

• What type of insurance do you have?
  Student PPO Plan with United Healthcare Student Resources Division (The United Healthcare Insurance Company).
• What is your ID number?
  This is the 8 digit number that you use to register for UTD courses.
• What is your policy number? 2009-502-1.
• What is your group number?
  There is no group number. The group name is The University of Texas at Dallas.
• What is the claims address?
  United Healthcare Student Resources
   P.O. Box 809025
  Dallas TX 75380-9025
• What is the claims office phone number? 1-888-344-6105.
• What is your deductible?
  $300 per academic year: August 20, 2009 to August 20, 2010.
• What is your co-payment?
  In Network, 20% of all covered costs after your deductible has been met and when using a United Healthcare Options PPO network provider.

Urgent Care Centers

The Student Health Insurance Plan considers an emergency to be the sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that the absence of immediate medical attention could reasonably be expected to result in:

• Placement of the insured's health in serious jeopardy
• Serious impairment of bodily functions
• Serious dysfunction of any body organ or part
• Serious disfigurement
• In the case of a pregnant woman, serious jeopardy to the health of the fetus

If hospital confinement should result from a covered medical emergency, benefits will be paid at 80% of the preferred allowance for covered medical expenses in a preferred provider hospital. 

If confined in an out-of-network hospital, benefits will be paid at 80% of allowable charges until it is medically possible to be transferred to a preferred provider hospital.  If the transfer is not made when medically possible, the benefit will revert to out-of-network non-emergency allowance.  At that time, benefits will be paid at 60% of allowable charges for covered medical expenses incurred. (hide)

Updated: July 28, 2009