Insurance Policy Details
For the most up-to-date information, view the online brochure at United Healthcare Student Resources.
- The policy covers a lifetime maximum of $100,000 for each illness or injury.
- There is a $300 accumulative annual deductible per insured person for the academic year, August 20, 2009 through August 20, 2010.
- When using the nationwide United Healthcare Options PPO network, covered services are paid at 80%. After the deductible has been met, the insured's co-insurance amount is 20% of all costs, excluding prescriptions.
- Out-of-network covered expenses are paid at 60% of Usual and Customary charges. The insured's portion is 40% plus 100% billed above Usual and Customary charges. It benefits you financially to stay within the assigned network.
- You may choose a primary care physician (PCP) from the UnitedHealthcare Options PPO Network . PCP's may only be chosen from lists of Family or General Practitioners. (This policy considers Internists to be specialists.) To search for a provider, visit www.myuhc.com.
A Primary Care Physician (PCP) can treat most illnesses. If the PCP decides that a specialist needs to be consulted, the PCP can issue a referral to you. In order for the insurance company to cover a consultation fee with a specialist, you must have a referral from your PCP or the Student Health Center (SHC). Without the referral, coverage for a specialist consultation fee will be denied by the insurance company. To obtain a referral from the SHC, call (972) 883-2747 and schedule an appointment.
Policy Cost and Coverage Dates
Policy costs, coverage dates and cut off dates for the 2009-2010 Academic Year.|
Period name |
Coverage dates |
Student |
Spouse |
All children |
Student, Spouse & All Children |
Cut off dates |
Annual 09-10 |
8/20/09-8/20/10 |
$1,100 |
$3,203 |
$1,730 |
$6,033 |
10/21/2009 |
Fall 2009 |
8/20/09-1/10/10 |
$431 |
$1,255 |
$678 |
$2,364 |
10/21/2009 |
Spring 2010 |
1/11/10-5/25/10 |
$407 |
$1,185 |
$640 |
$2,232 |
2/20/2010 |
Summer 2010 |
5/26/10-8/20/10 |
$262 |
$763 |
$412 |
$1,437 |
7/21/2010 |
Spring/Summer 2010 |
1/11/10-8/20/10 |
$669 |
$1,948 |
$1,052 |
$3,669 |
2/20/2010 |
Quarterly 09-10 |
8/21/09-11/20/09 |
$275 |
$801 |
$432 |
$1,508 |
10/21/2009 |
11/21/09-02/20/10 |
$275 |
$801 |
$432 |
$1,508 |
12/12/2009 |
|
2/21/10-5/20/10 |
$275 |
$801 |
$432 |
$1,508 |
4/20/2010 |
|
5/21/10-8/20/10 |
$275 |
$801 |
$432 |
$1,508 |
7/21/2010 |
Prescription Benefits
..moreExclusions and limitations
..moreUpdated: September 28, 2009